Park Manyong, Kim Sungchul
Wonkwang University Korean Medical Hospital, Department of Acupuncture & Moxibustion, Gwangju, Republic of Korea ; ALS Center of Wonkwang University Korean Medical Hospital, Gwangju, Republic of Korea.
Evid Based Complement Alternat Med. 2015;2015:703439. doi: 10.1155/2015/703439. Epub 2015 Oct 11.
Saam acupuncture is one of the original therapeutic modalities representing traditional Korean medicine. It was originally described in a manuscript that is estimated to be published at some point between 1644 and 1742, in the middle of the Cho Sun dynasty, by a Korean Buddhist monk whose name is unknown. The principle of combining five shu points is based on the theory of Nan-jing. The treatment and diagnosis concepts in Saam acupuncture were mainly influenced by Dongeuibogam and Chimgoogyeong-heombang. The basic characteristic of combining five shu points in Saam acupuncture is the selection of the tonification and sedation points along the self-meridian and other meridians based on creation and governor relationships. Saam acupuncture clinical studies have mainly focused on musculoskeletal pain and autonomic nervous system regulation. From a neurophysiological perspective, Saam acupuncture, which involves five shu points as the main treatment aspect, has the advantage of increasing parasympathetic nerve activation and adjusting the balance of the autonomic nervous system. Inserting a needle into the skin layer while considering the respiratory phase and stimulating the needle gently and lightly could maximize the effect of Saam acupuncture. The specific Saam acupuncture prescribed should be identified on the basis of the neurobiological perspective.
三元针灸是代表传统韩医学的原始治疗方法之一。它最初记载于一份手稿中，据估计这份手稿在朝鲜王朝中期的1644年至1742年之间由一位佚名的韩国佛教僧人出版。五输穴配伍的原理基于《难经》理论。三元针灸的治疗和诊断理念主要受《东医宝鉴》和《针灸经验方》的影响。三元针灸五输穴配伍的基本特点是根据相生相克关系，在本经及其他经络上选取补泻穴位。三元针灸临床研究主要集中在肌肉骨骼疼痛和自主神经系统调节方面。从神经生理学角度来看，以五输穴为主要治疗点的三元针灸具有增加副交感神经激活和调节自主神经系统平衡的优势。在考虑呼吸相位的同时将针刺入皮肤层，并轻柔地刺激针体，可使三元针灸的效果最大化。应从神经生物学角度确定具体的三元针灸处方。
