晉明清及現代各家針炙文獻手陽明大腸經重要腧穴針刺深度之探討

An Investigation of the Depth of Needling for the Hand Yang Brightness Large Intestine Channel in Traditional Chinese Medical Literature

針灸為中國醫學之一門，屬於物理療法，是一種最迅速確實且簡便安全之專門醫術。其內容記載於我國歷代醫學典籍，及民國以來海峽兩岸之各種針灸專書。而中國古代醫學典籍中，有關針灸深度的探討，可溯及最早的《內經》，到了晉代皇甫謐《針灸甲乙經》，即有每個穴位的詳細深度分寸之記載。而明朝楊繼洲之《針灸大成》，雜合了《內經》、《難經》以下，至元明諸家之說，集其大成，使針灸之理論及實踐有更詳細的記載。而近代海峽兩岸更有許多針灸專書將穴位結合了現代解剖生理組織學加以定位，使得針刺深度的記載更為詳實，而本文即想藉整理晉明清及現代針灸文獻有關於手陽明大腸經之重要及常用輸大針刺深度的記載，進而瞭解古代至現代歷經二、三千年的演變，穴位針刺深度是否有所差異。以傳統「同身寸」為度量單位，以微軟Excel軟體製圈，我們發現：從晉代、明代到清代，手陽明大腸經重要及常用穴位之針刺深度並沒有很大的差異性，而後針刺深度漸漸增加，到了《中西針灸科學》及大陸《新針灸學》的年代針刺深度有顯著性的增加，以後又漸漸變淺。

Acupuncture, which is a branch of traditional Chinese medicine, can be seen as a form of physiotherapy. It is a very accurate, fast acting, simple and safe medical manipulation. Among ancient Chinese medical works, Huang-ti-nei-ching is the oldest. Later, the Chia-i-ching written in the Chin dynasty gave the depths of needling for the individual acupoints. Then the Chen-chiu-ta-cheng made a review of all writings on acupuncture. Currently, both Taiwan and mainland China have published many specialized books which integrate acupuncture With modem anatomy, physiology and histology and more c1early and accurately define the depths of needling for the various acupoints. The aim of the present investigation is to understand if ere is any difference in the depth of needling for each acupoint that may have occurred with passage of a history of more than two thousand years. We looked up records on depths of acupoints of the hand yang brightness large intestine channel from literature of the various generations from the Chin, Ming, and Ch'ing dynasties down to modem times in order to find out the answer. Using the traditional ”t'ung-shen-ts'un (proportion body inch)” as a common measurement unit for comparison of the different values of needling depth for the same acupoint, we plotted graphs with Microsoft's Excel program to show the differences from which we have found that depths given in the Chung-hsi-chen-chiu-ke-hsueh (Chinese and Western Acupuncture Science) and Hsin-chen-chiu-hsueh (New Acupuncture) are deeper than in other works.