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JKM > Volume 42(1); 2021 > Article
Kye and Kim: A Theoretical Study on Acupuncture Methods(鍼法) Using Five Transport Points(五輸穴)

Abstract

Objectives

This study is to analyze Acupuncture Methods(鍼法) using Five Transport Points(五輸穴) and to consider the direction of development.

Methods

This study focuses on Acupuncture Methods(鍼法) using Five Transport Points(五輸穴) that Five Phase Theory(五行學) has been applied as a compound and it is designated Five Phase-Five Transport Points-Acupuncture Method(FPT Acupuncture Method, 五行五輸穴鍼法). Principles, Acupuncture Points(經穴), standards of diagnosis and treatment subjects of FPT Acupuncture Methods used in practices of Korean Medicine (韓醫學) were analyzed through updated literature. Next, the theoretical issues of FPT Acupuncture Methods regarding the composition of selecting exclusively on Five Transport Points(五輸穴) and targeted treatment subjects were investigated. Based upon the investigation, the future direction of development was studied.

Results & Conclusions

Firstly, pattern identification and treatment of FPT Acupuncture Methods targeted mostly on Viscera and Bowels(臟腑). However, some showed the tendency to Five Phases Reductionism(五行 還元主義) which attempts to apply Five Phase Theory(五行學) to symptoms that were not related to Viscera and Bowels(臟腑). Secondly, Five Transport Points(五輸穴) are theoretically related to ‘Viscera and Bowels in Concept of Visceral Manifestation(臟象臟腑)’.
Thirdly, when the cause of the symptoms exceeds the main therapeutic range of FPT Acupuncture Methods, it is effective to add Acupuncture Points(經穴) excluding Five Transport Points(五輸穴). And also, it is efficient to use Acupuncture Methods(鍼法) that is not based on principles of Five Phase Theory(五行學). For the accomplishment, further researches on the approaches to apply basic Korean Medical principles such as Three Yin and Three Yang(三陰三陽) into Acupuncture Methods(鍼法) and Acupuncture Points(經穴) are necessary.

Table 1
Table of Five Phase(五行) and Ten Heavenly Stems(十干) of Five Transport Points(五輸穴)13)
陰經 陽經 十干
乙木 庚金 乙庚
丁火 壬水 丁壬
己土 甲木 甲己
辛金 丙火 丙辛
癸水 戊土 戊癸
Table 2
Frequently Used Methods of Acupuncture Therapies(鍼法) Presented in 「A Survey About the Recognition Regarding the Korean Acupuncture Method And Research Direction」1)
자주 사용하는 침 치료법 (중복응답) 인원수 %
체침요법 914 71.5
사암침법 647 50.6
동씨침법 599 46.9
오행침법 245 19.2
이침요법 221 17.3
약침요법 175 13.7
봉독요법 145 11.3
평침화침법 126 9.9
상대성침법 68 5.3
수지침법 39 3.1
Table 3
Method to Select Acupuncture Point in Sa-am Acupuncture Method(舍岩鍼法)21)
虛證治療
➀ 治法 虛則補其母 抑其官
➁ 治療經 ┌ 母經의 母性穴
└ 自經의 母性穴
┌ 賊性經의 賊性穴
└ 自經의 賊性穴
實證治療
➀ 治法 補其讐 瀉其子
➁ 治療經 ┌ 賊性經의 賊性穴
└ 自經의 賊性穴
┌ 子經의 子性穴
└ 自經의 子性穴
Table 4
Different Meanings of ‘Viscera and Bowels’ in Each Concept of Meridian Vessel(經脈臟腑) And Visceral Manifestation(臟象臟腑)9)
經脈臟腑 臟象臟腑
개념 구체적 신체부위를 가리킴 추상적 장부기능을 포함함
병증 局所的, 近位的 全身的, 遠位的
五行과의 연관성 거의 없음 매우 깊음
Table 5
Developmental Phase of Prescription of Acupuncture Treatment in Saam Acupuncture Method(舍岩鍼法)27)
단계 설명 침 처방
0단계 五臟 治療穴을 해당 經絡의 同行穴로 인식 원시형
1단계 同行穴의 相生·相剋 관계를 이용하여 목표로 하는 五臟을 치료
2단계 臟腑와 經絡 상의 經穴을 이용해 同行穴과 목표 臟腑 사이의 관계를 밀접하게 연결 기본형
3단계 여러 가지 變形을 통해 임상에서 보다 효과적인 방법을 찾음 응용형
Table 6
Comparing the Perspectives of the Effects on Five Transport Points(五輸穴) in between the Two Studies; 「A Study on the Acupuncture Methods of Joseon Dynasty Using Five Viscera Diagnosis」9) And 『Principles of Meridians & Acupoints; A Guidebook for College Students』10)
「五臟辨證을 활용한 朝鮮 鍼法 硏究」 『대학 경락경혈학 총론』
臟腑와 經絡 관계 별도의 체계에서 발전 臟腑의 氣 ⇄ 經絡의 氣 (상호 疏通·傳化) ⇒ 臟腑와 經絡은 一體
五輸穴의 조절 대상 經脈 流注에 絡屬된 臟腑 ⇒ 臟象學說 관점의 臟腑 병증은 치료대상 아님 1. 經絡六氣체계에 속함 (본질적) ⇒ 經絡六氣 조절(우선) + 2. 五行속성을 가짐 ⇒ 臟腑五行과도 연계
Table 7
Table of Comparisons of FPT Acupuncture Methods(五行五輸穴鍼法)
鍼法 舍岩鍼法 和鍼法 八體質鍼法 五氣鍼法
치료 대상 臟腑 虛實 調整 병의 근본인 주 臟腑 다스림 體質別 臟腑 虛實 調節 經絡 五氣조정 ⇒臟腑의 병증 치료
사용 穴位 五輸穴 外 原穴·絡穴·募穴·背兪穴·任脈穴·督脈穴·經驗方 五輸穴
변증 기준 臟腑 虛實 比較脈診法을 통한 5유형 臟腑의 기능 대소에 따른 8體質 臟腑( 臟腑의 五氣) 虛實
기타 특성 五行원리 기초로 五輸穴사용 하는 새 鍼法 형태 확립 臟方은 相剋원리, 腑方은 相生원리 바탕 相生·相剋을 兩方向的 相互作用으로 해석 經絡六氣의 상호작용에 의해 經絡의 五行적 특징 발현
Table 8
The Effects of Five Transport Points(五輸穴) Proven by Symbolic Mathematical Study(象數學)
象數學적 연구 결과
臟腑와 經絡 관계 藏府-물질
經絡-공간 (인체를 藏府와 經絡의 두 체계로 접근) ⇒ 병리적 상황에서 藏府病과 經絡病의 구분 필요
五輸穴의 조절 대상 全身 藏府 (臟象臟腑)

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