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Conceptual Connotation and Evolution of " Opening the Four Passes" and " Siguan Acupoints"
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Yuxi LUO1, Jiarun ZHANG2, Yuhan LIU2, Bin LI2, Lu LIU2, *
Acta Chinese Medicine and Pharmacology | 2026, 54(8) : 1 - 5
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Acta Chinese Medicine and Pharmacology | 2026, 54(8): 1-5
Conceptual Connotation and Evolution of " Opening the Four Passes" and " Siguan Acupoints"
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Yuxi LUO1, Jiarun ZHANG2, Yuhan LIU2, Bin LI2, Lu LIU2, *
Affiliations
  • 1.Graduate School, Beijing University of Chinese Medicine, Beijing 100029, China
  • 2Beijing Key Laboratory of Acupuncture and Neuromodulation, Acupuncture Center, Beijing Hospital of Traditional Chinese Medicine, Capital Medical University, Beijing 100010, China
Published: 2026-08-20 doi: 10.19664/j.cnki.1002-2392.260153
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This paper traces back the history of ancient Chinese medical articles and summarizes the modern research views, aiming to restore the historical appearance of " opening the four passes" along with " Siguan acupoints", and to explore the original meaning of their concepts as well as their gradual transmutation during the historical changes. We believe that the original meaning of " opening the four passes" is a guiding principle referring to freeing the circulation of qi among the four passes, while " opening Siguan acupoints" is the specific treatment operation of acupuncturing at Hegu (acupoint LI4) and Taichong (acupoint LR3), which are known as " Siguan acupoints". They should be unequivocally differentiated in the conceptual hierarchy in order to provide clearer guidance and refinement for future theoretical researches and clinical practices.

Opening the four passes  /  Siguan acupoints  /  Opening Siguan acupoints  /  Hegu (acupoint LI4)  /  Taichong (acupoint LR3)
Yuxi LUO, Jiarun ZHANG, Yuhan LIU, Bin LI, Lu LIU. Conceptual Connotation and Evolution of " Opening the Four Passes" and " Siguan Acupoints"[J]. Acta Chinese Medicine and Pharmacology, 2026 , 54 (8) : 1 -5 . DOI: 10.19664/j.cnki.1002-2392.260153
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doi: 10.19664/j.cnki.1002-2392.260153
  • Receive Date：2025-03-21
  • Online Date：2026-09-17
  • Published：2026-08-20
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  • Received：2025-03-21
  • Revised：2025-05-15
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Affiliations
    1.Graduate School, Beijing University of Chinese Medicine, Beijing 100029, China
    2Beijing Key Laboratory of Acupuncture and Neuromodulation, Acupuncture Center, Beijing Hospital of Traditional Chinese Medicine, Capital Medical University, Beijing 100010, China
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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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