台灣經方大師張步桃國醫曾說:跟腫瘤細胞要和平共處同登彼岸,不要趕盡殺絕同歸於盡,如果懂些中醫藥常識,可以保生長全遠離疾病,不會茫然無知受人欺騙(謝福德與邱雋彥,2020)。中國的傳統醫學包含以《黃帝內經》為代表的中醫學、以少數民族文化為背景的民族醫學以及佈散四面行腳八方的民間醫學(王長青,2018)。
關於中華民間醫學,是先賢以自己的身體作研究當實驗,強調知症的起因。當民間三教九流、貧民以及奴隸在受到挫傷、瘟疫感染、毒刑或麻痘疹等雜症時,為了生存所必需具備的知識有:隨身攜帶必備急救用藥以及認識野外各種樹木花草的能力,尚有具備在短時間內使人體肌能與骨骼自然復位的能力。
其中在中華民間養生調理保健(CFATAHM)過程中,需依靠大量經驗的累積,講求症狀需快速恢復,且以當時之症而用藥,故很多辯證方式無法以文字書寫下來,至今大多留傳只有其症狀與驗方,然中華民間養生調理保健發展至今,已可在無用藥之下及早防範疏導使身體自我修復永保健康,中華民間養生調理保健總論簡述如下。
天地之間上為天是陽;下為地是陰,人為居中可說天滋地載。人有三寶為精、氣與神,神為陰陽之氣的合體,在中華民間養生調理保健中所談的三關九竅,在氣血運行通關通竅中,最常見的是阻塞,阻塞在明知之下是可預防的,然最怕的是在無知覺下所受的創傷,例如:久坐、久睡、久站、久行、久聽、久看、久言、久思、久淫或縱慾以及飽食,故在行動中切記不能過度。為身體健康養生之道在明明哲,中華民間養生調理保健需謹慎研究,方能生生不息。(郭榮睿,2023)。 2024.02
Chang Pu-Tao, the eminent traditional Chinese medicine master from Taiwan, once said: "We should seek peaceful coexistence with tumor cells, rather than striving to eradicate them completely. If one understands some common sense of traditional Chinese medicine, it can promote overall health and keep diseases at bay, preventing one from being misled and deceived due to ignorance (Hsieh, Fu-Te & Chiu, Chun-Yen, 2020). Traditional medicine in China encompasses traditional Chinese medicine, represented by the Huangdi Neijing, ethnic medicine rooted in minority cultures, and folk medicine spread across various regions (Wang, Chang-Qing, 2018).
Regarding Chinese folk medicine, the sages conducted research by used their own bodies as experiments and emphasize the causes of illnesses. When people from various social classes, including the poor and slaves, encountered contusions, epidemic infections, poisonings, or measles and other miscellaneous diseases, necessary survival knowledge included carrying essential emergency medicines and recognizing various plants in the wilderness. Additionally, they possessed the ability to quickly realign muscle and bone naturally within a short period.
In the process of Chinese folk acupressure technology and health maintenance (CFATAHM), it relies heavily on the accumulation of extensive experience, emphasizing the rapid recovery of symptoms and the use of medicines based on the prevailing condition at the time. Therefore, many dialectical methods cannot be written down in words, and to this day, most of the transmission only includes symptoms and prescription records. However, the development of CFATAHM has progressed to the point where early prevention and guidance can be implemented without medication, enabling the body to self-repair and maintain health. The general brief summary of CFATAHM is as follows.
Between heaven and earth, above is heaven, representing yang; below is earth, representing yin. Humans, as the center, can be said heaven nourishes below and the earth carries above. Humans possess three treasures: essence, energy (qi), and spirit (shen), with the spirit being the integration of yin and yang energies. In CFATAHM, when discussing the "three gates and nine apertures." In the circulation of qi and blood through these gates and apertures, blockages are most common. While blockages that are known can be prevented, the most feared are those that occur without awareness, such as prolonged sitting, sleeping, standing, walking, listening, watching, speaking, thinking, indulging in sex, or overeating. Therefore, it is essential to remember not to overdo activities. The path to maintaining bodily health is clear, but careful research is required in CFATAHM in order to grow and multiply without end (Kuo, Jung-Jui, 2023). 2024.02
王長青(2018)。傳統醫學融入衛生系統的實踐與探索。人民衛生電子音像。
郭榮睿(2023)。為身體健康調理保健之研究。〔未出版之碩士論文〕。佛光大學。
謝福德、邱雋彥(2020)。緬懷台灣經方大師張步桃國醫及臨床思維體驗。台北市中醫醫學雜誌,26 (1),117-122。https://doi.org/10.6718/TJCM.202003_26(1).0019
台灣醫療模式的改變從1985年起逐步走出醫療院所,使醫療不侷限於醫療院所的轉折點是人口老化日漸增加的現象與即將邁入超高齡社會,為此政府陸續推行計畫將各職類醫療人員納入居家醫療團隊之中,包含:西醫師、中醫師、藥師、物理治療師、職能治療師、語言治療師等相關醫療人員,其核心理念是從預防、養生、保健、照護……等面向切入,從中協助民眾使其在熟悉的環境中能得到連續性的全人醫療照護(陳品璇等,2022)。
一篇關於癌末安寧病人護理經驗文獻中提到除了止痛藥,於護理中提供穴位按摩、腹部按摩……等舒適護理指導,能降低噁心感、緩解腹脹以及身體之不適感(陳慧萱等,2022)。
一篇記錄中醫首次介入居家安寧療護的照護中提到,除了西醫提供的止痛治療能緩解病人的不適,同時中醫的介入,於個案臨終前也能透過中藥以及指導家屬穴位按摩來緩解病人的不適(舒傳賢等,2015)。
參考一位不遵從服藥病人之照護文獻,照護期間除了提供醫師開立的止痛處方,尚有照會復健師示範並教導家屬推撫按摩技巧,文獻照護紀錄顯示,透過推撫按摩除了能撫平患者情緒還能減低患者疼痛指數(劉靜芳與陳芝文,2017)。 2024.02
The transformation of Taiwan's healthcare model began gradually moving away from medical institutions starting in 1985, marking a pivotal shift where healthcare was no longer confined to medical facilities. This change was prompted by the increasing phenomenon of population aging and the impending transition into a super-aged society. In response, the government implemented successive plans to integrate various healthcare professionals into home care teams, including Western medicine physicians, traditional Chinese medicine physicians, pharmacists, physical therapists, occupational therapists, speech therapists, and other related medical personnel. The core philosophy behind this approach is to engage in preventive care, health maintenance, and continuous holistic healthcare, assisting individuals to receive comprehensive healthcare services in familiar environments (Chen, Pin-Shuan et al., 2022).
In a literature discussing nursing experiences with terminally ill cancer patients, it is mentioned that in addition to analgesics, providing guidance on acupoint massage, abdominal massage, and other comfort care measures during nursing can reduce nausea, alleviate abdominal distension, and relieve overall discomfort (Chen Hui- Hsuan et al., 2022).
In an article documenting the first involvement of traditional Chinese medicine (TCM) in home hospice care, it is mentioned that besides the analgesic treatment provided by Western medicine to alleviate patients' discomfort, TCM intervention, through Chinese herbal medicine and instructing family members on acupoint massage, can also alleviate patients' discomfort before their final moments (Su, Chuan-Hsien et al., 2015).
In a caregiving literature referencing a medication non-compliant patient, apart from providing prescribed pain relief medication, the caregiving process also involved consultation with a physiatrist who demonstrated and instructed family members on the use of stroking massage techniques. The caregiving records in the literature showed that through stroking massage, besides soothing the patient's emotions, it also reduced the patient's pain index (Liu, Ching-Fang & Chen, Chih-Wen, 2017). 2024.02
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
陳慧萱、林岑薰、高綺吟(2022)。運用舒適理論於一位子宮內膜癌末期病人之 護理經驗。 腫瘤護理雜誌 , 2 2 (2),103-113。
舒傳賢、沈蘊之、陳建宏、鮑俊蓓、陳秀惠、許中華(2015)。中醫進入居家安 寧 照 護 的 案 例 經 驗 分 享 。 中 醫 內 科 醫 學 雜 誌 , 13 (2) , 74-81 。 https://doi.org/10.7102/JTCIM.201512_13(2).0009
劉靜芳、陳芝文(2017)。照顧一位乳癌骨轉移病人不遵從服藥之護理經驗。 榮總 護理, 34 (4),415-423。https://doi.org/10.6142/VGHN.201712_34(4).0010
黃筱鈞|健康長壽推拿教練|中華民間養生調理保健CFATAHM第三代傳人
★速解推拿:透過鍵盤、點位快速上手。
★骨感定位:透過掌指記憶、撫式定位。
★肌肉考古學:必備眼力、勁力、耐力。
證照
.中華民國民俗調理業傳統整復推拿技術士證照 三月 2022
證書
.脈衝脊骨神經矯治技術研習證書 一月 2021
.衛生福利部國民健康署預防及延緩失能協助員培訓證書 八月 2018
經歷
.青之草堂休閒養生保健推廣處執行長
.社團法人新竹市心理衛生協會監事
.新北市骨節整復職業工會會員
.新竹市竹塹社區大學調理保健講師
.佛光大學推廣教育中心調理保健講師
.社團法人新竹市心裡衛生協會調理保健講師
學歷
.佛光大學|宜蘭,中華民國
管理學系 碩士 專業主修:運動與健康促進管理 六月 2023
.仁德醫護管理專科學校|苗栗,中華民國
調理保健技術科 六月 2022
.國立臺灣藝術大學|新北市,中華民國
音樂系 主修聲樂 副修鋼琴 六月 2014
Hsiao Chun, Huang|Chinese Massage Coach for Health and Longevity|Third Generation Inheriting Chinese folk acupressure technology and Health Maintenance.(CFATAHM)
★Rapid Relief Chinese Massage with Keyboard-style Techniques
★Bone Caress Localization
★Muscle Archaeology
Experience
.Person in charge of lesspains.com
.Supervisor of Hsinchu Mental Health Association
.Member of New Taipei City Adjust the Joint Professional Union
.Hsinchu Zhuqian Community College Conditioning and health care lecturer
.Fo Guang University extension education center Conditioning and health care lecturer
.Hsinchu Mental Health Association Conditioning and health care lecturer
Certification
.Folk manipulative service-Traditional complex massage Technician Certification March 2022 ROC
Certificate
.Activator Methods Chiropratic Technique certificate January 2021
.Health Promotion Administration, Ministry of Health and Welfare Prevent or Delay Disability Assistant training certificate August 2018
Education
.Fo Guang University|Yilan, ROC
Master of Management, major in Sports and Health Promotion Management June 2023
.Jen-Teh Junior College of Medicine, Nursing and Management|Miaoli, ROC
Department of Acupressure Technology June 2022
.National Taiwan University of Arts|New Taipei City, ROC
Department of Music, Major in Vocal and Minor in Piano June 2014