台灣傳統整復推拿的發展概要

傳統整復推拿屬於民俗療法的一部分。台灣較早從事傳統整復推拿技術，且賴以為生的行業是國術館人員以及視障按摩業者。最早的推拿學術團體是中國推拿學會，而台中市推拿學會則是台灣最早成立的城市級推拿學術社團。隨著全民健康保險的普及與醫療保健觀念的提升，對於推拿業者的專業訓練與顧客個人法律保障有更多的要求。目前衛生福利部將推拿技術分為中醫傷科推拿與民俗調理兩部分。中醫推拿係屬醫療行為，其力量深入筋骨關節，操作不當，易引起骨骼神經的傷害；民俗調理按摩係屬肌肉軟組織的按摩，未涉及筋骨關節，注重技巧之實施及制式服務內容，多屬養生保健之用。在推拿從業人員資格認證方面，2019年擬於下半年公告民俗調理技術士考試資格與認證措施。另有中醫師全國聯合會努力推動的傷科輔助人員法，期望以教、考、訓、用為目標的中醫康護師法草案已經在立法院順利完成一讀，寫下台灣中醫法制的歷史新頁，更奠定未來三讀通過的重要基礎。

關鍵字

推拿；民俗療法；民俗調理；傷科輔助人員

並列摘要

Traditional restoration and manipulation is part of folk therapy. In Taiwan, the earlier industry that relied on traditional rehabilitation techniques was the Martial arts hall staff and the visually impaired massage operator. The earliest tuina academic group was the Chinese Tuina Society, and the Taichung city Tuinat society was the earliest established urban tuina academic society in Taiwan. With the popularization of universal health insurance and the improvement of the concept of health care, there are more requirements for the professional training of the massage industry and the personal legal protection of customers. At present, the Ministry of Health and Welfare Department divides the massage technology into two parts: TCM traumatological massage and folk conditioning. TCM massage is a doctor's behavior, its strength goes deep into the bones and joints, improper operation, easy to cause skeletal nerve damage; folk conditioning massage is a muscle soft tissue massage, does not involve bones and joints, pay attention to the implementation of skills and standard service content, mostly belong to health care. In the qualification of tuina practitioners, in 2019, it is proposed to announce the qualifications and certification measures for the folk conditioning technicians in the second half of the year. In addition, the National Association of Chinese Physicians has promoted the Law on Assisting Persons with Trauma, and the draft of the TCM Health Care Teacher's Law, which aims at teaching, examination, training and use, has been successfully completed the first reading in the Legislative Yuan, and wrote a new chapter in the history of Taiwanese Chinese medicine legal system, which laid an important foundation for the adoption of the next three readings.