【作者】 原林； 白宇； 黄泳； 吴金鹏； 王春雷； 王军； 戴景兴； 沙鸥； 姚大卫；

【Author】 YUAN Lin1,BAI Yu1,HUANG Yong2,WU Jin-peng1,WANG Chun-lei1,WANG Jun1,DAI Jing-xing1,SHA Ou1,YAO Da-wei3.1.Department of Anatomy,Southern Medical University,Guangzhou 510515,China;2.Department of Traditional Chinese Medicine,Southern Medical University,Guangzhou 510515,China;3.Department of Anatomy,Chinese University of Hong Kong,Hong Kong 999077,China

【机构】 南方医科大学解剖学教研室； 南方医科大学中医学院； 香港中文大学解剖学教研室；

【摘要】 目的明确针灸穴位和经络的解剖学基础。方法利用数字人数据和CT,MRI数据,对人体结缔组织断面图像进行标记和重建,并与中医经络相比较。对全身筋膜结缔组织支架进行生物进化和胚胎发育分析。结果对人体结缔组织断面图像进行标记和重建,显示出与中医经络记载走行接近的影像结构,提示全身的结缔组织均与经络密切相关。结论经络的解剖学基础是人体筋膜支架。经络的组织学结构为非特异性结缔组织(包括疏松结缔组织和脂肪组织)。穴位是筋膜上在接受刺激时能产生较强生物信息的部位。提出一种新的解剖学分科方法和学术研究领域-筋膜解剖学。筋膜解剖学认为人体是由非特异性结缔组织支架所构成的支持与储备系统以及由已分化功能细胞所构成的功能系统所构成。由全身未分化的非特异性结缔组织构成的支架在神经和免疫系统的参与下构成人体支持与储备系统,被支持储备系统所包绕和支持的已分化的各种功能细胞构成人体功能系统。对支持与储备系统本身的研究以及支持与储备系统和功能系统相互关系的研究我们称之为筋膜学。更多还原

【Abstract】 Objective The Objective of this study was to investigate the anatomical basis of acupoints and meridians.Methods 3-dimensional(3-D)structures of virtual meridians and fascia connective tissue gathering areas were constructed based on the digital datasets of Virtual Chinese human(VCH)bodies.The vertical distances between virtual acupoints and constructed fascia connective tissues were measured.3-D structures of fascia connective tissue gathering areas were also constructed based on CT and MRI images of living human bodies,and also compared with meridians.Results 3-D structures of fascia connective tissue gathering areas in the VCH bodies showed a pattern of beads-on-strings.Furthermore,the distances between the fascia strings and virtual meridians were close.More fascia connective tissue areas were constructed,more string-like structures were found.When 3-D structures of all fascia connective tissues through over the body were constructed,a body-shaped connective tissue network appeared.3-D structures of fascia connective tissue gathering areas constructed from both CT and MRI images also appeared line-like patterns,and co-localized with traditional Chinese meridians.Conclusion The fascia network all over the body is the anatomical basis of acupoints and meridians in the traditional Chinese medicine.The histological composition of meridian is the non-specific connective tissue(including loose connective tissue and fat tissue).Therefore,we put forward a new approach for division of anatomical discipline.According to this method,the human body consists of two major systems.One is the supporting and storing system and the other is the functional system.The anatomical discipline which based on this division method is named fascial anatomy.Undifferentiated non-specific connective tissue network with the participation of the nervous and immune systems constitute the supporting and storing system of the human body,the various differentiated functional cells in the body which were supported and surrounded by supporting and storing system constitute the functional system.The discipline which studies the supporting and storing system and the mutual relationship between this system and the functional system,the latter is made of differentiated cells,is named fasciaology.更多还原