World Journal of Acupuncture-Moxibustion (WJAM)
V ol. 25, No.3, 30th Sep. 2015
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The infl uential point of bone should be Dàzhuī (大椎 GV 14) rather than Dàzhù (大杼 BL 11)
“骨会大杼”当为“骨会大椎”
WANG Qi-cai (王启才), GU Zhen-yu (顾振宇)
如何培养耐心International Education College, Nanjing University of Chine Medicine, Nanjing 210029, Jiangsu Province, China（南京中医药大学国际教育学院，江苏 南京 210029，中国）
A R T I C L E I N F O
First author: Wang Qi-cai (1947-), male, professor.
Rearch field: Basic rearch and treatment of acupuncture.
E-mail:
Accepted on June 1, 2015A B S T R A C T
Objective The influential point of bone in acupuncture should be Dàzhuī (大椎 GV 14), but it is wrongly believed as Dàzhù (大杼 BL 11) in the modern acupuncture literature and textbooks. This wrong academic theory has widely influenced acupuncture field domestically and abroad, and misguided acupuncture medicine theory and the treatment of acupuncture on bone dias. This essay aims to clear up the misunderstanding and restore the academic status of “the influential point of bone is GV 14” in the acupuncture theory and the treatment on bone dias.
KEY WORDS: The Eight Influential Points; the Influential Point of Bone; Dàzhuī(大椎 GV 14); Dàzhù (大杼 BL 11); Osteoarthropathy
Academic Debate
About the location of the influential point of bone in acupuncture, the understandings are not unified in the ancient and modern literature. Modern acupuncture doesn’t unify the opinions either, some acupuncturists believe it is Dàzhù (大杼 BL 11), some experts think it is Dàzhuī (大椎 GV 14).
The theory of “the influential point of bone is Dàzhù (大杼)” was firstly recorded in Nanjing Benyi • Sishiwu Nan(《难经本义 • 四十五难》The Original Meaning of the ‘Classic of Difficult Issues’ • the Forty-Fifth Question), it wrote [1]“the influential point of bone is Dàzhù (大杼), the bone is nourished by marrow, marrow descends from brain and concentrates in Dàzhù (大杼), Dàzhù (大杼) permeates into the spine center, connects to coccyx and sacrum, infus bones and joints. So the qi of bones is concentrated in Dàzhù (大杼)”. This opinion was wrongly understood as “the influential point of bone is the acupoint of the foot-taiyang bladder meridian, BL 11 in many national acupuncture textbooks, such as Zhenjiu Xue (《针灸学》Science of Acupuncture and Moxibustion)[2], Shuxue Xue (《腧穴学》Science of Acupoints) [3] and Zhenjiu Zhiliao Xue (《针灸治疗学》Acupuncture and Moxibustion Therapy)[4]. Since that, this wrong theory has spread all over the acupuncture field domestically and abroad and misguided acupuncture academic theory and the treatment for bone dias.
Actually, the term Dàzhù (大杼) mentioned in the ancient literature refers to Dàzhuī (大椎). In Ming d
ynasty, ZHANG Jie-bin’s book Leijing Tuyi (《类经图翼》Pictorial Appendices to The Classifi ed Classic) [5] said that “Dàzhuī (大椎) is the influential point of bone, it could be ud for bone dias by moxibustion.” In the 9th volume of this book, the chapter on “the Eight Influential points” said that “Dàzhuī (大椎), an acupoint of governor vesl, at which the bones of shoulder and spine concentrate, so it is called the influential point of bone. The shoulders are able to carry the heavies becau of the influential point of bone Dàzhuī (大椎).” He believed that the influential point of bone is Dàzhuī (大椎), but not
World Journal of Acupuncture-Moxibustion (WJAM )
V ol. 25, No.3, 30th Sep. 2015
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Dàzhù (大杼).
A Japane acupuncturist, YUAN Chang-Ke recorded his opinion in a Japane TCM medical collection called Jingxue Huijie (《经穴汇解》The
explanation of acupoints )[6]腹水的原因
, he said that Zhùg ǔ (杼骨) is another name for Zhu īg ǔ (椎骨 vertebral bone in Chine ) in the ancient, the later doctors confud and called “Dàzhu ī (大椎)” as “Dàzhù (大杼)”.
The essay authors believe that the influential points in acupuncture must posss two basic characteristics. Firstly, the influential points should be cloly connected to the location, physiological features, pathological changes and treatment actions of the corresponding tissues. Secondly, the influential points should be applied objectively, reliably, truly and effectively in the acupuncture clinical practice. According to the words previously cited from Nanjing Benyi • Sishiwu Nan (《难经本义 • 四十五难》The Original Meaning of the ‘Classic of Dif fi cult Issues’ • the Forty-Fifth Question ), “the influential point of bone is Dàzhù (大杼), the bone is nourished by marrow, marrow descends from brain and concentrates in Dàzhù (大杼), Dàzhù (大杼) permeates into the spine center, connects to coccyx and sacrum, infus bones and joints.” The point which is able to “p
ermeate into the spine center. Connect to coccyx and sacrum, infu bones and joints ” matches the features of Dàzhu ī (大椎) located on the spine. Dàzhu ī (大椎) is located inferior to the spinal process of the 7th cervical vertebra which is called “Dàzhùg ǔ (大杼骨)” in the ancient becau it is the biggest process of the cervical vertebras. Therefore, Dàzhu ī (大椎) is logically given another name “Dàzhù (大杼)”. The original meaning of the statement about “the influential point of bone is Dàzhù (大杼)” in Nanjing Benyi • Sishiwu Nan (《难经本义 • 四十五难》The Original Meaning of the ‘Classic of Dif fi cult Issues’ • the Forty-Fifth Question ) is not wrong, actually it refers to the point Dàzhu ī (大椎) which is also named as “Dàzhù (大杼)” in the ancient literature, located at the depression inferior to the biggest cervical process, the spinal process of the 7th cervical vertebra (GV 14), but not the point BL 11 of the foot-taiyang bladder meridian. Comparing to GV 14, the point BL 11, which is 1.5 cun lateral to the spine, does not posss the function “descends from brain, permeates into the spine center, connects to coccyx and sacrum ”. Thus, we believe that the later acupuncturists misunderstood the meaning of “Dàzhùg ǔ (大杼骨)” and wrongly located it at BL 11.
In the acupuncture clinical practice, GV14 is frequently ud for many bone dias, such as cervical spondylosis, lumbar intervertibral disc herniation, hyperostosis and all kinds of joints pain, but less u of BL 11.
Tracing the source, according to the current available literature, this mistake firstly officially written in the national textbook should date back to the first edition of national textbook Zhenjiu Xue (《针灸学》Science of Acupuncture and Moxibustion ) [7] edited by the teaching and rearch group of acupuncture and moxibustion discipline of the TCM School of Jiangsu Province (the predecessor of Nanjing TCM College). On the basis of this textbook, the trial textbook of Nanjing TCM College Zhenjiu Xue Jiangyi (《针灸学讲义》Teaching Materials for Science of Acupuncture and Moxibustion ) [8] published in January 1961 and its reordered edition published in August 1964 both inherited the mistake [9].
In conclusion, according to the analysis on the original words of Nanjing (《难经》the Classic of Questioning ) and its meaning, anatomical location of the points, acupuncture theory and clinical practice, the influential point of bone BL 11 should be GV 14, but not the BL 11. The later acupuncture textbooks should clear up the mistake and restore the theory of “the influential point of bone is GV 14” in acupuncture and the treatment on bone dias.
REFERENCES
[1] Ye L. Nanjing Benyi (《难经本义》. Collated by Wu KP, Shanghai:Shanghai Scientific and Technical Press; 1981.[2] Qiu ML. Science of Acupuncture and Moxibustion.
Shanghai: Shanghai Scientific and Technical Press;1985.[3] Yang JS. Science of Acupoints. Shanghai: Shanghai
Scientific and Technical Press; 1984.
[4] Shi XM. Acupuncture and Moxibustion Therapy.
Shanghai: Shanghai Scientific and Technical Press; 1998.[5] Zhang JB. Leijing Tuyi. Beijing: People’s Medical
升旗手事迹Publishing Hou; 1980.
[6] Yuan CK. Japan. Jing Xue Hui Jie. Beijing: China Ancient
毛领怎么清洗
Book Publishing Hou; 1982.
[7] Teaching and Rearch Group of Acupuncture and
Moxibustion Discipline, Traditional Chine Medicine School of Jiangsu Province. Science of Acupuncture and Moxibustion. Nanjing: Jiangsu People’s Publishing Hou; 1957: 154, 468.
波尔多斯
[8] Teaching and Rearch Group of Acupuncture and
Moxibustion Discipline, Nanjing Traditional Chine Medicine College. Trial Textbook “Teaching Materials
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协商和解World Journal of Acupuncture-Moxibustion (WJAM )V ol. 25, No.3, 30th Sep. 2015
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combined with western medicine but rather than only acupuncture. According to the analysis on the emergency treatment of this ca, the u of western dative and spasmolytic in early and middle s
tage of children ’s continuous convulsion conform with the basic principles of emergency treatment. Although the continuous convulsion can not be controlled and relieved immediately, the treatment has made an early foundation for the implementation of acupuncture. In other words, the above mentioned western medicine treatment and measures have synergistic effect with acupuncture therapy in the treatment of children with continuous convulsion. Therefore, two clinical issues are propod: ① if resuscitative prescriptions like musk injection or acupuncture can be added in the western treatment of children with hyperpyretic status convulsion; ② if acupuncture can be solely applied in the treatment of such dia. The two issues are propod for us thinking in clinical practice.
REFERENCES
[1] Yang XQ, Yi ZW. Pediatrics. Beijing: The People’s
Medical Publishing Hou; 2005: 459.
[2] Shanghai University of Traditional Chine Medicine.
Pediatrics of Chine Medicine. Shanghai: Shanghai Scientific and Technical Publishers; 1979: 53.
[摘 要] 介绍利用针刺疗法成功参与救治高热惊厥持续状态患儿1例。认为西医药物治疗及处理措施与针刺治疗在救治患儿惊厥持续状态过程中可能存在着某种协同作用。[关键词] 针刺 高热 惊厥持续状态
A B S T R A C T I N C H I N E S E
童年的回忆图片for Science of Acupuncture and Moxibustion”. Beijing: People’s Health Publishing Hou; 1961: 72, 176.
[9]
Nanjing Traditional Chine Medicine College. Teaching
微信黑科技Materials for Science of Acupuncture and Moxibustion. Shanghai: Shanghai Scientific and Technical publishers; 1964: 94, 250.
[摘 要] 针灸理论中的八会穴之骨会，本来应该是督脉的大椎穴，却被现代针灸文献以及教材移花接木，张冠李戴，以误传误为“骨会是足太阳膀胱经的大杼穴”。使这一错误的学术理论泛滥于国内外针灸学术界，误导了针灸医学的学术理论以及针灸临床对骨病的正确治疗。本文旨在正本清源，还“骨会大椎”在针灸理论以及治疗骨科病症中的学术地位。[关键词] 八会 骨会 大椎穴 大杼穴 骨关节病
A B S T R A C T I N C H I N E S E
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