綜論刮痧、拔罐術後調理之重要性

The Study of the Importance of Post-Treatment Care of Gua Sha (Scraping) & Cupping Therapy

10.6516/TJTCM.201903_22(1).0009

陳必誠(Bih-Cheng Chen)；黃廷宇(Ting-Yu Huang)

刮痧 ； 拔罐 ； 纖維化 ； 放血 ； 活血 ； 化瘀 ； Gua-sha ； scrapping ； ba-guan ； cupping ； fibrosis ； blood-letting ； blood activating ； dispel stasis

中醫藥研究論叢

22卷1期（2019 / 03 / 30）

111 - 122

繁體中文

刮痧、拔罐療法在台灣的中醫醫療體系中較少被應用於臨床，反而更常用於民俗療法中，然而，這樣除了使專業醫學損失一項利器，同時還導致了一些不良的效應，如因過度刮痧、拔罐與缺乏後續調理導致的局部纖維化，有鑑於此，本文希望透過推廣正確的配套措施，以期可以為大眾健康盡一份心力。本文中首先探討刮痧、拔罐在生理學上的效應，發現這兩者都可以用「先破壞、再重建」的概念來理解其在局部的生理學效應，因此，本文從生理學對於傷口修復所分的三個階段－炎症期、增生期、成熟與重塑期，來審思各階段應給予患者的輔助措施，概念上是以幫助人體完成該階段之生理目標為主，綜合來說，方法包含：刺絡放血、給予活血化瘀藥、熱敷、按摩與理筋手法（各階段則以不同手法為主）。最後，本文認為或許將刮痧、拔罐回歸到類似當前針、灸、藥的地位，由中醫師進行診斷後給予患者施治、處方為主的模式，才是對患者健康較為保障的方式。

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 post-treatment 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 blood-activating 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.

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