中医杂志

认为膜原半表半里说的本质是间隙半表半里。通过对相关古籍文献记载、医家论述进行分析，梳理膜原间隙半表半里与督脉的关系，提出督脉通行于膜原间隙半表半里之外，且膜原间隙半表半里与少阳半表半里有关联但亦有不同。通过分析古今学者的临床诊治思路，进一步佐证督脉通行于膜原间隙半表半里之外，并基于对两者关系的研究，借鉴治疗督脉病证的遣方用药构建治疗膜原病证的方药，为临床疑难病症的诊治提供思路。

It is proposed that the essence of the half-interior half-exterior theory of the membrane-source lies in the concept of the interstitial space being half-interior half-exterior. Through analysis of classical medical texts and commentaries by renowned physicians, the relationship between the membrane-source interstitial layer and the Governor Vessel （督脉） is explored. It is argued that the Governor Vessel traverses beyond the membrane-source interstitial half-interior half-exterior layer, and that this layer is related to, but distinct from, the shaoyang channel's half-interior half-exterior characteristic. By examining both historical and modern clinical approaches, further evidence is provided to support the view that the Governor Vessel passes outside this interstitial layer. Based on this relationship, treatment principles and prescriptions for Governor Vessel-related disorders are referenced to formulate strategies for membranesource disorders, offering new perspectives for addressing complex and difficult clinical conditions.