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由註冊中醫師 林江豪醫師審閱
推拿、按摩、SRM,到底有什麼不同?
簡單回答:按摩著重放鬆肌肉、舒緩疲勞;推拿是中醫的手法治療,會依辨證沿經絡與穴位施作;SRM 結構療法則先評估全身的張力與代償,找出問題的起點再處理。如果只是累,按摩就很好;如果同一個地方反覆痛,比較需要評估。
Short answer: massage relaxes muscles and eases fatigue; tuina is TCM manual therapy guided by diagnosis, along meridians and points; SRM structural therapy first assesses how tension and compensation spread across the body, then works from where the pattern begins. If you are simply tired, massage is a good choice; if the same spot keeps hurting, an assessment helps more.
三者的差別
按摩 Massage。目的是放鬆。適合長時間工作後的疲勞、想好好休息的時候。由受過訓練的按摩療程師執行。
推拿 Tuina。中醫的手法治療,屬於醫療行為的一部分。醫師會先辨證,再選擇手法、穴位與力道,常與針灸或中藥搭配。
SRM 結構療法。醫道閣自己發展的結構手法。看的是你怎麼站、怎麼動、身體怎麼代償,而不只是痛的那一點;處理筋膜、軟組織與動作方向,不是用力扳動關節。
Massage: relaxation, done by trained therapists. Tuina: TCM manual therapy guided by diagnosis, often combined with acupuncture or herbs. SRM: our structural method, working through soft tissue, fascia and movement direction rather than forceful adjustment.
我該選哪一種?
只是累、肩頸緊、想放鬆:按摩。
有體質或內科的問題,希望手法與針藥一起調理:推拿,先問診。
痛好了又回來、姿勢歪斜、舊傷影響活動:SRM,第一次會包含完整的結構評估。
不確定的話,先預約問診,醫師會告訴你哪一種比較適合,或是否需要先看西醫。
Just tired: massage. Internal or constitutional concerns: tuina after consultation. Recurring pain, posture or old injuries: SRM, starting with a full structural assessment. Not sure? Book a consultation first.
什麼情況不適合直接做手法?
剛跌倒或撞傷後的劇痛、骨折可能、伴隨手腳麻木無力、發燒,或骨質疏鬆明顯,請先就醫或先讓醫師評估,再決定能不能做手法。
延伸閱讀
SRM 結構療法 SRM Structural Therapy
個人情況因人而異,療程建議需經問診與醫師評估後決定。
Individual conditions vary. Recommendations follow consultation and practitioner assessment.
