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The science of acupuncture and
moxibustion is a subject dealing with the prevention and treatment of diseases
by needling and moxibustion methods. For thousands of years it has been accepted
by the general population for its good
curative effect, wide range of
indications, simple application, low cost, safety, etc.
Acupuncture
and moxibustion are an important component of traditional Chinese medicine with
a long history. As early as in the New Stone Age in China, the primitive human
beings used Bian stone, the earliest acupuncture instrument, to treat diseases.
With the development of productive forces, bone needles and bamboo needles
appeared. After the development of metal casting techniques and metal tools, the
people began to use metal medical needles, such as bronze, iron, gold and silver
ones. At present steel needles are widely used.
Moxibustion
was gradually created after discovery and use of fire. At first, primitive man
found that warming themselves by fire may relieve or stop cold pain of a part of
the body. Thus, they came to know how to use burnt hot stone or sand wrapped in
animal skin or bark to treat diseases through local hot compression. Based on
this, the people gradually perfected the technique, using ignited branches or
hay to warm the diseased part of the body. This is the most primitive
moxibustion. Afterwards, the people selected moxa leaves as the moxibustion
material by repeated practice.
The
science of acupuncture and moxibustion experienced an uninterrupted course of
development.
In
the period of Warring States, ancient doctors widely used acupuncture and
moxibustion to treat diseases. Two silk scrolls recording channels and
collaterals, Moxibustion Classic with Eleven Foot--Hand Channels and Moxibustion
Classic with Eleven Yin-yang Channels, were discovered in the excavation of the
No.3 Han Tomb at Mawangdui, Changsha City, in 1973, which reflected the earliest
outlook of the theory of channels and collaterals. The book Huangdi's Internal
Classic, the earliest classic of traditional Chinese medicine passed on to now,
generally discusses the basic theory of acupuncture and moxibustion and the
basic knowledge of point needling manipulations. Especially in "Miraculous
Pivot", one part of this book, it describes acupuncture and moxibustion in
detail and systematically. Thus, another name of this part of the book is Canon
of Acupuncture.
From
the Eastern Han Dynasty to the Three Kingdoms Period, the science of acupuncture
and moxibustion developed further. Hua Tuo, the famous physician at that time,
could select only one to two points in acupuncture treatment and paid much
attention to the propagation of needling sensation. He was ascribed to the
authorship of Canon of Moxibustion and Acupuncture Preserved in Pillow (Lost).
Zhang Zhongjing, another physician in this period, also elaborated the methods
of acupuncture, moxibustion, fire needling, warm needling, management of
erroneous treatment in acupuncture, etc. In the book Treatise on Febrile and
Miscellaneous Diseases, he stressed very much on combining acupuncture with
medicinal herbs in the treatment according to the differentiation of symptom
complex.
The
famous medical doctor Huangfu Mi in the Jin Dynasty compiled the book A--B
Classic of Acupuncture and Moxibustion by collecting the materials of
acupuncture and moxibustion from the ancient books Plain Questions, Canon of
Acupuncture and Essentials of Points, Acupuncture and Moxibustion. The book
consists of 12 volumes with 128 chapters, including 349 acupoints. It tells the
locations, indications and manipulations of these points, manipulating
techniques and precautions of acupuncture and moxibustion, and the treatment of
common diseases by acupuncture and moxibustion.
During
the Tang Dynasty, China was undergoing the process of economical and cultural
prosperity of the feudal society. The science of acupuncture and moxibustion
also witnessed great development. In the late Sui and early Tang Dynasties, the
famous physician Sun Simiao compiled Prescriptions Worth a Thousand Gold for
Emergencies and A Supplement to the Prescriptions Worth a Thousand Gold, in
which a great deal of clinical experience in acupuncture treatment of various
schools were included, and location and application of Ashi points were
introduced for the first time. He also designed and made three multicolored
hanging charts of acupuncture and moxibustion--Charts of Three Views, which are
the earliest multicolored charts of channels and points, but have been lost.
Soon after, Wang Tao drew twelve multicolored hanging charts. He also wrote the
book The Medical Secrets of An Official, in which a host of moxibustion methods
were recorded. In the Imperial Medical Bureau of the Tang Dynasty, the
department of acupuncture was an independent one, which housed personnel in this
field, such as professors of acupuncture, assistant professors, instructors and
students.
In
the Song Dynasty, the extensive application of typecase printing technique
greatly promoted the wide application and development of acupuncture and
moxibustion. The famous medical doctor Wang Weiyi revised the locations of the
acupoints and their related channels, and made a supplement to the indications
of acupuncture. In 1026 he wrote the book Illustrated Manual on the Points for
Acupuncture and Moxibustion of a New Bronze Figure. The next year, two life-size
bronze figures designed by Wang Weiyi were manufactured. These were excellent
medical teaching models of the ancient times, and an important invention of
visual teaching in educational history.
Hua
Shou, the famous doctor of the Yuan Dynasty, did textual research on the
pathways of channels and collaterals as well as their relationship with
acupuncture points. He wrote the book Exposition of the Fourteen Channels, in
which the Du and Ren Channels, and the twelve regular channels are mentioned in
the same breath, making up the fourteen channels.
The
famous acupuncturists He Ruoyu, Dou Hanqing, and others of the Jin and Yuan
Dynasties suggested that the acupuncture points should be selected according to
midnight-noon ebb-flow. They explained the close relationship between selection
and compatible application of acupuncture points and the time.
In
the Ming Dynasty, acupuncture and moxibustion were worked up to a climax. Many
famous doctors specialized in this field emerged with many exclusive books on
acupuncture and moxibustion, such as A Complete Collection of Acupuncture and
Moxibustion, by Xu Feng, An Exemplary Collection of Acupuncture and Moxibustion
and Essentials of Acupuncture and Moxibustion by Gao Wu. But the most important
one was the book Compendium of Acupuncture and Moxibustion by Yang Jizhou, which
was a new milestone in the history of development of acupuncture and moxibustion
science. Yang Jizhou wrote the book on the basis of his ancestor's book
Mysterious Secrets of Acupuncture and Moxibustion combined with the
summarization of his own clinical experience. His book describes the channels
and collaterals, acupuncture points, manipulating methods of acupuncture and
their indications. It also introduces the experience in the treatment of
diseases by acupuncture combined with herbal medicines, and records the cases of
successes and failures by acupuncture and moxibustion, a comparatively
comprehensive summary of the achievements of acupuncture and moxibustion before
the Ming Dynasty.
In
the Qing Dynasty, certain progress was made in the development of science of
acupuncture and moxibustion. There came the book Golden Mirror of Medicine,
Essentials of Acupuncture and Moxibustion in Verse compiled by Wu Qian and his
collaborators, the book The Source of Acupuncture and Moxibustion compiled by Li
Xuechuan, and others at this period. During the middle and late periods of the
Qing Dynasty, however, the authorities of the Qing Dynasty issued a decree to
abolish the acupuncture-moxibustion department from the Imperial Medial College
under the pretext that "acupuncture and moxibustion are not suitable to be
applied to the Emperor". So, acupuncture and moxibustion were restrained to
a certain extent. But the treatment by acupuncture and moxibustion was widely
accepted by the broad masses, and spread and used among the common people
widely.
Since
the founding of the People's Republic of China, the science of acupuncture and
moxibustion has developed vigorously because of the implementation of the
policies for traditional Chinese medicine. The therapy by acupuncture and
moxibustion has been popularized extensively in China. On the basis of exploring
and inheriting the traditional acupuncture and moxibustion, modern scientific
knowledge is applied to the research work. For example, according to the principle of acupuncture
analgesia, acupuncture anesthesia has been creatively developed and popularized
in clinical practice, and the experimental research on it has been carried on.
Since the 1970s, investigations have been done on the mechanism of acupuncture
analgesia and therapy by acupuncture and moxibustion from the viewpoints of
neuroanatomy, pain physiology, biochemistry, medicinal electronics, etc., on the
phenomena and nature of the channels from the viewpoints of propagated
acupuncture sensation and other angles, and on the relationship between
acupuncture points and zhang-fu organs, between acupuncture points and needling
sensation.
Acupuncture
and moxibustion were introduced abroad, and popularized and applied in many
countries long ago. They are the important content of the medical exchanges
between China and foreign countries, and have made great contributions to the
people's health.
Since
the 1950s, the international spread of the science of acupuncture and
moxibustion has become widened. Many countries have sent their doctors to China
to learn acupuncture and moxibustion. Particularly after 1971 when China made
known the achievements of acupuncture anesthesia, acupuncture anesthesia evoked
strong repercussions in study and searching acupuncture, moxibustion and
acupuncture anesthesia was set off. Since 1975, at the request of the World
Health Organization, the International Acupuncture Training Courses have been
offered in Beijing, Shanghai and Nanjing, and acupuncturists have been trained
for many countries. Up to now, acupuncture and moxibustion are being used and
studied with good results in more than one hundred countries. The World
Association of Acupuncture and Moxibustion was founded in 1987. Since then, the
Chinese academic society of acupuncture and moxibustion has further strengthened
the connections and exchanges with the corresponding academic organizations of
various countries; and China will certainly make new contributions to the
development of acupuncture and moxibustion all over the world.
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