[Fascia and defensive qi: construction of body view in classical acupuncture theory].

Qiang Ma, Jing Wang
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Abstract

Influenced by the concept of "qi-void" in Taoist philosophy during the Qin and Han dynasties, the early acupuncture theory attaches the importance to the "fascial (muscular) interstices" distributed widely in the human body. The defensive qi runs through everywhere in these interstices that is easily invaded by the pathogenic wind and cold, and bi syndrome of jingjin (muscle region of meridian) is involved. Besides, fascial (muscular) interstices are the places for the delivery of relaxing needling and joint needling. Fascial tissue is a crucial structure to produce deqi, while, the function of defensive qi is tightly connected to the autonomic nerve in modern medicine, both of which actually belong to the different expressions of patients' body feeling. Medical scholars at early era, in reference with "fascia" and "defensive qi ", has summarized and refined their clinical practice experience. Thereby, the concepts of "arrival of qi " and "fascial (muscular) interstices" are extended, which constructs the peripheral framework of core concepts in acupuncture theoretic system, e.g. meridians and acupoints, and becomes an important component of the body view in classic acupuncture theory.

筋膜与防气:经典针灸理论中身体观的建构
早期针灸理论受秦汉时期道家哲学“气虚”概念的影响,重视人体广泛分布的“筋膜(肌)隙”。在这些容易被邪风邪寒侵袭的间隙中,正气贯穿各处,涉及经络肌区痹证。此外,筋膜(肌)间隙是放松针刺和关节针刺的输送部位。筋膜组织是产生德气的重要结构,而在现代医学中,防气的功能与自主神经紧密相连,两者实际上属于患者身体感觉的不同表达。早期医学学者参照“筋膜”和“防气”,总结和提炼了他们的临床实践经验。由此,“气至”、“筋膜(肌)隙”等概念得到延伸,构成了经络、腧穴等针灸理论体系核心概念的外围框架,成为经典针灸理论身体观的重要组成部分。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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