中醫針灸科

學習針灸的理論與操作:經絡腧穴定位、毫針刺法與補瀉、得氣、灸法與電針、耳針頭皮針,中風康復、疼痛與面癱治療,以及針灸安全。

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適合哪些醫事職類

同一個主題,不同職業看到的題目與重點不同。以下是中醫針灸科各職類的學習焦點。

中醫師

針灸辨證取穴與施術:十二經脈奇經八脈的循行與主治、腧穴定位(骨度分寸與體表標誌)、毫針進針與行針手法的操作要領、提插捻轉補瀉的辨證運用、得氣的判斷與針感傳導、艾灸與溫針的適應症與禁忌、電針的波形頻率選擇、耳針頭皮針的分區取穴、中風後遺症的分期針灸方案、痛症的辨經取穴、面癱與周邊神經病變的針刺時機、戒斷與情志調理的穴組、配穴組方原則(局部遠端配穴、俞募原絡)

護理師

針灸護理與安全防護:施針前的體位擺放與空腹疲勞評估、**暈針的前驅徵象辨識與即時處置**、留針期間的巡視與異常反應觀察、艾灸的溫度控制與燙傷預防、電針導線與強度的安全確認、針具無菌操作與感染管制、氣胸等嚴重不良事件的警訊辨識與通報、耳針留置的皮膚照護與衛教、拔針後的出血血腫處理、特殊族群(孕婦、糖尿病、抗凝治療)的注意事項、居家艾灸與返診衛教

藥師

針藥協同與艾材用藥安全:艾絨與艾條的品質規格與陳艾的選用、艾灸煙霧成分與作業環境安全、外用灸材與敷貼藥物的組成辨識、針灸配合內服方劑的用藥時機與交互作用評估、抗凝與抗血小板藥物病人的針刺出血風險提示、戒斷治療中針灸與替代藥物的併用評估、中風與痛症病人針藥並用的重複用藥審核、耳穴壓丸與藥籽敷貼的材料衛教

涵蓋的學習主題

共 13 個主題。展開可看每個主題的學習重點與依據的指引。

依據的臨床指引

本科別的學習內容依下列指引與文獻整理,著作權屬各原權利人。

  1. WHO Standard Acupuncture Point Locations in the Western Pacific Region|WHO WPRO|2008
  2. Biophysical Characteristics of Meridians and Acupoints: A Systematic Review|eCAM|2012
  3. Revised STandards for Reporting Interventions in Clinical Trials of Acupuncture (STRICTA)|PLoS Medicine|2010
  4. WHO Benchmarks for the Practice of Acupuncture|WHO|2020
  5. Needling Depth: Safety and Clinical Efficacy Exploration|eCAM|2013
  6. Acupuncture with Twirling Reinforcing and Reducing Manipulation|Front Neurosci|2023
  7. Lifting-Thrusting Reinforcing-Reducing at Zusanli and Microcirculation|eCAM|2013
  8. Objectivization Study of Acupuncture Deqi and Brain Modulation Mechanism|Front Neurosci|2024
  9. Deqi as an Indicator of Clinical Efficacy: Systematic Review|eCAM|2013
  10. The Effects of Moxibustion in Chronic Heart Failure Patients: SR & MA|Front Cardiovasc Med|2025
  11. Evaluating the Effectiveness of Moxibustion in Hyperlipidemia: SR & MA|Med Princ Pract|2026
  12. Effects of Different Electroacupuncture/TEAS Parameters|BMJ Open 系|2025
  13. Microglia's Phenotypic Heterogeneity in Pain Pathogenesis and Electroacupuncture Analgesia|J Pain Res|2025
  14. Auricular Acupuncture for Perioperative Pain Management: SR & MA of RCTs|J Pain Res|2025
  15. Potential Scalp Acupuncture and Brain Stimulation Targets for Common Neurological Disorders|Chinese Medicine|2025
  16. Systematic Review and Network Meta-Analysis of Optimal Acupuncture Modalities for Post-Stroke Upper Limb Dysfunction|Front Neurol|2026
  17. Efficacy of Acupuncture on Lower Limb Motor Dysfunction Following Stroke: SR & MA|PLOS One|2025
  18. Acupuncture Improves Migraine and Quality of Life: SR with MA|Systematic Reviews|2025
  19. The Efficacy of Acupuncture Treatment for Fibromyalgia Syndrome: SR & MA|Front Med|2026
  20. The Efficacy and Safety of Acupuncture for Peripheral Facial Paralysis: Overview of Systematic Reviews|Front Neurol|2025
  21. Acupuncture for Chemotherapy-Induced Peripheral Neuropathy: SR & MA|BMC Complement Med Ther|2024
  22. Acupuncture-Related Therapies for Drug Addiction: SR & Network MA|Front Hum Neurosci|2026
  23. Efficacy of Acupuncture for Depression: SR & MA|Front Neurosci|2024
  24. WHO Guidelines on Basic Training and Safety in Acupuncture(WHO/EDM/TRM/99.1)|WHO|1999
  25. Acupuncture-Related Adverse Events: SR & Meta-analyses of Prospective Clinical Studies|BMJ Open|2021
  26. Analysis of Acupoint Selection Rules in Ancient Medical Books|Medicine|2025
  27. Acupoint Match Regularity Based on Association Rules|Int J Gen Med|2023

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