通讯作者: 张河平, 446914086@qq.com

DOI：10.12201/bmr.202602.00096

Circulation and Delivery: The Dual-Track Logic of Meridians ——The Chonghe-Qijiao Model and Its Clinical Insights (Final Revised Edition)

• 摘要：目的：古典经络理论临床有效，但系统逻辑隐晦。本文旨在从《内经》《难经》中反编译其隐含的系统架构，贯通“经气本质”至“心神调控”的逻辑链条。 方法：运用经典训诂、历史考证与系统动力学方法，提出“冲和-气交”（三元-双轨）模型。 ①双轨制——区分“十二经流注”（循环）与“五输-经别”（奔赴）两套独立叙事框架； ②经脉主干无五行——经脉固有属性仅为阴阳，五行是脏腑归类与五输穴功能命名，二者彻底解耦； ③三层归位——脏腑功能投影于皮部，皮部烙印固化为经脉阴阳属性，经脉阴阳属性临时附着为冲和之气阴阳标签； ④二层结构——冲和之气由中性不变的能量本体与临时附着的阴阳标签复合而成，是循环系统的运行介质； ⑤又独立又依存——奔赴系统（五输-经别）不依赖冲和之气的流向，其直接能量来自穴位储能（天地清气），但穴位的活力和储能需要冲和之气滋养来维持； ⑥五行指纹——五输穴五行配属是古人对穴位解剖功能梯度的符号化命名编码，功能在先，标签在后；五输程序据此逐级精炼指令； ⑦双侧点火——表里经交接处阴阳标签翻转激荡化生火种能量场，两经井穴同时受纳、同步启动五输程序； ⑧井穴唤醒——井穴是经脉的“开关”，发出启动指令，其功能重“质”（指令清晰）而非“量”（流量巨大）； ⑨层级放大——从井至合，效应由急趋缓、由表入里，是经气由浅入深的气化深化过程，本质是指令的逐层传递； ⑩合穴交付——合穴一身二任，向内为五输程序之终点，向外为经别专线之起点，精专之气携固定阴阳标签与深度整合的五行指纹交付经别，一经投送、永不回流； ⑪历史佐证——考证五行学说在医学史中的应用次序，证实经脉主干自始无五行，五输穴五行配属为理论精细化产物。 结果：将散落经典整合为“生成-标记-点火-唤醒-精炼-交付-投送-调控-排浊”完整系统链，推导出“辨轨施治”临床新框架及3项可检验预测。 结论：古典经络是一套“循环”与“奔赴”双轨并行的战略能量管理系统。本模型为功能等价描述系统，不承诺本体论真实性。

  关键词： 经络理论; 冲和之气; 双轨制; 循环; 奔赴; 经脉主干无五行; 阴阳标签; 五行指纹; 井穴唤醒; 质与量; 双侧点火; 合穴交付; 历史考证

   

  Abstract: Objective: Classical meridian theory faces a profound paradox: robust clinical efficacy yet fragmented theoretical logic. This study reconstructs its implicit system architecture from the Neijing and Nanjing, bridging "meridian qi essence" to "Heart-Mind regulation." Methods: Employing classical exegesis, historical textual research, and systems dynamics, we propose the "Chonghe-Qijiao" (Three Origins--Two Tracks) model: ①Dual-Track System---distinguishing "twelve-meridian circulation" (Basic Maintenance) from "Five-Shu--divergent meridian" (Strategic Delivery) as two independent frameworks; ②Meridian Trunk Has No Five Phases---intrinsic meridian attributes are solely yin/yang; Five Phases belong to visceral categorization and Five-Shu point functional nomenclature, completely decoupled; ③Three-Layer Attribution---visceral functions project onto cutaneous regions, cutaneous imprints solidify into meridian yin/yang attributes, meridian yin/yang attributes are temporarily attached as yin/yang labels onto Chonghe qi; ④Two-Layer Structure---Chonghe qi comprises neutral invariant substance and temporarily attached yin/yang labels, serving as the operating medium for the circulatory system; ⑤Independent yet Interdependent---the Delivery System (Five-Shu--divergent meridians) does not rely on the flow of Chonghe qi; its direct energy comes from point energy storage (Heaven-Earth Clear Qi), but point vitality and storage capacity require nourishment from Chonghe qi; ⑥Five-Phase Fingerprint---Five-Shu Five-Phase attributions are symbolic nomenclatures encoding anatomical functional gradients; function precedes labeling; the Five-Shu procedure refines commands accordingly; ⑦Bilateral Ignition---yin/yang label flipping at interior-exterior junctions generates a kindling energy field; both Jing-well points simultaneously receive resonant ignition; ⑧Jing-well Arousal---Jing-well points serve as "switches" rather than "sources," emitting activation commands, emphasizing "quality" (command clarity) over "quantity" (flow magnitude); ⑨Hierarchical Amplification---the Jing-to-He progression represents a deepening of qi transformation from superficial to interior, essentially the layer-by-layer transmission of commands; ⑩He-point Delivery---He points serve dual roles: the terminus of Five-Shu refinement and the origin of divergent meridian delivery; refined specialized qi, bearing fixed yin/yang labels and deeply integrated Five-Phase fingerprints, is transferred directly at the He point to its dedicated divergent meridian, once delivered, never returns; ⑪Historical Evidence---textual research demonstrates that Five-Phase theory was first applied to visceral categorization and only later mapped to meridians through the "belonging" relationship; meridian trunks originally had no Five-Phase attributes; the Five-Phase attributions of Five-Shu points are a later theoretical refinement. Results: Dispersed classical tenets are integrated into a "generation--labeling--ignition--arousal--refinement--delivery--transportation--regulation--excretion" system chain, yielding the "Track-Differentiation Treatment" framework and three testable predictions. Conclusion: Classical meridians constitute a strategic energy management system with dual tracks: circulation and delivery. This model is a functional equivalence deion, not an ontological assertion.

  Key words: meridian theory; Chonghe qi; dual-track system; circulation; delivery; meridian trunk has no Five Phases; yin/yang label; Five-Phase fingerprint; Jing-well arousal; quality vs. quantity; bilateral ignition; He-point delivery; historical textual research

  提交时间：2026-04-14

  版权声明：作者本人独立拥有该论文的版权，预印本系统仅拥有论文的永久保存权利。任何人未经允许不得重复使用。
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• 序号	提交日期	编号	操作
  1	2026-02-25	10.12201/bmr.202602.00096V1	下载

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