Article(id=1304438799967216070, tenantId=1146029695717560320, journalId=1302318977290174537, issueId=1304438786377674789, articleNumber=null, orderNo=null, doi=10.19664/j.cnki.1002-2392.260007, pmid=null, cstr=null, oa=null, hot=0, price=null, onlineType=0, articleFormat=0, articleType=null, articleTypeStr=null, receivedDate=1725984000000, receivedDateStr=2024-09-11, revisedDate=null, revisedDateStr=null, acceptedDate=null, acceptedDateStr=null, onlineDate=1788932045213, onlineDateStr=2026-09-09, pubDate=null, pubDateStr=null, doiRegisterDate=null, doiRegisterDateStr=null, onlineIssueDate=1788932045213, onlineIssueDateStr=2026-09-09, onlineJustAcceptDate=null, onlineJustAcceptDateStr=null, onlineFirstDate=null, onlineFirstDateStr=null, sourceXml=null, magXml=null, createTime=1788932045213, creator=13701087609, updateTime=1788932045213, updator=13701087609, issue=Issue{id=1304438786377674789, tenantId=1146029695717560320, journalId=1302318977290174537, year='2026', volume='54', issue='1', pageStart='1', pageEnd='128', issueExtLink='null', onlineDate='null', pubDate='1768838400000', pubDateStr='2026-01-20', beforeIssueId=null, nextIssueId=null, price=null, status=1, issueComplete=1, articleOrder=1, issueType=-1, specialIssue=null, createTime=1788932041973, creator='13701087609', updateTime=1788934739716, updator='13701087609', preIssue=null, nextIssue=null, articleTotal=null, ext={EN=IssueExt(id=1304450101590651052, tenantId=1146029695717560320, journalId=1302318977290174537, issueId=1304438786377674789, language=EN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=), CN=IssueExt(id=1304450101590651053, tenantId=1146029695717560320, journalId=1302318977290174537, issueId=1304438786377674789, language=CN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=)}, issueFiles=null, downloadFileDto=null}, startPage=40, endPage=44, ext={EN=ArticleExt(id=1304438800294371784, articleId=1304438799967216070, tenantId=1146029695717560320, journalId=1302318977290174537, language=EN, title=Re - exploring the Principle of Treating the Upper from the Lower: Insights from the Jiexi Point, columnId=null, journalTitle=Acta Chinese Medicine and Pharmacology, columnName=null, runingTitle=null, highlight=null, articleAbstract=The Jiexi acupoint (ST 41) belongs to the Stomach Meridian of Foot - Yangming and has a special anatomical location. Its clinical application reflects the holistic concept of "treating upper diseases from lower." This principle originates from the Huangdi Neijing, which states, "For diseases in the upper body, treat the lower body." This article explores Jiexi's therapeutic approach of treating upper diseases from below from five perspectives: tracing the origins of Jiexi, analyzing its nature, and clarifying its application, clarifying the use of Jiexi Point, enlightenment on the use of Jiexi Point. The Jiexi acupoint is also noted in the phrase "treat muscular atrophy by selecting points on the Yangming meridian," demonstrating its efficacy in treating ankle atrophy. As a key point on the stomach meridian, it helps to alleviate local edema and clear heat in the Stomach meridian. The stomach meridian of Foot - Yangming extends to the hairline and forehead, so needling the Jiexi acupoint can treat upper body conditions, such as headaches and brain disorders, by regulating them from below. In the five elements, Jiexi belongs to fire and shares an affinity with the eyes, heart, and pericardium. The upper portion of the Foot - Yangming meridian connects to the heart, while the major collateral vessel of the stomach, known as Xuli, is located at the point of the heart's pulsation. This connection lays the foundation for treating eye diseases, heart - related conditions, and mental disorders. As an acupoint on the meridian, Jiexi is also indicated for treating coughs, fevers, and chills. Additionally, the theory of "treating edema by targeting the meridian" suggests that Jiexi can be used to address both external coughs and stomach - related coughs accompanied by edema. Jiexi point has a wide range of clinical applications in combination with other points, and it is rich in special needling techniques. Jiexi and Yang Jiao points, both belonging to the fire element, can be used together to treat palpitations. A classic case is appended to verify their effectiveness., authors=LUO Chuyi1,2 , DU Yanjun1,2 , authorsList=LUO Chuyi, DU Yanjun, authorCompany=1 Acupuncture and Orthopedics College of Hubei University of Chinese Medicine, Wuhan 430061, China; 1,2 , 杜艳军1,2 , authorsList=罗楚仪, 杜艳军, authorCompany=1 湖北中医药大学针灸骨伤学院，湖北 武汉 430061;
中医药学报
|针灸经络
2026
, 54
(1) :
40
-44
从解溪穴再探上病下治之道
全屏
罗楚仪1,2 , 杜艳军1,2
作者信息
1 湖北中医药大学针灸骨伤学院，湖北 武汉 430061;
通讯作者:
* 杜艳军（1975-），女，博士，教授，博士研究生导师，研究方向：针灸调节神经-内分泌-免疫网络机制研究。
作者简介:
罗楚仪（2001-），男，硕士研究生，研究方向：针灸调节神经-内分泌-免疫网络机制研究。
Re - exploring the Principle of Treating the Upper from the Lower: Insights from the Jiexi Point
LUO Chuyi1,2 , DU Yanjun1,2
Affiliations
1 Acupuncture and Orthopedics College of Hubei University of Chinese Medicine, Wuhan 430061, China;
doi: 10.19664/j.cnki.1002-2392.260007
文章导航
解溪穴属足阳明经穴，定位特殊，其临床应用体现“上病下治”的整体思维。上病下治源于《黄帝内经》“病在上者，下取之”。本文从溯解溪之源、探解溪之性、明解溪之用、列解溪之法、悟解溪之道五个方面对解溪穴上病下治之道进行探讨。“治痿独取阳明”，解溪穴治疗足踝痿证效果良好，其又为胃经经水的输配枢纽，既可除局部水肿，又可清胃经火热。足阳明循发际，至额颅，针刺解溪穴可上病下治，调理头痛和脑病。解溪穴，五行属火，基于同气相求之理，与眼、心、心包气机相通；从经脉循行来看，足阳明之正上通于心，胃之大络亦位于心尖搏动处。上述五行属性与经络循行的双重联系，为解溪穴治疗眼疾、心系病证、神志病奠定了坚实的理论基础。解溪穴为经穴，经主喘咳寒热，且《素问·咳论》指出“浮肿者治其经”，所以解溪既能治疗外感咳嗽，也可治疗胃咳伴浮肿。解溪，临床配穴广泛，特殊刺法丰富；解溪与阳交穴性属火，可同治惊悸，另附经典案例一则，以验其效。
上病下治
/
解溪
/
经穴
/
惊悸怔忡
/
眩晕
/
喘咳寒热
The Jiexi acupoint (ST 41) belongs to the Stomach Meridian of Foot - Yangming and has a special anatomical location. Its clinical application reflects the holistic concept of "treating upper diseases from lower." This principle originates from the Huangdi Neijing, which states, "For diseases in the upper body, treat the lower body." This article explores Jiexi's therapeutic approach of treating upper diseases from below from five perspectives: tracing the origins of Jiexi, analyzing its nature, and clarifying its application, clarifying the use of Jiexi Point, enlightenment on the use of Jiexi Point. The Jiexi acupoint is also noted in the phrase "treat muscular atrophy by selecting points on the Yangming meridian," demonstrating its efficacy in treating ankle atrophy. As a key point on the stomach meridian, it helps to alleviate local edema and clear heat in the Stomach meridian. The stomach meridian of Foot - Yangming extends to the hairline and forehead, so needling the Jiexi acupoint can treat upper body conditions, such as headaches and brain disorders, by regulating them from below. In the five elements, Jiexi belongs to fire and shares an affinity with the eyes, heart, and pericardium. The upper portion of the Foot - Yangming meridian connects to the heart, while the major collateral vessel of the stomach, known as Xuli, is located at the point of the heart's pulsation. This connection lays the foundation for treating eye diseases, heart - related conditions, and mental disorders. As an acupoint on the meridian, Jiexi is also indicated for treating coughs, fevers, and chills. Additionally, the theory of "treating edema by targeting the meridian" suggests that Jiexi can be used to address both external coughs and stomach - related coughs accompanied by edema. Jiexi point has a wide range of clinical applications in combination with other points, and it is rich in special needling techniques. Jiexi and Yang Jiao points, both belonging to the fire element, can be used together to treat palpitations. A classic case is appended to verify their effectiveness.
Treating upper illnesses from lower acupoints
/
Jiexi(ST 41)
/
Meridian point
/
Palpitations with fear and severe
/
Dizziness
/
Dyspnea, cough, chills and fever
罗楚仪, 杜艳军.
从解溪穴再探上病下治之道.
中医药学报,
2026
, 54
(1)
: 40
-44
.
DOI: 10.19664/j.cnki.1002-2392.260007
LUO Chuyi, DU Yanjun.
Re - exploring the Principle of Treating the Upper from the Lower: Insights from the Jiexi Point[J].
Acta Chinese Medicine and Pharmacology ,
2026
, 54
(1)
: 40
-44
.
DOI: 10.19664/j.cnki.1002-2392.260007
2026年第54卷第1期
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doi: 10.19664/j.cnki.1002-2392.260007
接收时间：2024-09-11
首发时间：2026-09-09
https://castjournals.cast.org.cn/joweb/zyyxb/CN/10.19664/j.cnki.1002-2392.260007
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2种不同金属材料的力学参数
科 属数 种数 占总种数比例 属 种数 占总种数比例 鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78 小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39 多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39 红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87 小菇属 Mycena 11 5.26 光柄菇属 Pluteus 5 2.39 红菇属 Russula 17 8.13 栓菌属 Trametes 5 2.39
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