《鍼灸真髓》五柱穴的功效

The Efficacy of the "Five Pillar Acupoints" in "The Essence of Acupuncture and Moxibustion"

10.6968/TJCCM.202401_30(1).0004

許菁雯(Chin-Wen HSU)；陳光偉(Kuan-Wei CHEN)；孫茂峰(Mao-Feng SUN)

鍼灸真髓 ； 五柱穴 ； 澤田健 ； 代田文誌 ； 中脘 ； The Essence of Acupuncture and Moxibustion ； Five Pillar Acupoints ； Sawada Ken ； Bunshi Shirota ； Zhongwan

台灣中醫臨床醫學雜誌

30卷1期（2024 / 01 / 01）

55 - 66

繁體中文;英文

澤田健是距今約一百年前日本著名的灸師，學生代田文誌將跟師學習的筆記整理為《鍼灸真髓》。《鍼灸真髓》提到「五柱穴」是由任脈「巨闕、中脘、下脘」以及足陽明經「梁門」五個腹部穴位組成，用於治療心悸亢進、呼吸困難、咳嗽、哮喘。查閱古代中醫典籍，並無名為「五柱」的組合，五柱穴是由澤田健命名的穴組，以中脘為中心，周圍諸穴用以協助中脘發揮作用。後人沿襲澤田健灸五柱穴治療喘咳的經驗，臨床也取得顯著的療效。古代典籍就有灸中脘治喘症的記載，五柱穴能治咳嗽、哮喘，或許與中心穴位中脘祛痰飲的功效有關。中脘穴透過健脾胃、祛痰濕，治痰之標與本，五柱穴以中脘為中心，加上周圍四穴的協助，而達到治療咳嗽、哮喘的效果。實際上，澤田健的五柱穴組合不只一種，《鍼灸真髓》中總共出現六種五柱穴，例如以下腹部中極為中心的五柱穴是治療子宮肌瘤的重要灸穴，其餘的五柱穴大多以中脘為中心，而以上述的組合最為人所知。

Ken Sawada was a renowned Japanese moxibustion practitioner about a hundred years ago. His student, Bunshi Shirota, compiled his apprenticeship notes into "The Essence of Acupuncture and Moxibustion". This book mentions the "Five Pillar Acupoints", which consist of the Juque (RN14), Zhongwan (RN12), Xiawan (RN10), and Liangmen (ST21). Sawada utilized these acupoints in moxibustion therapy for conditions such as palpitations, breathlessness, cough, and asthma. There is no "Five Pillar Acupoints" in ancient Chinese medical literature. The "Five Pillar Acupoints" was named by Sawada and is centered on the Zhongwan (RN12), the surrounding acupoints are utilized to assist Zhongwan (RN12). Sawada's experience in treating asthma and cough with moxibustion at the Five Pillar Acupoints has been followed by later practitioners, and significant clinical results have been achieved. The ancient literatures have records of using moxibustion on the Zhongwan (RN12) to treat asthma. The ability of the Five Pillar Acupoints to treat asthma and cough may be related to the efficacy of the center point, Zhongwan (RN12), in dispelling phlegm and dampness. Sawada not only proposed the Five Pillar Acupoints, mentioned above, but also five other combinations of the Five Pillar Acupoints in the book. For example, the combination of acupoints centered around Zhongji (RN3) in the lower abdomen can be effective in treating uterine fibroids. The remaining combinations mostly center around Zhongwan (RN12), with the combination described above being the most well-known.