通过总结针灸器具的沿革与发展历史，理解其演变的成因，思考其对针灸技法发展、理论建构、国际交流等方面的影响。首先对针灸器具的范畴进行了界定，并阐述了这一范畴的根据；汇总了古今针具、灸具的分别使用情况、创新的节点、现代的境况等，建构了新的论述逻辑；探索了针灸器具的演变趋势与人们的主动选择，挖掘了促成这种沿革的客观动因，反思了针灸器具的变化对“针灸学”本身带来的冲击和影响，思考了中医在传统与现代、东方与西方的对话中的抉择与姿态。
This research starts from a retrospect of evolution and history of acu-moxa instruments and attempts to give an explanation of the hidden motivation, with an emphasis on its influences to the development of acu-moxa techniques, theoretical construction, as well as international transmission. Firstly, with an clarification of the contents and reasons, the scope of acumoxa instruments is defined. Secondly, based on an literature review, the application, innovation and modern situation of acumoxa instruments are summarized chronologically. With a new logic of statement, the hidden ideological, intellectual and social background is exhibited. Finally, three questions are discussed in detail:Were there any extractable tendencies during different periods of development of these instruments? What were the objective motivations that resulted in the evolution and creativity of these instruments? What kind of influences might be brought to the discipline of ‘acu-moxa’ by the evolution and development of these instruments? By answering these questions, we open up to several ideas about Chinese medicine in the dialogue between tradition and modern times, as well as in the whole environment of globalization.
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