古代文献对经脉循行路线的描述能直接反映当时医家对"经脉"概念的认识和理解,所以不同时期经脉循行路线的变化也必然反映经脉内涵的变化.本文从对照帛书"十一脉"与<灵枢>经脉循行起止点、方向、路径等变化入手,认为引起经脉循行变化的主要因素有:脉诊的发展、古代阴阳术数思想、古代表面解剖学知识、气血营卫循环概念形成,并深入剖析了由"十一脉"发展至"十二经脉",经脉概念本质与内涵发生的重要演变.%The descriptions about the traveling routes of meridians in ancient Chinese literatures directly reflect the understanding and recognition of the ancient Chinese physicians on "meridians" concept at that time. Therefore, the changes of meridian traveling routes in different ancient Chinese periods certainly reflect the changed connotations of meridians. Beginning from variations of the starting and ending points, direction and traveling routes of book Ling Shu Jing (Miraculous Pivot) and the "eleven meridians" in the Silk Book, the authors of the present article hold that the main factors influencing the variation of meridian traveling pathways are 1) development of the pulse diagnosis, 2) ancient Yin-Yang and math ideology, 3) ancient surface anatomy knowledge, and 4) formation of the concepts of Qi, Xue (blood), and Ying-Wei circulation. The authors also analyze the significant evolution of meridian concept and connotation from the "eleven meridians" to the "twelve regular meridians".
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