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  • Title: [Interpretation of text about governor vessel disease and its general treatment principle from Suwen: Gu Kong Lun].
    Author: Li SY.
    Journal: Zhonghua Yi Shi Za Zhi; 2019 Mar 28; 49(2):95-99. PubMed ID: 31137158.
    Abstract:
    In Gu Kong Lun(Discourse on Bone Hollows), a chapter from Suwen(, Plain Questions): When the governor vessel(Du Mai) generates a disease, treat the governor vessel. Treat it above the bone. In severe cases treat at the camp below the navel(,,). This sentence illuminated acupoint selection methods and treatment thoughts for governor vessel disease, the comprehension of physicians in ancient different dynasties have large divergence. This paper digs and presents its meaning through investigating the following ancient documents: governor vessel disease, acupuncture point indications of governor vessel, relative therapy methods, expert annotation, etc. Then this paper draws a conclusion that "above the bone" means above the vertebral column, where is the circulation area of governor vessel, "under the umbilicus" is the part from umbilicus to pubis symphysis center. This sentence not only indicates the treatment part when governor vessel generates disease, but also emphasizes the therapy ideas that provides different treatment method according to severity degree of disease. 《素问·骨空论》"督脉生病治督脉，治在骨上，甚者在脐下营"阐明了督脉病症的选穴部位和治疗思路，历代医家对它的理解有较大分歧。本文通过考察督脉病症、督脉腧穴主治、病症治疗、注家注释等古籍文献，对其含义进行解读和辨析，认为"骨上"是指督脉循行所过脊柱骨，"脐下营"为脐至耻骨联合中央处。该句不但指明了督脉生病时需重视的治疗部位，而且强调了区分病症轻重予以不同施治的思路。.
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