历代难经注释本的比较及针灸理论的发展

发布时间：2018-06-12 09:17

本文选题：《难经》 + 针灸理论　；参考：《成都中医药大学》2016年硕士论文

【摘要】：目的：通过分析各时期《难经》注文的特点,发现针灸理论的时代性变化及其产生的历史背景,以此深入理解针灸理论、彰显注释的现实意义,呈现针灸理论传承过程及发展轨迹,并为针灸的实验研究、应用研究提供文献与理论依据。方法：以《难经》注释本为文献主体,纳入其他针灸理论著作、相关学术论文等文献资料,在已有的《难经》注释本研究的基础上,选取每个时期较有成就者,借助诠释学的研究方法分析不同时期的注文特点和相互关系,结合历史背景分析针灸理论阐释的时代性意义。并通过进一步的比对,发现每一时期针灸理论具体的变化以及一以贯之的针灸理论解释思路。结果：通过分析民国前的注本,发现三国时期吕广的注文中有较多与现本《内经》不一致之处,即与后世一致认同的“经言”原文不相符,与同时期的《脉经》、《针灸甲乙经》各有异同之处；隋唐杨玄操的注本在《甲乙经》等基础上丰富了经络、腧穴、脉诊的相关解释；宋代注本最明显的特点是纳入五运六气解释相关原理；金元注家滑寿结合当时各医学门派之见及前注,给出了多种理解思路,并可从其注文中发现刺灸法在配穴、禁忌等各方面已得丰富；明代注文无创见,主要成就在于利用图释解决针灸理论的通俗化；清代注文先后体现了“以经释经”以及“中西医结合”的解释特点。而经络循行、经络脏腑联系、取象类比等解释思路一直被注家运用于分析针灸理论。结论：针灸理论的时代性变化以文本为载体传承下来,而注释是主要表现形式。注家之间会有影响,注家的注释亦存在差异,这些差异彰显了其对针灸理论理解的创新。并且,他们的注释使针灸理论不断传承下来,即是说注释对针灸理论传承的价值主要体现在继承、创造和承前启后上。
[Abstract]:Objective: to find out the changes of the times of acupuncture and moxibustion theory and its historical background by analyzing the characteristics of the notes in different periods, so as to understand deeply the theory of acupuncture and moxibustion, and to highlight the practical significance of the annotation. It presents the inheriting process and developing track of acupuncture and moxibustion theory, and provides literature and theoretical basis for experimental research and applied research of acupuncture and moxibustion. Methods: taking the annotated version of the difficult Sutra as the main body of the literature, including other books on acupuncture and moxibustion theory and related academic papers, and on the basis of the existing study of the annotated book, the authors of each period were selected to be more successful. With the help of hermeneutics, this paper analyzes the characteristics and interrelations of the notes in different periods, and analyzes the epochal significance of the interpretation of acupuncture and moxibustion theory in combination with the historical background. Through further comparison, the author finds out the concrete changes of acupuncture theory and the consistent explanation of acupuncture theory in each period. Results: by analyzing the annotated text before the Republic of China, it is found that there are many inconsistencies between Lu Guang's notes in the three Kingdoms period and the present "Inner Classic", that is, they do not accord with the original text of "Jing Yan", which has been agreed upon by later generations. In the Sui and Tang dynasties, Yang Xuancao's notes enriched the explanations of meridians, acupoints and pulse diagnosis on the basis of the Sui and Tang dynasties. The most obvious feature of the notes in Song Dynasty is the incorporation of the relevant principles of interpretation of the five movements and six qi. Combined with the views of various medical schools at that time and the former notes of the various medical schools at that time, Jin and Yuan annotated Jia Shuishou gave a variety of understanding ideas, and can find acupuncture in the distribution of acupoints from its annotated text. Taboos and other aspects have been rich; the Ming Dynasty annotated text has no original ideas, the main achievement lies in the use of map interpretation to solve the popularization of acupuncture and moxibustion theory; the Qing Dynasty annotated text has reflected the interpretation of "classics" and "combination of traditional Chinese and western medicine" interpretation characteristics. However, the ideas of meridian circulation, meridian viscera connection and image analogy have been used to analyze acupuncture and moxibustion theory. Conclusion: the change of times of acupuncture and moxibustion theory is carried down by text, and annotation is the main form of expression. The differences between the annotators and the annotators show the innovation of their understanding of acupuncture and moxibustion theory. Moreover, their comments make the acupuncture theory continue to pass down, that is to say, the value of annotation on the transmission of acupuncture theory is mainly reflected in inheritance, creation and link up the past and the future.
【学位授予单位】：成都中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R245

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