中医药研究论丛

221.9 综论刮痧、拨罐术後调理之重要性
TJ TCM.22(1) : 111-122, 2019
综论刮痧、拨罐术後调理之重要性
The Study of the Importance of Post-Treatment Care of Gua Sha (Scraping) & Cupping Therapy
陈必诚1* 黄廷宇1
1 中国医药大学学士後中医系,台中,台湾
【摘要】
刮痧、拨罐疗法在台湾的中医医疗体系中较少被应用於临床,反而更常用於民俗疗法中,然而,这样除了使专业医学损失一项利器,同时还导致了一些不良的效应,如因过度刮痧、拨罐与缺乏後续调理导致的局部纤维化,有鉴於此,本文希望透过推广正确的配套措施,以期可以为大众健康尽一份心力。本文中首先探讨刮痧、拨罐在生理学上的效应,发现这两者都可以用「先破坏、再重建」的概念来理解其在局部的生理学效应,因此,本文从生理学对於伤口修复所分的三个阶段-炎症期、增生期、成熟与重塑期,来审思各阶段应给予患者的辅助措施,概念上是以帮助人体完成该阶段之生理目标为主,综合来说,方法包含:刺络放血、给予活血化瘀药、热敷、按摩与理筋手法(各阶段则以不同手法为主)。最後,本文认为或许将刮痧、拨罐回归到类似当前针、灸、药的地位,由中医师进行诊断後给予患者施治、处方为主的模式,才是对患者健康较为保障的方式。
【关键词】刮痧、拨罐、纤维化、放血、活血、化瘀
Bih-Cheng Chen1* Ting-Yu Huang1
1School of Post-Baccalaureate Chinese Medicine, China Medical University, Taichung, Taiwan
【Summary】
Gua-Sha (Scraping) and Cupping therapy are less commonly used in clinical practice in the contemporary Traditional Chinese Medicine healthcare system. Instead, they are more commonly used in folk therapy. However, in addition to the loss of medical tools in the medical profession, it has resulted in some undesirable effects. For example, excessive Gua-Sha and Cupping, as well as the lack of posttreatment care, can cause localized fibrosis. In view of this, we hope to promote the correct complementary measures through this article, in the hope to make a contribution to the public health. In this paper, we first discuss the physiological effects of Gua-Sha and Cupping. The local physiological effects of both therapies could be understood from the concept of “destruction followed by reconstruction”. From the three stages of wound healing in the modern physiology concepts–Inflammatory Phase, Proliferative Phase, Maturation (Remodeling) Phase, the complementary measures that should be given to the patients at each stage were examined. Conceptually, the physiological goals of these stages could be achieved through methods including pricking bloodletting method, prescribing bloodactivating and stasis-dispelling medicines, hot compress, massage and sinew manipulation therapy (different methods are required for each stage). Finally, in consideration, it may be a better protection to the patients’ health when Gua-Sha and Cupping therapy can be restored to the same status as Acupuncture, Moxibustion, Herbal formulation in which the TCM Practitioners can provide the necessary treatments after diagnosis.
KeywordsGua-sha, scrapping, ba-guan, cupping, fibrosis, blood-letting, blood activating, dispel stasis