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Published on: September 28, 2018
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[Interpretation on the multiple connotations of twelve-meridian differentiation]
Huilin Zeng1, Bing Liu1, Ruixia Wang1
1Institute of Acupuncture and Moxibustion, Chinese Academy of Chinese Medical Sciences, Beijing 100700, China.
Zhongguo Zhen Jiu = Chinese Acupuncture & Moxibustion
|September 15, 2025
Summary
This study enhances Traditional Chinese Medicine (TCM) meridian differentiation by analyzing the twelve-meridian system. It refines diagnostic accuracy for meridian-based treatments by exploring theoretical foundations and clinical applications.
Area of Science:
- Traditional Chinese Medicine (TCM)
- Acupuncture and Meridian Theory
- Integrative Medicine
Background:
- Meridian-based syndrome/pattern differentiation is a core diagnostic method in TCM.
- Existing approaches to twelve-meridian differentiation require refinement for theoretical clarity and clinical utility.
- Understanding the physiological and pathological characteristics of meridians is crucial for accurate diagnosis.
Purpose of the Study:
- To systematically analyze and elaborate on the theoretical connotations and clinical applications of twelve-meridian based syndrome/pattern differentiation in TCM.
- To promote the completion and refinement of the meridian differentiation system.
- To improve the accuracy of meridian-based treatments.
Main Methods:
- Systematic analysis of traditional meridian-syndrome differentiation, focusing on illness location and symptoms.
- Analysis of existing problems and causes within meridian differentiation methods.
- Exploration of theoretical evidence from classical texts like Huangdi Neijing, considering neglected physiological/pathological characteristics (e.g., qi, blood, opening/closing/pivoting, time).
- Examination of category issues related to twelve-meridian and six-meridian differentiation.
Main Results:
- Identified theoretical and clinical gaps in current twelve-meridian differentiation practices.
- Provided a deeper understanding of meridian differentiation by referencing classical TCM literature and physiological concepts.
- Clarified the relationship between twelve-meridian and six-meridian differentiation systems.
- Proposed methods for meridian differentiation aligned with meridian distribution and symptom characteristics.
Conclusions:
- The study offers a comprehensive re-understanding of meridians and their differentiation.
- It significantly contributes to perfecting the meridian-collateral differentiation system in TCM.
- Enhancing the accuracy of meridian-based treatments is a key outcome, with potential for framework reconstruction.
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