Buddhist Meditation and Mind/Body Medicine:

The Healing Power of Mindfulness Meditation

9-49

(MBSR)(MBCT)

1.1. (MBSR)
1.1.1.
1.1.2.
1.1.3.
1.1.4.
1.2. (MBCT)
1.2.1.
1.2.2.
1.2.3.

2.1.
2.1.1.
2.1.2.
2.2.
2.2.1.
2.2.2.

3.1.
3.1.1.
3.1.2.
3.1.3. vs.
3.2.
2.2.1.
2.2.2.

(Mind/Body Medicine)
(Behavioral Medicine) (Complementary and Additional
Therapy)

(Transcendental Meditation TM)1(Zen Meditation)2

(Mindfulness Meditation)(Insight
Meditation)34

5
6

(healing power)

(Mindfulness-Based Stress Reduction MBSR)

(Mindfulness-Based Cognitive Therapy MBCT)7
1

1950
Canter et al. (2004)Parati et al.(2004)
http://www.mum.edu http://www.tm.org
2
Gillani et al. (2001)
3
(cattro satipahn)

(Mindfulness
Meditation)
(concentration meditation)

4
Loizzo (2000)
5
( Medline, PsychInfo)

6
(2004)

7
Bear (2003) pp. 127-128 MBSR MBCT

(MBSR)
(MBCT)

1.1. (MBSR)
1.1.1.
1979 (University of
Massachusetts Medical Center) (stress reduction clinic) Jon
Kabat-zinn (stress reduction and relaxation
program SR-RP)
()

9
1995 (Center for Mindfulness in Medicine, Health Care,
and Society CFM)2005 4
(Integrating Mindfulness-Based Interventions into Medicine,
Dialectical Behavior TherapyAcceptance and Commitment Therapy Relapse
Prevention

8
CFM (www.umassmed.edu/cfm)(brochure)
9
(1).(2).
(3). 5-10 (4).(5).
(6). MBSR ( CFM
) Kabat-Zinn
Kabat-Zinn (2003) pp. 149-151

Health Care, and Society)

2004 240
10

1.1.2.
( 30 )
2.5 3

45
() 7 8
(mindfulness)
1.
(Non-judging)2.
(Patience)3.
(Beginners Mind)4.(Trust)
5.(Non-striving)()
(non-doing)6.(Acceptance)
7.(Letting go)
11

(1).(sitting meditation)
12

13
(2).(body scan)

()14
(3).(mindful yoga)MBSR
10

CFM www.umassmed.edu/cfm
Kabat-Zinn (1990) pp. 31-46
12
Ibid., pp. 47-58Kabat-Zinn (ibid., pp. 52, 64, 141)
(mindfulness of breathing)

13
Ibid., pp. 59-74
14
Ibid., pp. 75-93
11

15
MBSR
(walking meditation) 16
(mindfulness in daily life)17
18

1, 2

3, 4

5, 6

(1).(45 )(2).(15 )
(1).
( 45 )(2).

(15-20)(3). 3
4

(1).
( 45 )(2).

45

45

1.1.3.

Kabat-Zinn (aponika Thera, 1901-1994)

(the heart of Buddhist meditation)

Kabat-Zinn
(mindfulness)19Kabat-Zinn (insight meditation)
20

(mindful eating)
15
16
17
18
19
20

Ibid., pp. 94-113

Ibid., pp. 114-119
Ibid., pp. 132-139
Ibid., pp. 140-146
Davidson R.J., Kabat-Zinn J. (2003)
Kabat-Zinn (2003) pp. 145-146

(Mahasi Sayadaw, 1904-1982)21

(U Ba khin, 1899-1971)(S.N. Goenka, 1924-)
22Kabat-Zinn
(Insight Meditation Society)23
24

1.1.4.
1982 Kabat-Zinn (chronic
pain) 2002 12 64
2526
27

(chronic pain)

()
(cancer)(AIDS)

(fibromyalgia)
(multiple sclerosis)
(anxiety)(panic)(obsessive compulsive)(binge eating disorder)
28
21

Mahasi (1991)
Confalonieri (2003) pp. 205-216
23
Kabat-Zinn (1990) pp. xxi, 434-36(2003) p.154 Cage (2005)
pp.19-48Numrich (1998)
24
Fronsdal (1998)
25
Grossman et al. (2004)
26
Krasner (2004)
27
Grossman et al. (2004)Bear (2003)Proulx (2003)Bishop (2002)
() Bishop (2002)

28
Kabat-Zinn (2002)Grossman et al. (2004)Bear (2003)Proulx (2003)Bishop (2002)
22


(psoriasis)Kabat-Zinn
(UVB)(PUVA)
29 2003
Davidson R.J. Kabat-Zinn

(left prefrontal cortex)

(antibody)30

1.2. (MBCT)
1.2.1.
1992 John D. TeasdaleJ. Mark G. Williams
Zindel V. Segal
(MBSR)(Cognitive-Behavior Therapy) 1995

2002 31
(depression)32
(suicidal
behavior)(low self-esteem)33

1.2.2.

29

Kabat-Zinn (1998)
Davidson R.J., Kabat-Zinn J., et al., (2003)
31
Segal et al. (2002) pp. 3-7, 40-63
32
(WHO), 2020

Segal et al. (2002) pp. 9-20

33
Williams (2004)Fennell (2004)
30

 12 30
2

45

(CBT)
34

1.2.3.
John D. Teasdale 2000
145
23%77%
60 (
)
66%
37%
( 12 )

35
S. Helen Ma John D. Teasdale 2004
2000 75
78%
36%
(RCT)
(probably efficacious)
36

34
35
36

Segal et al. (2002) pp. 99-307

Teasdale et al. (2000)
Ma et al. (2004)

37

2.1.
2.1.1.
1974 (Mahasi Sayadaw)
(vipassan meditation)38
(1976)39

1984 (Aggacitta
Bhikkhu)(Dhamma Therapy)

(
) 18 78
1945 1976 40

45

()

2.1.2.

37

(2005)
Mahasi Sayadaw, (2000)
39
1974
ibid., p.92
40
U Jatila Sayadaw (1998)2004 11

38

10

41

()()
()()()

()
()
()

()()()
(
)
()
()

()()

()

42

43

2.2.
2.2.1
1961
41
42
43

Mahasi Sayadaw (ed.), (1984) pp. 1-6

S V 79-81(=S 46: 14, 15, 16)
Ibid.., pp. 44-52

11

44
45
Wiston King 1962
(
)46
47

2.2.2.
48
(
(nibbnadhtu))
(impurities)(poisons)
(upheaval)

49

44

VRI (2003) pp. 61-62

VRI (2003) pp. 127-128 Mrs. Ilaichi Devi Goenka
VRI (2003) p. 163
46
King (1964) p. 218
47
Hetherington (2003) pp. 149-172
48
VRI (2003) p. 34
49

45

12

3.1.

3.1.1
50

36 7

51

(cattro
satipahna)(
)

5 235

52

47 29 (Sirivaha)

50

()
(1983)
51
(VRI) Chaha Sagyana CD-Rom version
3(CSCD) PTS CSCD
S IV 210: Sato, bhikkhave, bhikkhu sampajno kla gameyya. Aya vo amhka
anussan(T2 268b-269a)

52
A III 263: gilnake upasakamitv sati uppdeti- arahaggata yasmanto sati upahpethti

13


53

54

55 54

(sakkyanirodha=)

55 3 (Dighvu)
()
55 22 88
(Assaji)
(=)(samdhi nappailabhmi)
()

56
57

58
97
(Dhanajni)(
)

59

60

53

S V 176-177( S 47:29)
S V 142(S 47: 2); S V 180-181(S 47: 35); D II 94-95 (D 16)
55
S V 345: Tasmtiha tva, dghvu, imesu catsu sotpattiyagesu patihya cha vijjbhgiye dhamme
uttari bhveyysi. Idha tva, Dghvu, sabbasakhresu aniccnupass viharhi, anicce dukkhasa,
dukkhe anattasa pahnasa virgasa nirodhasati. Evahi te, Dgvu, sikkhitabbanti
56
S III 125: Ye te, assaji, samaabrhma samdhisrak samdhisma tesa ta samdhi
appailabhata eva hoti- no cassu maya parihymti
57
Spk II 289: Mayha pana ssane na eta sra, vipassanmaggaphalni sra
58
(T2 267b)

59
M II 195-196: Ki pana tva sriputta Dhanajni brhmaa sati uttarikaraye hne brahmaloke
patihpetv uhysan pakkantoti?
60
(Spk III 294 , Spk-p II 197)(catusaccavimutta)
54

14

3.1.2.

(D 22/ M 10)

61(dukkha)
(kyikadukkha)

(M 119)
(kyagatsati)

62
1
38
(sato)(sampajno)(adhivseti)
(avihaamno)63 52 10
(Anuruddha)(bhagilno)

64
47 30 (Mnadinna)

65
61

D II 290: Ekyano aya, bhikkhave, maggo sattna visuddhiy, sokaparidevna samatikkamya

dukkhadomanassna atthagamya yassa adhigamya nibbnassa sacchikiriyya, yadida cattro
satipahn ekyano maggo 21

ekyano maggo

(T2 410b)

62
M III 97: Khamo hoti stassa uhassa jighacchya pipsya
asa-makasa-vttapa-sarsapa-samphassna duruttna durgatna vacanapathna, uppannna
srrikna vedanna dukkhna tibbna kharna kaukna astna amanpna paharna
adhivsakajtiko hoti(T1 557b)

63
S I 27-29: Bhus suda bhagavato vedan vattanti srrik vedan dukh tibb khar kauk ast
amanp; t suda bhagav sato sampajno adhivseti avihaamno(T2 355a)

64
S V 302: Catsu kho me, vuso, satipahnesu suppatihitacittassa viharato uppann srrik dukkh
vedan citta na pariydya tihanti(T2 140c)

65
S V 178 (= S 47: 30): na me, bhante, khamanya na ypanya. Bh me dukkh vedan
abhikkamanti, no paikkamanti; abhikkamosna payati, no paikkamoti. Evarpya cha, bhante,

15

66
67

68
()

3.1.3. vs.

5 29
(cakama, walking
meditation)(1).(2).(3).(4).
(5).69

70
(paisallna) 28
(yu vaheti)(bala deti)
71

(M 149)
(jna passa yathbhta)
(dnavnupassno)
(kyik darath)(cetasik darath)(kyik santp)
(cetasik santp)(kyik parih)(cetasik parih)
dukkhya vedanya phuho samno kye kynupass viharmi tpi sampajno satim, vineyya loke
abhijjhdomanassa
66
T2 271a(T2 140c)

67
A III 143-144
68
M III 136-137 (M 125); S III 1-5 (S 22:1); S IV 206-207 (S 36:4); S IV 207-210 (S36:6) ; A II 117 (A
4:114) ; A II 153 (A 4: 165); A III 163 (A 5: 140); A IV 389 (A 6: 58); M I 10 (M 2)
S 22: 87S 35: 87
69
A III 30: Addhnakkhamo hoti, padhnakkhamo hoti, appbdho hoti, asita pta khyita syita
samm parima gacchati, cakamdhigato samdhi cirahitiko hoti
70
(T2 879a)

71
Mil 139

16

(pahyanti)(Kyasukha)(cetosukha)72
(balavavipassan)73
55 26 (Anthapiika)
(samanupassato)
(vedna)(hnaso
vedan paippassambheyy)
10 60 (Girimnando)

74
(1).(aniccasa)(2).(anatta-s)(3).
(asubha-s)(4).(dnava-s)(5).(pahna-s)(6).(virga-s)(7).
(nirodha-s) (8). (sabbaloke anabhirata-s) (9).
(sabbasakhresu anicc-s) (10).(npnassati)

(so bdho hnaso paippassambhi)

3.2.

3.2.1.
()

72

M III 288-289
Ps IV 247: Ayaca maggavuthnassa paccayabht balavavipassan
74
A V 108: Sace kho tva, nanda, girimnandassa bhikkhuno dasa sa bhseyysi, hna kho
paneta vijjati ya girimnandassa bhikkhuno dasa sa sutv so bdho hnaso paippassambheyya
73

17

75

52 9

76
(indriyni)

(mukhavaa)

28
1

77(M 151)

(suatvihra)
78

1 10

79

(mlakammahna)

80
(balavacittekaggat)

75

T2 33a

T2 86b

T2 266c

T2 267a

T 2 311a
76
S V 301: Vippasannni kho te, vuso anuruddha, indriyni, parisuddho mukhavao pariyodto.
Katamenyasm anuruddho vihrena etarahi bahula viharatti? Catsu khvha, vuso,
satipahnesu suppatihitacitto etarahi bahula viharmi
77
S IV 294 M I 296

78
M III 294Ps IV 249: suatavihrenti suataphalasampattivihrena
79
S I 5: Arae viharantna, santna brahmacrina; ekabhatta bhujamnna, kena vano
pasdatti. Atta nnusocanti, nappajappanti ngata; paccuppannena ypenti, tena vao pasdati.
Angatappajappya, attassnusocan; etena bl sussanti, naova harito lutoti
80
Spk I 27: Tesaca eva nisinnna balavacittekaggat uppajjati. Tato visabhgasantati vpasammati,
sabhgasantati okkamati, citta pasdati. Citte pasanne lohita pasdati, cittasamuhnni updrpni
parisuddhni honti, va pamutta- tlaphalassa viya mukhassa vao hoti

18

3.2.2.

81(kamma)
(citta)
(utu)(oja)

( Janakbhivasa)
82

(kusalacitta)

83

(U Paita Sayadaw, 1921-)

(bhvankusalacitta)
84

81

229-258
Janakbhivasa (1999) pp. 262-265
83

84
Sayadaw U Pandita (1995) p. 201
82

19

85

(upapkakamma)
(upaghtakakamma)86

85

(S IV 230-231; A V 110)(1).(pitta)(2).(semha)
(3).(vta)(4).(sanniptika)(5).(utu)(6).(visamparihra)(7).
(opakkamika)(8).(kammavipka)
86

194-196

20

87

8889

87

20

Davidson (2002) Davidson

2004 (EEG)
Lutz et al. (2004) Davidson et al. (2002)
pp.3-17Goleman (2003)
88

(Stanford University Medical Center)(University of Wisconsin Hospital and

Clinics)(The University of Virginia's Mindfulness Center)
(University of Pennsylvania Health System)(Center for Integrative
Medicine, University of Maryland School of Medicine)(Duke Center for
Integrative Medicine)(Thomas Jefferson University Hospital)
89
(Hall :2003)(BBC NEWS: 2003)

21

(1983)

(2005)

(2000)
(2005)

27 221-268
(2004)
(http://www.hfu.edu.tw/~cl/paper2.htm)

BBC NEWS, (2003) Buddhists really are happier, Wednesday, 21 May, 2003.
(Available: http://news.bbc.co.uk/1/hi/health/3047291.stm)
Bear, R., (2003) Mindfulness training as a clinical intervention: A conceptual and
empirical review, Clinical Psychology: Science and Practice, 10(2): 125-143.
Bishop, S.R., (2002) What do we really know about mindfulness-based stress
reduction?, Psychosomatic Medicine, 64: 71-84.
Cage, W., (2005) Heartwood: The first generation of Theravada Buddhism in America.
Chicago: The University of Chicago Press.
Canter PH, Ernst E., (2004) Insufficient evidence to conclude whether or not
transcendental meditation lowers blood pressure: results of a systematic review of
randomized clinical trails, Journal of Hypertension. 22(11) 2049-2054.
Carlson L.E., Speca M., Patel K.D., Goodey A.E., (2003) Mindfulness-Based Stress
Reduction in Relation to Quality of Life, Mood, Symptoms of Stress, and Immune
Parameters in Breast and Prostate Cancer Outpatients, Psychosomatic Medicine.
65: 571-581.
Confalonieri, Pierluigi. (Ed.), (2003) The Clock of Vipassana has Struck. Igatpuri: VRI.
Davidson, R.J. (2002) Toward a Biology of Positive Affect and Compassion, in

22

Visions of compassion: western scientists and Tibetan Buddhists examine human

nature. Ed. by Davidson R.J., Harrington A. New York: Oxford University Press.
pp.107-130
Davidson R.J., Kabat-Zinn J., et al., (2003) Alterations in Brain and Immune Function
Produced by Mindfulness Meditation, Psychosomatic Medicine. 66: 564-570.
Davidson R.J., Kabat-Zinn J., (2003) Response to Alterations in Brain and Immune
Function Produced by Mindfulness Meditation: three Caveats, Psychosomatic
Medicine. 66: 149-152.
Fennell, Melanie J.V.,(2004) Depression, low self-esteem and mindfulness, Behaviour
Research and Therapy. 42: 1053-1067.
Fronsdal, Gil, (1998) Insight Meditation in the United Staes: Life, Liberty, and the
Pursuit of Happiness. Ed. Charles S. Prebish and Kenneth K. Tanaka. The faces of
Buddhism in America. Berkeley: University of California Press. pp. 163-180.
Gillani, N.B., Smith J.C., (2001) Zen Meditation and ABC Relaxation Theory: An
Exploration of Relaxation States, Beliefs, Dispositions and Motivation, Journal of
Clinical Psychology. 57(6) 839-846.
Goleman, D.(ed.), (2003) Destructive emotions: A scientific dialogue with the Dalai
Lama. New York: Bantam Books.
Grossman, P., Niemann, L., Schmidt S., Walach H., (2004) Mindfulness-based stress
reduction and health benefits: A meta-analysis, Journal of Psychosomatic
Research, 57: 35-43.
Hall S., (2003) Is Buddhism good for your health? New York Times Magazine:
September 14, 2003.
Hetherington, Ian (2003) Realising Change: Vipassana Meditation in Action. Igatpuri:
Vipassana Research Institute.
Janakbhivasa, Ashin (1999) Abhidhamma in Daily Life, Yangon: International
Theravda Buddhist Missionary University.
Kabat-Zinn, Jon, (1990) Full Catastrophe Living: Using the Wisdom of Your Body and
Mind to Face Stress, Pain, and Illness. New York: Delacorte Press.
, (2003) Mindfulness-based interventions in context: Past, present, and future,
Clinical Psychology: Science and Practice. 10(2): 144-156.
, (2002) Commentary on Majumdar et al. : Mindfulness Meditation for Health,
The Journal of Alternative and Complementary Medicine. 8(6): 731-735.
Kabat-Zinn j. et al., (1998) Influence of a Mindfulness-Based Stress Reduction

23

Intervention on Rates of Skin Clearing in Patients with Moderate to Severe

Psoriasis Undergoing Phototherapy (UVB) and Photochemotherapy (PUVA),
Psychosomatic Medicine. 60(5): 625-632.
King, W.L. (1964) A Thousand Lives Away. Oxford: Bruno Cassirer.
Krasner M., (2004) Mindfulness-Based Interventions: A Coming of Age? Family,
Systems, & Health. 22(2): 207-212.
Loizzo J., (2000) Meditation and psychotherapy. In Muskin P, ed. Review of
Psychiatry Vol. 19. Washington, DC: American Psychiatric Association Press.
147-197.
Lutz A., Greischar L.L., Rawlings N.B., Ricard M., Davidson R.J., (2004) Long-term
meditators self-induce high-amplitude gamma synchrony during mental practice,
PNAS 101(46): 16369-16373.
Ma S.H., Teasdale J.D., (2004) Mindfulness-Based Cognitive Therapy for Depression:
Replication and Exploration of Differential Relapse Prevention Effects, Journal of
Consulting and Clinical Psychology. 72(1): 31-40.
Mahasi Sayadaw, (2000) A Discourse on Vipassan. Trans. Dr. Ko Gyi. 2nd ed. Yangon:
Buddhassannuggaha Organization.
, (1991) Practical Insight Meditation. Trans. U Pe Thin and Myanaung U Tin. 1st
Published in 1971. Kandy: Buddhist Publication Society.
Mahasi Sayadaw (ed.), (1984) Dhamma Therapy: Cases of Healing through Vipassan.
Trans. Bhikkhu Aggacitta. Penang: Sukhi Hotu.
Nyanaponika Thera, (1975) The Heart of Buddhist Meditation. New York: Samuel
Weiser.
Numrich, Paul David, (1998) Theravda Buddhism in America: Prospects for the
Sangha. Ed. Charles S. Prebish and Kenneth K. Tanaka. The faces of Buddhism in
America. Berkeley: University of California Press. pp. 147-162.
Parati G., Steptoe A., (2004) Stress reduction and blood pressure control in
hypertension: a role for transcendental meditation?, Journal of Hypertension.
22(11) 2057-2060.
Proulx K., (2003) Integrating Mindfulness-Based Stress Reduction Holistic Nursing
Practice. 17(4): 201-208.
Robinson F.P., et al., (2003) Psycho-Endocrine-Immune Response to
Mindfulness-Based Reduction in Individuals Infected with the Human
Immunodeficiency Virus: A Quasiexperimental Study, The Journal of Alternative

24

and Complementary Medicine. 9(5): 683-694.

Sayadaw U Pandita, (1995) On The Path to Freedom. Trans. Mya Thaung. Selangor:
Buddhist Wisdom Center.
Segal, Z.V., Williams, M.G., & Teasdale, J.D., (2002) Mindfulness-based cognitive
therapy for depression. New York: Guilford Press.
Teasdale J.D., Segal Z.V., Williams J.M.G, Ridgeway V.A., Soulsby J.M., Lau M.A.,
(2000) Prevention of Relapse/Recurrence in Major Depression by
Minfulness-Based Cognitive Therapy, Journal of Consulting and Clinical
Psychology. 68(4): 615-623.
U Jatila Sayadaw (1998) Dhamma Therapy for Human Illness Yangon: Mahasi
Meditation
Center.
(Available:
http://web.ukonline.co.uk/buddhism/articles/jatila.htm)
VRI (ed), (2003) Sayagyi U Ba Khin Journal: A Collection Commemorating the
Teaching of Sayagyi U Ba Khin. Igatpuri: Vipassana Research Institute.
Williams J.M., Swales M., (2004) The Use of Mindfulness-Based Approach for
Suicidal Patients. Archives of Suicide Research. 8: 315-329.
Fronsdal, Gil, (1998) Insight Meditation in the United Staes: Life, Liberty, and the
Pursuit of Happiness. Ed. Charles S. Prebish and Kenneth K. Tanaka. The faces of
Buddhism in America. Berkeley: University of California Press. pp. 163-180.

25