基于“一气周流”理论探析程氏脐腹针分区与临床应用

Exploration of the Cheng’s Navel-Abdominal Acupuncture Zoning and Clinical Application Based on the Theory of “The Circular Flow of Qi”

摘要: 程氏脐腹针以河图洛书、五行学说为理论基础，将腹部划分为26个穴区，形成了独特的诊疗体系。清代医家黄元御在《四圣心源》中提出的“一气周流，土枢四象”理论，强调以中焦脾胃为升降枢纽，左路木火升发、右路金水敛降的气机循环模式。本文通过系统梳理二者在理论渊源、核心内涵、空间布局及功能应用上的内在关联，揭示程氏脐腹针分区实为一气周流理论的具象化表达：元气区与脾胃区对应“中土为枢”，左侧肝胆区对应“左路升发”，右侧肺与大肠区对应“右路敛降”，各脏腑三区分治则对应一气周流在不同层面的功能呈现。二者形气结合，共同构建了“以形调气、以气治形”的临床实践范式。

Abstract: Cheng’s Navel-Abdominal Acupuncture, grounded in the theories of Hetu Luoshu and the Five Ele-ments, divides the abdominal region into 26 acupoint zones, forming a distinctive diagnostic and therapeutic system. The Qing Dynasty physician Huang Yuanyu, in his work “Four Sages’ Heart Source”, proposed the theory of “The Circular Flow of Qi, Earth Pivot and Four Images”, which em-phasizes the spleen-stomach of the middle jiao as the pivot of ascending and descending dynamics, with the left pathway ascending and the right pathway descending. Through systematic analysis of the intrinsic correlations between the two theories in terms of theoretical origins, core connotations, spatial layout, and functional applications, this paper reveals that the zoning of Cheng’s Na-vel-Abdominal Acupuncture represents the concrete manifestation of the Circular Flow of Qi theory: the Yuanqi Zone and Spleen-Stomach Zone correspond to “Earth as the Pivot”; the left-side Liv-er-Gallbladder Zone corresponds to “left ascending”; the right-side Lung-Large Intestine Zone cor-responds to “right descending”; and the third zones of each zang-fu organ correspond to the func-tional presentation of “The Circular Flow of Qi” at different levels. The integration of form and qi col-lectively constructs the clinical practice paradigm of “regulating qi through form and treating form through qi”.