中医杂志

通过梳理《黄帝内经》中基于经络系统的邪气传变模式，认为情志、饮食、劳倦等因素直接扰动脏腑经脉之气，使邪气由经入络传变；天之邪气首入头面，多循风府而入并沿六经传变；地之寒湿由络入经、由外入内，而沿络脉、经脉、肠胃、五脏、膜原传变。并总结《黄帝内经》中由络入经的疾病传变模式各阶段特征，指出邪在络脉、经脉、膜原、脏腑等部位的疾病各异，强调疾病治疗应重视经络早期病变的辨识，发挥针灸、导引、灸焫、按蹻、汤熨等治法在阻断疾病传变中的重要作用。

By sorting out the pathogen transmission patterns based on the channels and collaterals system in The Inner Canon of Yellow Emperor(《黄帝内经》), it is believed that factors such as emotions, diet, and exhaustionfatigue disturb the qi of the zang-fu organs and channels directly, causing pathogens to transmit from channels to collaterals; pathogens from the nature first invade the head and face, mostly enter through Fengfu(GV16) and transmit along the six channels; cold-dampness from the nature transmits from collaterals to channels, from the exterior to the interior, and spreads along the collaterals, channels, intestines and stomach, five zang organs, and membranesource. This paper also summarized the characteristics of the disease transmission pattern from collaterals to channels in The Inner Canon of Yellow Emperor, pointing out that diseases manifest different features when pathogens are located in collaterals, channels, membrane-source, or zang-fu organs. It emphasized that in disease treatment, attention should be paid to the identification of early lesions in the meridians and collatends, and the important role of therapeutic methods such as acupuncture, Daoyin(conduction exercise), moxibustion, massage and pressing, and tangyun(hot compresses with herbal decoctions) in disease prevention should be brought into play.