张建斌，王玲玲

中华医史杂志.-2006,36(3) 162-165

督脉经输穴的数量和分布，历代记录不一样，督脉经腧穴的分布，《内经》到《甲乙经》时期督脉经腧穴包括了面部头颈部正中线、脊背正中线及两测，宋代《铜人腧穴针炙图经》以后至今仅有面部、头颈部、脊背部正中线上：腧穴数量上也多少不一，主要与对脊柱相关腧穴认识不同有关。其中唐代《太素》首次记载了督脉经腧穴不同认识的讨论，杨上善和王冰的记录提示，对督脉经腧穴认识上的主要差异出现在唐宋之间。

The origin and variation of acupoints on the Du channel are investigated by analyzing and studying the number and distrbution of points recorded in the ancient medical works.It is found that the amount and distribution of the points were different in different ages.The distributions of the points were not only located on the midline of the face,head,nape and posterior midline but also on both sides of the spine from the period of Neijing(Inner Canon)to that of Zhenjiu Jiayi Jing(A-B Classic of Acupuncture and Moxibustion).Since the period of Tongren Shuxue Zhenjiu Tujing (Illustration Classic of Acupoints on Bronze Statue)in the Song dynasty,only those points of the midline from the face,nape to the spine are remained there until now.Meanwhile,the amount of points were also varied because of the cognition to the points on the spine.Huangdi Neijing Taisu(Grand Simplicity of Inner Canon of Huangdi)compiled in the Tang Dynasty first mentioned the arguments about the varied points on the channel.The records by Yang Shangshan and Wang Bing indicate that the main differences on the cognition of the channel and its points appeared during the period of the Tang Dynasty to the Song Dynasty.

历史文献(PT)

《素问》；《甲乙经》；《太素》；《圣济总录》；《铜人腧穴针灸图经》；穴位，督脉；腧穴学/历史；中国

医学史，古代 (公元500年以前)；医学史，中世纪 (公元500-1450)；医学史，战国 (475-221 B.C.)；医学史，秦朝(221-207 B.C)；医学史，汉朝(206 B.C -220 A.D)；医学史，唐朝(618-907 A.D)；医学史，宋朝(960-1279 A.D)

督脉；腧穴