推導式調理—無痛推拿

Derivation-style Conditioning – Chinese Painless Massage

中國醫學的特色是對病人全身綜合平衡的把握，將病人的生理機能調動起來，以激發人體自身的健康力量為要旨，強調以自身的修復機制和抗病能力去與疾病作戰（管成學與趙驥民，2018）。一篇從實證觀點記錄由經過訓練之護理人員或病人家屬施行按摩處置，在遵守標準化安全評估及按摩流程之下進行按摩，是可行、安全，且具有降低生理及心理不適症狀或增進免疫力之正向效益，研究證明按摩處置可提升臨床照護品質（簡淑慧等，2014）。

然而在中華民間養生調理保健(CFATAHM)中存在的按摩處置稱為推導式調理—無痛推拿，無痛推拿是項精準的調理，使身體不輕鬆或疼痛的部位可以逐漸紓解並且讓骨骼回到自然的位置。雖然通則不痛；痛則不通常為保健通則，但調理時有強烈的痛感不代表身體會聽話放鬆；相對的要達到放鬆也不一定需要有痛感。無痛推拿並非在調理中不會有痛覺，而是在身體疼痛或身體不輕鬆時，透過手技將其症狀逐漸紓解的一個過程。

運用無痛推拿配合中醫與西醫的處方紓緩疼痛痠麻輔助康復可謂「三人同心，其利斷金」。無痛推拿係在常溫下透過手技舒緩骨骼肌，藉由遠端骨骼肌帶動近端疼痛處之深層骨骼肌肌纖維，將其症狀逐漸紓解並自然帶動骨骼歸位的一個過程。無痛推拿並非在調理中不會有痛覺，而是能促使表皮層活化及協和內部組織完滿新陳代謝，嚴謹舒緩運作不順的骨骼肌進行精準調理，旋即防避山雨欲來之痛楚，使痛楚積裡漸裡消弭的一個過程。 2024.02

The characteristic of traditional Chinese medicine is the comprehensive grasp of the patient's overall bodily balance, mobilizing the patient's physiological functions to stimulate the body's own healing power, emphasizing the use of the body's repair mechanisms and resistance to combat disease (Guan, Cheng-Xue & Zhao, Zuo-Min, 2018). A study from an empirical perspective documented that massage therapy administered by trained nursing staff or family caregivers, following standardized safety assessments and massage protocols, is feasible, safe, and associated with positive benefits such as reducing physiological and psychological discomfort symptoms or enhancing immune function. Research has shown that massage therapy can improve the quality of clinical care (Jane, Sui-Whi et al., 2014).

However, in Chinese folk acupressure technology and health maintenance(CFATAHM) practices, there exists a form of derivation-style conditioning known as Chinese painless massage. Chinese Painless massage is a precise form of adjustment that gradually relieves discomfort or pain in the body, allowing the bones realign naturally to their position. While it is a general principle in health care that if there is pain, there is likely stagnation of QI (vital energy) or blood circulation, and conversely, if there isn’t stagnation, there should be an absence of pain. It doesn't necessarily mean that intense pain during conditioning indicates the body is obeying or relaxing, on the contrary, achieving relaxation doesn't always require experiencing pain. Chinese painless massage does not mean that there is an absence of sensation during conditioning. Instead, it involves gradually alleviating symptoms such as bodily pain or discomfort using manual techniques.

Utilizing Chinese painless massage in conjunction with prescriptions from both traditional Chinese medicine and Western medicine to alleviate pain, soreness, numbness and assist in rehabilitation can be likened to " three people working together their sharpness can cut through metal. " Chinese painless massage involves using manual techniques at normal temperature to soothe the skeletal muscles. By engaging the distal skeletal muscles to drive the deep skeletal muscle fibers at the proximal pain point, gradually relieving symptoms and naturally realigning the bones. Chinese painless massage does not imply an absence of sensation during conditioning. Instead, it stimulates the activation of the epidermal layer and harmonizes the metabolism of internal tissues, rigorously soothing dysfunctional skeletal muscles through precise adjustments. This approach helps preempt and mitigate the onset of pain, gradually diminishing discomfort over time. 2024.02

管成學、趙驥民(2018)。聖手能醫：華佗的故事。如是文化。

簡淑慧、廖美南、李淑慧、林永昌(2014)。從實證觀點談「按摩處置」對於癌痛病人之成效。護理雜誌，61 (6)，23-28。 https://doi.org/10.6224/JN.61.6.23

推拿教練 Chinese Massage Coach

推拿師傅 vs. 推拿教練 ＝ 聲樂老師 vs. 聲樂教練

推拿師傅和推拿教練，以及聲樂老師和聲樂教練之間存在著相似之處。首先從聲樂老師和聲樂教練的角度談起，兩者在音樂領域中擔任不同的角色，主要區別在於他們的專業職能和教學重點。聲樂老師主要專注於教授學生基本的聲樂技巧以及建立基本的歌唱技能，以確保學生具備良好的聲樂技巧，能夠適應不同音樂風格。聲樂教練則主要集中在歌曲的演繹和表現方面，提供即時的指導以改進演唱的表現，並確保學生能夠在歌唱中充分發揮他們的聲樂技能，以傳達歌曲的情感和故事。

推拿師傅類似於聲樂老師的角色，是在傳統中式按摩技術方面精湛且經驗豐富的人，擅長各種按摩方法以促進健康和福祉，主要是教導按摩的基本技術。然而推拿教練一詞源起於音樂領域中的聲樂教練，專業職能和教學重點與聲樂教練類似，推拿教練注重按摩技術的實際應用，指導個人完善按摩技能，強調通透性、順筋性、導引性以及自然歸位法則。推拿教練透過分析按摩過程幫助學習者提高他們的表現與成就，並根據不同的情況給予適當建議與技術調整。

在學習推拿的過程中你可能常常感到茫然、無助，有時難以掌握技巧。即使你已經完成了專業學程，獲得了相應的專業證照，仍然可能對指尖下的世界變化感到迷茫。你或許不確定應該從何處著手，以及在過程中到達什麼階段該停下手。若有一位經驗豐富的推拿教練在旁提點，這將使你的學習過程更加順遂。 2024.01

Chinese Massage Master vs. Chinese Massage Coach＝Vocal Teacher vs. Vocal Coach

There are similarities between a Chinese Massage Master and Chinese Massage Coach, as well as between a Vocal Teacher and Vocal Coach. Let's start from the perspective of Vocal Teachers and Vocal Coaches in the field of music. The primary distinction lies in their professional functions and teaching focuses.

Vocal teachers mainly focus on instructing students in fundamental vocal techniques and establishing basic singing skills. The goal is to ensure that students possess a solid foundation in vocal techniques and can adapt to different musical styles. On the other hand, Vocal Coaches concentrate on the interpretation and performance aspects of songs. They provide real-time guidance to improve singing performance, ensuring that students can fully express their vocal skills to convey the emotions and stories within a song.

A Chinese Massage Master is similar to the role of a Vocal Teacher, possessing expertise in traditional Chinese massage techniques and extensive experience. They excel in various massage methods to promote health and well-being, primarily focusing on teaching the fundamental techniques of massage.

However, the term " Chinese Massage Coach" originates from the field of music, specifically from the role of a Vocal Coach. The professional functions and teaching focuses of a Chinese Massage Coach are similar to those of a Vocal Coach. Chinese Massage Coaches emphasize the practical application of massage techniques, guiding individuals to refine their massage skills. They emphasize qualities such as comprehension, fiber conformity, guidance, and the principles of natural return. By analyzing the massage process, Chinese Massage Coaches help learners enhance their performance and achievements, providing appropriate advice and technique adjustments based on different situations.

During the process of learning Chinese Massage, you may often feel confused, helpless, and at times struggle to grasp the techniques.Even if you have completed a professional program and obtained the corresponding certifications, you may still find yourself perplexed by the changes beneath your fingertips. You might be uncertain about where to begin and at what stage in the process you should pause. Having an experienced Chinese Massage Coach by your side to offer guidance can make your learning journey much smoother. 2024.01