中医药研究论丛

221.7 从《异法方宜论》谈经络之缘起
TJ TCM.22(1) : 75-90, 2019
从《异法方宜论》谈经络之缘起
A Discourse on the Genesis of Meridians and Collaterals based on “Yì fǎ fāng yí lùn [Discourse on Different Therapeutic Treatments]”
陈必诚1* 黄廷宇1
中国医药大学学士後中医系,台中,台湾
【摘要】
经络是如何被发现的?其沿革过程为何?这两个问题一直都是中医学史上的不解之谜。本文中我们从《素问·异法方宜论》出发,来探索这两个问题的答案。藉由文献、考古文物与近代实验三方面的考证,我们确立了以下论点:东方可能透过砭术发现了经筋、皮部,这与马王堆医书部分内容相符合;而北方灸法的发现反映在马王堆医书、双包山木人上的经脉、老官山木人的红脉系统三个方面;南方针法的发现则体现在老官山木人的穴道、白脉系统与《十二脉》中的内容;中央的导引(动功)、按蹻则可能与经筋较有关。然而,相较於现代经脉理论,考古文物所描述的经脉在体内循行、脏腑连系部分着墨较少,而近代研究显示,此部分经脉路线是较难透过砭、针、灸来诱发的,因此较可能是由「内景」修练者所发现。整体而言,经脉的发现与沿革的可以说是:不同地方的人,透过不同治疗工具与手段,在长时间的积累下,有了各自对经络现象的发现。这些发现,在内景修练者的帮助下,逐渐建构成了现代所见的体系。
【关键词】经络、《异法方宜论》、针、灸、砭、导引
Bih-Cheng Chen1* Ting-Yu Huang1
1School of Post-Baccalaureate Chinese Medicine, China Medical University, Taichung, Taiwan
【Summary】
How were the meridians and collaterals discovered? What was the evolution process? These are two questions that have been a mystery in the history of Chinese Medicine. In this study, we explored the answers to these two questions through exploring the literature “Yì fǎ fāng yí lùn [Discourse on Different Therapeutic Treatments]”. From the evidence collated in the researches of literature, archaeological artifacts and modern experiments, we established the following point of discussions: The East may have discovered the Sinew Meridians, Cutaneous Regions through Stone Needle Acupuncture, this was consistent with the contents in the Mawangdui medical books; the discoveries made via the moxibustion method in the North are reflected in the Mawangdui medical books, the meridians system drawn on the wooden acupuncture statue found in the Shuangbaoshan tomb from Han Dynasty as well as the red meridians system drawn on the wooden acupuncture statue found in the Laoguanshan tomb from Han Dynasty. The discoveries made via the Acupuncture methods in the South was reflected in the acupoints and white meridians system drawn on the wooden acupuncture statue found in the Laoguanshan tomb from Han Dynasty as well as the content in the medical literature “The Twelve Meridians”; The Dao Yin [Conduction Exercise] methods (“methods of leading and guiding Qi”) and An Qiao [Massage] methods in the Central were likely to be associated with Sinew Meridians. However, compared with the modern meridian theory, the meridian pathways within the inner body and the connections with the visceral and bowels described by archaeological artifacts were less frequently documented. Modern studies had shown that this part of the meridian pathways was more difficult to induce through Stone needle acupuncture, Acupuncture and moxibustion. It is, therefore, more likely to be discovered by practitioners of the Insight Meditation (Vipassana). In general, the discovery and evolution of the meridians can be summarized as: people in different places had discovered the meridian phenomenon through different therapeutic methods and tools. In the longterm accumulation of the medical experiences, these discoveries had gradually established the current system with the assistance from the practitioners of the Insight Meditation.
KeywordsMeridians and collaterals, Discourse on Different Therapeutic Treatments, Acupuncture, Moxibustion, Stone Needle Acupuncture, Dao Yin Methods, Conduction Exercise