傷科臨症指引之編寫

盧樹森
長庚紀念醫
骨傷科軟組織損傷之病症，中醫按摩推拿、正骨整復、外敷膏藥的治療方式，深獲病患之肯定，且有相當之療效。但臨床上中醫對傷科病症之處置，各家說法眾多，採取的處理方式也不盡相同，對傷科病患之醫療，沒有遵循之依據，各憑本事為病患服務。中央健康保險局自89年7月起，實施中醫門診總額預算制。為了提高病患就診傷科之醫療服務品質，及讓病患有知的權益。衛生署中醫藥委員會議決：中醫傷科應有臨床治療之專書，提供傷科醫師臨床診療查閱，及中央健康保險局傷科醫療審查作業之共同規範之參考。
本研究以大陸高等中醫院校教材為依據，參考國內外及大陸各專家學者之臨床經驗叢書，與臨床研究報告。將臨床常見之骨傷科病症，對應國際疾病分類，編寫臨床常見之骨傷科病症分析及處置，經專家學者共同審定及醫學院校教授之審查，進行撰寫「傷科臨症指引」。
關鍵詞：國際疾病分類、傷科臨症指引 、按摩推拿
關鍵字：

Clinical Guide for Traumatological Therapeutics

Lu Shu-Shen
Chang Gung Memorial Hospital
In traditional Chinese medicine, soft tissue injury is treated with “tuina” techniques (massage and manipulation), by bone-setting manipulations, and by the topical application of medicinal pastes. Such treatments are popular among Chinese patients, and are not lacking in objective demonstrations of efficacy. Nevertheless, Chinese medicine offers different approaches, and treatment is not standardized. Since July 2000, the National Insurance Bureau has been operating Chinese outpatients services on a budget system. In order to enhance the quality of Chinese medical traumatology and ensure that patients have clearly defined rights, it would be useful to have a clinical guidebook for traditional Chinese traumatology that would serve as a general reference for the public and as the basis for the National Insurance Bureaus work of monitoring and controlling services provided.

The present study is based mainly on mainland Chinese medicine textbooks, and also draws on litera
關鍵字：