中醫原本為台灣主流醫學，過去民眾就醫皆以中醫為主，直至日本統治殖民時期將現代醫學傳入台灣，「現代化」與「科學化」變成支配醫療的一種規範與意識形態，在這樣的時空脈絡下，現代醫學被塑造成一個合法化知識與官方的知識。
本篇論文從社會的歷史脈絡著手，運用Apple的知識與資本、Giddens的現代性、Bourdieu的場域與資本以及Coleman的信任等理論作為基礎，對「傳統中醫」、「現代醫學」與「後現代醫學」等框架進行分析，並以1958年至2012年出版的《台灣醫界》雜誌，運用非隨機抽樣中的立意抽樣，對《台灣醫界》雜誌中的文章作一具探索性、縱貫性以及非介入性的研究。
本研究發現，日治時期現代醫學的傳入、國民政府遷台後對中醫的忽略，甚至醫界、政界對現代醫學的科學化與現代化的特質的推崇，連帶把現代化與科學化變成中醫發展的重要判準。此種轉變不僅透過制度排除中醫的醫療市場，更透過科學的普同教育倡議排除傳統與信任科學，在多重交互影響下，形塑當代台灣中醫的醫療社會位置。
Traditional Chinese medicine used to be the main form of medical treatment in Taiwan, especially during the Japanese colonial period (1895-1945). Modernization and scientific methodology form the values and ideology of modern medicine and have affected patient behavior in terms of seeking medical care.
The aims of this study are to analyze the contents of the Taiwan Medical Journal from 1958 to 2012 and from a social constructionist perspective and based on van Gorp’s framing package approach to explore how frameworks of modernization and scientific value are represented in the discourse. The results show that Taiwanese mainstream medicine is framed as follows: Taiwanese mainstream medicine has moved along the scientific and westernized path. Medical education institutions and the health insurance system in Taiwan strongly promote Western medicine as a symbol of modernity and Taiwanese mainstream medicine. Meanwhile, traditional Chinese medicine has mostly been excluded from the medical market.
