由歌曲〈中醫師頌〉論中醫音樂理療的困境

The difficulty of music therapy in Traditional Chinese Medicine (TCM) - discuss the role of the Ode of the physician of TCM

林卓逸(Cho-I Lin)

中醫師頌 ； 中醫音樂理療 ； 音樂理論 ； 中醫理論的盲點 ； the Ode of the physician of TCM ； the musical therapy of TCM ； theory of music ； the blind spot of TCM

北台灣中醫醫學雜誌

9卷2期（2017 / 09 / 01）

15 - 31

繁體中文

歌曲〈中醫師頌〉是中醫師的招牌，具有指標性。中醫音樂理療是否被社會接受，則〈中醫師頌〉的質量具有關鍵性。但經由樂曲分析，顯示此歌曲的音樂理論不甚成熟，其問題包含：調性與情境搭配不妥、歌詞聲調與旋律搭配的矛盾、音域狹隘、節奏變化小且諸多長拍而有拖泥帶水之感、同音與同和絃的出現太頻繁而顯得單調。這些問題，反映中醫對於音樂理論的認識不足，中醫界內也較欠缺音樂的專業性，所以對歌曲的問題未發現到。而中醫的五行理論將音樂併入，但在中醫教育中的音樂教育是弱勢的，才會導致習醫者沒有學習音樂理論，使中醫五行音樂理論成為空談。更重要的是，中醫理論中有盲點，所以〈中醫師頌〉的調式否證中醫五行理論的主張。因此，當今應強化中醫的音樂教育，強化習醫者的音樂專業能力，使中醫理論能確實被中醫師掌握，並檢討中醫五行理論的內涵，隨時給予修正，使理論健全，方能將中醫音樂理療的優勢說服局外人。最後，本文以整體觀、變易之特質為方向，提出〈中醫師頌〉可改進之道，並舉吳慎與莫札特效應之兩個符合中醫音樂理論的研究團隊為例，供讀者參考。

The Ode of the physician of TCM is the signboard of the TCM physician. For music therapy of TCM, which may be accepted by the mass or not, the quality of the Ode of the physician is the key. The structure of a song shows whether the music theory of the song is sufficiently mature enough. The shortcomings are as follows: the relationship between the music key and the circumstances or atmosphere has to be suitable; the relationship between the pitch in the voice singing the words of the song and the melody is in conflict; the diapason is too narrow; the variety of rhythm is small, a lot of long beats result in sloppiness; if the same sound and same cord are repeated too much the result is monotonous. These shortcomings reflect that the physician of TCM dosen't comprehend music theory sufficiently; the world of TCM lacks a profession in music resulting in the lack of the ability to discover the shortcomings of the song. As a result of the lack of music education in TCM education system, the learner of TCM lacks the approach to learn music theory. The five elements and music theory of TCM become empty talk. Another important point one must pay attention to is that the TCM theory is falsified by the mode of the Ode of the TCM physician of that leak the blind spot of TCM. So, one must enhance music education in TCM in the education system, improve the professional music ability of the TCM learner, enable the TCM physician to master the five elements of the theory of TCM, introspect, revise and integrity the connotative meaning of the five elements in the theory of TCM, that can persuade an outsider the superiority of music therapy of TCM. At last, the author provide some suggestions for improvement of the Ode of the physician of TCM from the approach of holistic view and variable. In addition, provide the research teams of Shen Wu and ＂Mozart effect＂ for example which conformed the standards of TCM for reference.

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