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世界盲人聯盟亞太區第七屆按摩研討會

世界盲人聯盟亞太區第七屆按摩研討會. The 7th WBU Asia Pacific Regional Seminar on Massage. PC Leung 梁秉中 Institute of Chinese Medicine 中醫中藥研究所 The Chinese University of Hong Kong 香港中文大學. 怎樣把按摩效應推上更具治療意義的層次. How to Up-grade Massage to a High Efficacy Level. 勞累 , 損傷  肌肉疼痛 關節退化  肌肉疼痛 筋肌懶閒  肌肉疼痛

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世界盲人聯盟亞太區第七屆按摩研討會

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  1. 世界盲人聯盟亞太區第七屆按摩研討會 The 7th WBU Asia Pacific Regional Seminar on Massage PC Leung 梁秉中 Institute of Chinese Medicine 中醫中藥研究所 The Chinese University of Hong Kong 香港中文大學

  2. 怎樣把按摩效應推上更具治療意義的層次 How to Up-grade Massage to a High Efficacy Level

  3. 勞累,損傷 肌肉疼痛 關節退化  肌肉疼痛 筋肌懶閒  肌肉疼痛 筋肌缺血  肌肉疼痛 Overuse, Sprain Muscle pain Joint Degeneration Muscle Pain Under use/disuse Muscle Pain Ischaemia Muscle pain Origin of Massage 按摩的源起 按摩  改善血液循環  肌肉鬆弛  舒適 Massage  Improved circulation  Muscle relaxation  Comfort

  4. 黃帝內經 (黃帝岐伯按摩卷) 素問‧血氣形志篇 「形數驚恐，經絡不通 病生於不仁，治之以按摩」 素問‧卒痛論 「寒氣客於背俞之脈澀， 脈澀則血虛，血虛則痛， 其俞注於心，故相引而痛， 按之則熱氣至，熱氣至則痛 止矣。」 Huangdi Naijing (Chapter on Massage) Massage to harmonise, meridians Massage to improve circulation thence pain control

  5. 按摩同樣出現於 印度傳統醫學 埃及／羅馬／希臘史冊 Massage was described in Ayurveda Egyptian / Roman / Greek Medical Classics

  6. 按摩無分中西，目的一樣 手法細則不同 中醫推拿依照經絡、穴道指示。 西醫按摩依照解剖學基礎實施。 Aim of Massage, whether Western or Chinese are the Same However Chinese Massage depends on understanding of the meridians and Acu-points Western Massage depends on anatomical knowledge

  7. 總的來說中西，還是相同的地方多On the Whole, similarities are more than differences

  8. 請看身體各部的一些示範 Please look at some demonstration of different regions of the body 中醫按摩與Maitland manupulation Chinese Massage and Maitland manupulation

  9. 頸部 Neck

  10. 背部　Back

  11. 肩膀　Upper limb

  12. 肩膀　Upper limb

  13. 上臂　Upper limb

  14. 下肢　Lower limb

  15. 下膝　Knee

  16. 推拿，按摩是否力量、經驗、訓練便夠 Is Massage best done with strength, experience and training

  17. 病人需要，靈活變通 Satisfy patient’s need, Flexibility

  18. 現代醫學分析療效，除針對病理解救 仍需注意心理、社會環境、文化背景 Modern Analysis of Treatment Efficacy shows the importance of Psychology, Social Environment and Cultural Background

  19. 疼痛的理解 Pain Perception

  20. 疼痛的不同層次 Different Levels of Pain Perception • 反射反應 • 　中樞層次 • - 　大腦皮層 • - 　位置感覺調節 • 　門檻理論 • 　大腦阻隔 • 　環境、社會、心理學 • Reflex at spinal level • Central level - sensory cortex interpretation - proprioceptive inhibition • Gate theory - substantia gelationosa • Cortical inhibition • Environmental socio-psychological

  21. Side circuits Substantia gelatinosa Mid-brain Endophines

  22. Reflex is made more complicated Nocioceptive System Posterior horn side circuits Gate Theory Proprioceptive input Substantia gelatinosa Cortical inhibition Midbrain Outside influence-Psychosocial Genetics Behaviour Experience 心理 環境 社會 大腦阻隔 門檻理論 反射

  23. 藥物有安慰劑效應 按摩也有安慰劑效應嗎？ Placebo Effect of Drugs Does Massage Possess Placebo Effects?

  24. 安慰劑　　恥笑對象 Placebo  Focus of Ridicule • 但安慰劑有10 - 30％療效 But Placebo 10 - 30% Efficacy • 為何不善用安慰劑作用？ Why not make full use of Placebo? • 實際療效 或 實際療效  安慰劑作用 Genuine Efficacy OR Genuine Efficacy + Placebo Effect

  25. 安慰劑作用之研究 Placebo Effect Research

  26. 病人特徵 醫者特徵 病人醫者之溝通 疾病之性質 治療環境 Patient’s characteristics Healer’s characteristics Patient – Healer communication Nature of Illness Environmental setting 療效之多方面因素Factors Affecting Efficacy

  27. 病人特徵 Patients’ Characteristics • 知識形 • 迷信形 • 挑剔形 • 體面形 • Intellectual • Dull • Inquisitive • Official

  28. 醫者特徵 外貌 裝扮 誠信 Healer’s Characteristics Appearance Taste Confidence Honesty

  29. 溝通能力 語言 知能 關懷 誠懇 Communication Skill Language Intellectual Concern Openness

  30. 疾病之性質 急性（短暫） 慢性 老疾 能治／不治 Nature of illness Acute short duration Chronic long duration Very old problem Treatable/non treatable

  31. 治療環境 標準 專業 豪華 簡陋 Environmental Setting Standard Professional Luxurious Simple

  32. 技術重要還是多方面因素重要？ Which is more important? Skill or Multiple Factors?

  33. 按摩師 技術 修養 儀態－裝扮－溝通能力 Technical skill General knowledge Communication skill - Pleasant look 基本需要的考慮Basic Considerations

  34. 文化傾向 治療環境 心理狀態 職業背景 病歷 Cultural background Treatment setting Psycho-social state Occupational state History of Illness 基本需要的考慮Other Considerations

  35. 按摩非按摩 按摩乃治療 按摩乃 朋友之道 安慰之道 啟發之道 引導自保，自療 Massage is not just massage Massage is removing illness Massage is making friends comforting friends inspiring friends Towards self protection self-treatment

  36. 深明此道者 將把按摩帶上更高層次 Once the practice becomes that divergent, Massage is substantially elevated

  37. 賽馬會盲人綜合服務中心 Jockey Club Multi-Service Centre for the Blind

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