中医药研究论丛

251.4 论经脉脉道示意钩沉
TJ TCM.25(1) : 51-60, 2022
论经脉脉道示意钩沉
On the Discourse of Schematic Meridians from Past to Present
瞿瑞莹1,2 陈麒方2,3,4*
1 马偕纪念医院中医部,台北,台湾
2 台湾中医临床医学会,台北,台湾
3 台北天心中医,台北,台湾
4 日本东洋医学会,东京,日本
【摘要】
目的:论广经脉脉道示意线的建构过程,重新厘定传统医学基础理论古往今昔。
方法:本文以探讨《灵枢》、马王堆、张家山、老官山、居延汉简等传世与出土资料,分析比较(Archival Comparative Study)秦汉时经脉脉道示意线的源流。
结果:研究发现,所谓十二脉(经络)的定型化假说,与初始经脉脉道示意概念并不一致,刺灸位置一开始仅是孔穴效应点的上下、左右、内外对应。铜人式经络脉道图与原始的感传示意线分群并不一致,有许多是後人羼入的理想化模型。
结论:以原典指导临床,厘清源流、剔除增衍、深化疗效,才能让医药方术内涵更深更广,使医者为诊治照顾全民健康有所贡献。
【关键词】脉道、孔穴、鍼灸
Jui-Ying Chu1,2Chi-Fang Chen2,3,4*
1MacKay Memorial Hospital Department of Chinese Medicine, Taipei, Taiwan
2Taiwan Clinical Chinese Medicine Association, Taipei, Taiwan
3Ten-Shin Traditional Hospital, Taipei, Taiwan
4The Japan Society for Oriental Medicine, Tokyo, Japan
【Summary】
Objective: This paper aims to know the origin and evolution about meridians.
Methods: We conduct this research by (archival comparative study) comparing of the residual slip chapter with the unearthed literatures on meridians as well as “Jing Mai” and “Jing Jin” in Spiritual Pivot.
Results: We found that the origin and evolution of schematic meridian theory in Chin and Han dynasties were well explained. Thus, the re-construction process of traditional medicine was explored again. In addition, we presented the case about using original meridian treatment to tackle emergent case.
Conclusion: We hope this research can provide some ideas for the field in healthcare. By depth reading the medical canons, physicians can learn more and do more for health care for all.
【Keywords】Schematic Meridian; Acupoints; Acupuncture and Moxibustion