07/11/2025
▌結構調整新武器：肌貼（肌內效貼布）
中醫看待人體結構問題和內在疾病，不單看表面，有精細的「皮、脈、肉、筋、骨」五層結構觀念。皮部是什麼？「皮」就是我們全身的皮膚、毛孔，以及皮膚底下的微細血管（絡脈）。它是身體的第一道防線，也是經絡系統在體表最淺的出口。當您被風吹到、或壓力大時，皮膚的變化（如顏色、浮起的青筋、摸起來的溫度）就是我們診斷體內經絡和臟腑狀況的重要線索。
傳統中醫早就懂得從「皮部」下手治病，例如：拔罐、刮痧、放血等。而現在，肌貼(Kinesiology Tape)這工具不含任何藥物成分，靠的是它獨特的彈性、拉力和回彈力，在善用此工具的中醫師手上，有以下結構調整的優勢：
1. 肌貼在皮膚上形成皺褶，能輕微拉起皮膚，為皮下的氣血和淋巴液創造更多空間，像「打開下水道」，消腫、去瘀、排水腫，加速排除體內的發炎物質和代謝廢物，增加筋膜的滑移性，讓您恢復更快。
2. 溫和調整「結構力線」，肌貼的回彈力能引導肌肉和筋膜的收縮方向，輔助調整身體不正確的用力習慣和姿勢。
3. 直接處理傳統針灸較危險的區域：頭面部、頸部、胸腔。我投注許多心力的頭面五官疾患，患者經常合併頭頸部張力的異常，肌貼是個非常好用安全的工具，輔助解決許多困難的案例--腦瘤造成的三叉神經痛，無法開口的患者；口腔癌放療後難張口的患者；血管型三叉神經痛；食道窄縮無法吞食的患者；超高眼壓反覆難控制的患者；妥瑞兒....等。患者的苦，常是推動我一直去尋覓更好治法、工具的動力。
4. 相比於傳統拔罐的定點壓力，肌貼應用上更靈活，能拉伸出更連貫的力線，精準細緻快速地完成結構的調整。
5. 為怕針族群提供更溫柔的治療選項。
6. 在適當的指導下，肌貼可持續貼著幾天，患者可在家延伸治療。
然而，無論針灸、拔罐、刺絡放血、肌貼的張力調整，都只是治療的第一步，由醫師協助創造一個有助於傷痛復原的身體環境，若未有患者積極參與的「動作再教育」，傷痛常常反覆難纏，治療確實改善了，經過同樣的動作模式一陣子，痛又來了。
這是為什麼我這一年來積極進修，期盼未來能把這塊重要的大拼圖補齊，協助和陪伴患者走向真正的康復。
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▌Structural Adjustment: A New Tool – Kinesiology Tape
Traditional Chinese Medicine (TCM) views human structural problems and internal diseases through a detailed conceptual framework of the five layers: skin (皮), vessels (脈), muscle (肉), sinews/fascia (筋), and bone (骨).
What is the "Skin Layer" (皮部)? The "skin layer" encompasses the entire body's skin, sweat pores, and the underlying microvessels. It serves as the body's first line of defense and the shallowest exit point for the meridian system on the body surface. When you are exposed to wind or under great pressure, changes in your skin (such as color, raised veins, or temperature to the touch) provide crucial clues for diagnosing the condition of your internal meridians and organs.
➤ TCM has long understood how to treat diseases by addressing the "skin layer," utilizing methods like cupping, gua sha, and bloodletting.
1. Kinesiology Tape: The Advantages for Structural Adjustment Kinesiology Tape (K-Tape) contains no medicinal ingredients. It relies on its unique elasticity, tension, and recoil to achieve its effects. In the hands of a TCM practitioner skilled in its use, K-Tape offers the following advantages for structural adjustment:
2. "Opening the Drain" for Subcutaneous Circulation: K-Tape creates minor wrinkles on the skin, gently lifting it. This action creates more space for the circulation of Qi and blood (氣血, qì xuè) and lymphatic fluid beneath the skin. It works like "opening a drainage system" to reduce swelling, dissipate bruising, and accelerate the removal of inflammatory substances and metabolic waste, increasing fascial glide and promoting faster recovery.
3. entle Correction of Structural Force Lines: The tape's recoil guides the direction of muscle and fascia contraction, assisting in correcting improper habits of muscle engagement and posture.
4. Direct Treatment for Areas Risky for Traditional Acupuncture: These areas include the head, face, neck, and chest. I have dedicated significant effort to treating conditions involving the head, face, and sensory organs (wǔ guān). Patients often suffer from abnormal tension in the head and neck. K-Tape is an exceptionally useful and safe tool to assist in resolving many difficult cases, such as: a.)Trigeminal neuralgia caused by a brain tumor, leading to difficulty opening the mouth; b.)Trismus after radiation therapy for oral cancer; c.) Trigeminal neurovascular compression; d.) Patients with esophageal; d.) Achalasia; e.) extremely high, difficult-to-control intraocular pressure; f.) Tourette Syndrome... and more. The suffering of patients is often the driving force for me to continually seek better treatments and tools. K-Tape is one of them.
5. Flexible and Continuous Line of Force: Compared to the fixed, static pressure of traditional cupping, K-Tape is more flexible in its application. It can be stretched to create a more continuous line of force, achieving precise, detailed, and rapid structural adjustments.
6. A Gentler Option for the "Needle-Phobic" Patients
7. Extending Treatment at Home: With proper guidance, K-Tape can remain adhered for several days, allowing patients to continue the therapeutic effect at home.
➤ The Crucial Next Step: Movement Re-education
However, treatments like acupuncture, cupping, bloodletting, or K-Tape tension adjustment are only the first step. The physician helps create a physical environment conducive to recovery from injury and pain. If the patient does not actively participate in "movement re-education," the pain often becomes chronic and recurrent. The treatment may provide improvement, but after a period of returning to the same movement patterns, the pain resurfaces.
This is why I have been actively pursuing further study this year. I look forward to completing this important puzzle piece in the future, assisting and accompanying patients on the path to true recovery.
