疼痛假說 Pain Hypothesis

在一篇探討國內外影響復能成效的研究中，結果顯示復能在全人照顧中許多指標與原標的結果一致，但在功能性能力的改善情況以及健康相關生活品質評估成效方面結果較未定論，值得再進一步研究（林佩欣等，2022）。

疼痛一直以來是人類健康所面臨最普遍的問題，如依量子力學的實驗證明定義：將同一量子體系分成數個部分，在未檢測之前量子處於疊加態，永遠不知這些部分的準確狀態；如當一檢測出其中之一的狀態，在這瞬間其他部分會立即調整自身的狀態與之相應（朱清時，2015）。意識是量子力學的基礎，意識發動的過程是通過動念進行測量，當意識發動的瞬間便會坍縮成具體的念頭，而不確定態即變成確定態，物質世界即生成（洪裕宏，2022；Donald Hoffman, 2019/2022）。

因此將量子力學理論套用至疼痛假說來推論：當維持量子疊加態意識尚未發動時是不會感覺到疼痛，一旦意識發動量子糾纏坍縮成念頭時便會感覺到疼痛，因此可以大膽假設不想痛苦就必須捨棄意識或削弱意識，你是否豁然大悟為何許多人想透過不同的方式來捨棄或削弱意識，假若真能如其所欲，是否一回到物質世界各種痛楚便會接踵而來? 2024.02

In a study investigating the effects of reablement on both domestic and international scales, the results revealed that reablement aligned with the original objectives across many indicators in holistic care. However, the outcomes regarding improvements in functional capacity and assessments of health-related quality of life were inconclusive. This suggests the need for further research (Lin, Pay-Shin et al., 2022).

Pain has always been one of the most pervasive issues faced by human health. According to the definition derived from experiments in quantum mechanics, when the same quantum system is divided into multiple parts, it exists in a superposition state until measured, and the exact states of these parts are never known. Upon measurement of one part's state, the other parts instantaneously adjust their states accordingly (Zhu, Qing-Shi, 2015). Consciousness forms the foundation of quantum mechanics, where the process of consciousness initiation involves measurement through mental activity. At the moment consciousness initiates, it collapses into specific thoughts, transforming the state of uncertainty into certainty, thereby giving rise to the material world (Houng, Yu-Houng, 2022; Donald Hoffman, 2019/2022).

Therefore, applying quantum mechanics theory to the hypothesis of pain suggests the following inference: when consciousness is in a state of quantum superposition and has not yet initiated, there is no sensation of pain. However, once consciousness initiates and collapses quantum entanglement into thoughts, the sensation of pain arises. Hence, one can boldly hypothesize that to avoid suffering, one must either abandon consciousness or weaken it. Do you suddenly realize why many individuals seek various ways to abandon or weaken consciousness. If it were indeed possible to do so, would various forms of suffering immediately follow upon returning to the material world? 2024.02

朱清時(2015, December 15)。量子意識——現代科學與佛學的匯合處？聖地文 化出版社。http://saintyculture.com/20315234162608535468/169

林佩欣、游曉微、宋貞儀、蘇信昌(2022)。長照復能服務成效探討。 長期照護 雜誌， 25 （2），115-132。https://doi.org/10.6317/LTC.202212_25(2).0003

洪裕宏(2022, August 24)。《不實在的現實》導讀：我們熟悉的物理世界，其實 是我們意識經驗的產物？關鍵評論網。 https://www.thenewslens.com/article/171502

Donald Hoffman(2022)。 不實在的現實：演化如何隱藏真相，塑造我們的時空 知覺(蔡承志譯；初版)。大石國際文化。(原著出版於 2019)。

任意按摩，任意鬆

Massage randomly, loose randomly

以解剖學面相來解釋，按摩所觸及到的是皮膚、皮下組織、骨骼肌與其相關組織，其中收縮最自如的非骨骼肌莫屬。假設只要放鬆一條骨骼肌身體就會有輕鬆感，全身大約有七百條骨骼肌，每條骨骼肌可能沾黏的角度有 360 度，又骨骼肌是具有張力性且協調性的組織，當受傷時不太可能可以立即回歸原有張力，廣義來說每條骨骼肌有 360的360次方歸位的可能性，所以總共會有無限多種放鬆的方法。

如再假設放鬆一條肌纖維身體就會有輕鬆感，全身約有 60 億條肌纖維，所以會有∞的∞次方放鬆的方法，因此大膽的結論可能會是任意按摩身體都可以有輕鬆感，但任意按真的可以讓身體輕鬆嗎?也許可以，不過顯然不是這樣的，因為不輕鬆的人依然居多。

多數人身體不輕鬆時皆會自行按摩，且大多時候以 360 度畫圈的方式揉鬆痠痛部位，如此施作是否可以在沒有基礎理論下亂槍打鳥鬆動部分骨骼肌呢?如果以肌肉龐大的數量來說明應該是可行的，但為何不輕鬆的人還是佔多數呢?人體骨骼肌可分為三到四層，假設以 700 條骨骼肌除以 3.5 層，一層約有 200條骨骼肌，當施做大面積按摩最極致可以顧及淺層的兩百條骨骼肌，待剩下的五百條該如何?雖然並不是每一條骨骼肌都異位沾黏拉緊，但以具有張力性與協調性的肌肉來說，顯然是需要更有智慧地透過更多手法的運用來解謎。2024.02

In anatomical terms, massage primarily targets the skin, subcutaneous tissues, skeletal muscles, and their associated structures. Among these, skeletal muscles are the most freely contractile. Assuming that relaxing one skeletal muscle leads to a sense of ease in the body. There are approximately seven hundred skeletal muscles in the human body. Each skeletal muscle may have a range of angles it can adhere to, totaling 360 degrees. Additionally, skeletal muscles are tensile and coordinated tissues. In the event of an injury, it is unlikely that they can immediately return to their original tension. Broadly speaking, each skeletal muscle has 360 to the power of 360 potential angles for repositioning, resulting in an infinite number of relaxation methods.

Assuming that relaxing a single muscle fiber induces a sense of ease in the body, with approximately 6 billion muscle fibers throughout the entire body, there would be an infinite number of relaxation methods (∞ to the power of ∞). Consequently, a bold conclusion might suggest that any massage could potentially bring about a sense of relaxation. However, is it true that any random massage can genuinely make the body relax? Perhaps it could, but evidently, that's not the case for everyone, as a significant number of individuals still experience Algiatry.

Many people instinctively engage in self-massage when their bodies feel tense, often using a circular motion covering 360 degrees to massage and relax sore areas. Can this approach effectively target and release specific skeletal muscles without a solid theoretical foundation? While the sheer number of muscles in the body might suggest feasibility, the fact that a significant majority still experiences Algiatry. The human skeletal muscles are organized into three to four layers. Assuming 700 skeletal muscles divided by 3.5 layers, roughly 200 muscles are present in one layer. When performing broad-area massage, the most extensive coverage that can be taken into condition at its best might be the superficial two hundred muscles. What about the remaining five hundred? Although not every muscle is prone to tension, dealing with muscles that possess tension and coordination requires a more intelligent application of various techniques.2024.02

骨骼肌研究假說

Skeletal Muscle Hypothesis

當談及如何避免骨骼肌創傷以及造成相關系統疾病（Robert B. Salter, 1971/2002），應先了解保護軀體內部免於體外各種攻擊最重要的組織是骨骼肌。每塊骨骼肌有其單獨不同的性質，當骨骼肌創傷沒有啟動自行修復機制時，周邊骨骼肌便會立即行使自行保護機制，來避免相關組織受到壓迫，以維護人體機能令其正常運作。

然而骨骼肌最易被忽略的是它的防禦協調性，如防禦協調性的骨骼肌因故創傷或過勞、長時間疏忽保養或創傷後沒有即時修復而更加僵硬、拉緊、沾黏、結塊甚至鈣化，因而影響骨骼肌帶動骨骼，使骨骼執行動作不到位，更遑論將骨骼帶回原有的位置。

一篇透過關節內視鏡的研究顯示，肘關節不同位置會引起正中神經和橈神經的位置發生變化（盧巍等，2016）。因此依據上述文獻應可推理出骨骼肌研究假說：當骨骼肌創傷使骨骼位移時，將會影響周邊神經、血管、骨骼、淋巴、皮膚及五臟六腑，然而在組織相互受到觸碰擠壓與相互拉扯之下，將間接影響身體疼痛痠麻與疾病的產生。 2024.02

When discussing how to prevent skeletal muscle injuries and related systemic diseases (Robert B. Salter, 1971/2002), it is essential to understand that the most important tissue for protecting the body from various external assaults is skeletal muscle. Each skeletal muscle has its unique properties, and when skeletal muscle injuries do not activate their self-repair mechanisms, surrounding skeletal muscles immediately exercise their self-protection mechanisms to prevent compression of adjacent tissues, thereby maintaining normal bodily function.

However, what is often overlooked about skeletal muscle is its defensive coordination. In cases where defensively coordinated skeletal muscles sustain injuries due to overexertion, prolonged neglect, or delayed repair after trauma, they become stiffer, tighter, adherent, clumped, or even calcified. Consequently, this affects the skeletal muscles' ability to move bones, causing improper execution of movements and hindering the return of bones to their original positions.

A study utilizing arthroscopy revealed that different positions of the elbow joint can cause changes in the positions of the median and radial nerves (Lu, Wei et al., 2016). Therefore, based on the aforementioned literature, it should be possible to hypothesize regarding skeletal muscle research: when skeletal muscle injuries cause bone displacement, it will affect the surrounding nerves, blood vessels, bones, lymphatic system, skin, and internal organs. However, as tissues are subjected to collision, compression, and mutual traction, this will indirectly influence the occurrence of bodily pain, soreness, numbness, and the development of diseases. 2024.02

盧巍、李建平、秦毅、蔣振東、楊琳(2016)。肘關節不同位置對正中神經和橈神經位移影響的 X 射線評價。 中國組織工程研究， 20 (33)，4913-4918。https://doi.org/10.3969/j.issn.2095-4344.2016.33.007

Robert B. Salter (2002).骨骼肌肉系統疾病與創傷(楊榮森編譯；初版)。合記出版。(原著出版於 1971)。

時間不等健康

Time does not wait for health

2022 年一篇探討台灣健保居家醫療推動政策推動前與後的系統性回顧，指出以全人類為中心提供全面性、連續性、甚至更多元的醫療照護服務是居家醫療照護的核心價值（陳品璇等，2022），由此可見建立多元居家照護分擔醫療負載（曾志詠，2022）乃當務之急。

從光陰似箭的角度來看待病程，應重視如何將病程歷時縮短乃刻不容緩之務，一轉身生場病是在所難免的，若養病時一但病程隨著歷時而拉長，很有機會將小病養成大病，一來身體復原能力會弱化，二來影響到自己的生活品質，最後影響到與人的親近關係。

多數人在身體不舒服時會進行一輪看病流程：首先搜尋附近評價優良的診所或醫學中心，接著到現場排隊等掛號，拿到號碼牌等候進入診間，待醫生處置完之後等領藥。幸運者可在一小時內走完一輪看病流程，運氣較差的一輪看病流程會花上一整天的時間，更令人難熬的是當看病流程頻率增加的時候，可謂時間不等健康。 2024.01

In a 2022 systematic review examining the policy implementation of home healthcare under Taiwan's National Health Insurance, it was highlighted that the core value of home healthcare lies in providing comprehensive, continuous, and even more diversified medical care services with a focus on the well-being of individuals (Chen, Pin-Shuan et al., 2022). Consequently, establishing a diversified home care system to share the healthcare burden is deemed an urgent priority (Tseng, Chih-Yung, 2022).

From the perspective of time flying like an arrow, it is crucial to focus on how to shorten the duration of illness. Swift attention to this matter is imperative. The inevitability of encountering illness as life unfolds is an undeniable reality. If, during the period of recuperation, the illness is allowed to prolong, there is a high likelihood of transforming a minor ailment into a major one. This not only weakens the body's ability to recover but also adversely affects one's quality of life, ultimately impacting close relationships with others.

When feeling unwell, most people go through a typical medical process: first, they search for well-reviewed clinics or medical centers nearby. Then, they physically queue up for registration, receive a queue number, and wait to enter the clinic. After the doctor's consultation, there is additional wait time for medication. Those fortunate might complete this entire process within an hour, while others less lucky may spend an entire day. The increasing frequency of going through this medical routine makes it evident that time does not wait for health. 2024.01

陳品璇、曾育慧、許中華(2022)。中醫居家醫療之現況與展望。 台灣公共衛生 雜誌， 41 (1)，16-35。https://doi.org/10.6288/TJPH.202202_41(1).110130

曾志詠(2022)。收治新冠肺炎病患醫療設施設備負載分析及應變機制—以區域 醫院為例〔未出版之碩士論文〕。中原大學。