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Objectives : Ever Since it was made in the middle of 17th century by Saamdoin, Saam acupuncture method has been handed down to acupuncturists as a written form, playing a huge role in using for treating diseases of people in Korea. Saam acupuncture method development of any process, and have been propagated in a foreign country to study. Methods : Analysis of ancient medical books, we studied the evolution of Saam acupuncture method. And we looked abroad Saam acupuncture method have been propagated abroad by examining how. Results : At the end of Joseon Dynasty, lots of clinical cases were added to Saam acupuncture method and as a result, it helped acupuncturists understand how it really worked. During the Japanese colonial era, it was introduced to more people thanks to the development of a printing technique. After Korea's liberation from Japan, many scholars have studied Saam's acupuncture method, and they also have applied it to clinical cases in various ways. Conclusions : With its superiority and creativeness, Saam acupuncture method spread to Japanese acupuncturists in the name of Meridian Therapy during the Japanese colonial era. It had a great impact on medicine in China and many other countries, as well.