中醫充電站
Frank Lee一個中醫學習的愛好者，記錄閱讀過程與生活想法的片段。
| Platform |  | Pricing | Only free issues | Publishes | Twice weekly |
|---|---|---|---|---|---|
| Issues | 74 | Founded | 3 years ago | Last Issue | 10 days ago |
| Active | Language |  ZH-TW | |||
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中醫學習週記2026W41-傷寒論的狂
如果我們把「狂」當做關鍵字串搜尋傷寒論文本的話，會找到七條條文，其中四條有處方例。
我們先來看三條沒有處方的條文：
▍腎絕的表現->狂言
1.溲便遺失、狂言、目反直視者，此為腎絕也。《辨脈法》
第一條是「腎絕」的臨床觀察，除了目反直視以外，「狂言」，記錄的是個案的說話方式用「狂言」來描述，然後在下焦前後二陰的狀態是「溲便遺失」，可能是指中樞神經系統的上游對於下游小便大便的調控控制出現了異常。因為在中醫的術語裡面，腎跟少陰相關，少陰又多與神經內分泌的調控高度相關。
這...
中醫學習週記2026W405-中醫的眼睛
以前學生時代，老師給了一串的大哉問：什麼是中醫的眼睛？什麼是中醫的耳朵？什麼是中醫的心？當初老師給的書單是《身體的語言》這本書。
隨著學生時代慢慢移往臨床，這幾個問題也反覆地浮現出來偶爾在叩問自己。內經文本裡面的生理病理受到當時社會文化的描述，當時的作者想要跟我們傳遞的理論。傷寒金匱文本記載的動態的生理病理治療策略，以及病種類型的鑑別。本草經描述各個藥物的治療記載，中藏經論述的各種臟腑職能，以及整合起來的彼此連動。脈經匯集了各家當時脈法的論述，裡面還藏有一些古四時經，古傷寒...
中醫新手村22-週間覆盤
週間覆盤習慣的SOP
其實每個人都有自己的學習步調。這一期跟大家分享「週間覆盤」的技巧，也是我現在自己也還在練習的習慣。
其實整體的步驟沒有很難，就是每天讀的中醫材料放在該天的日誌。以我自己的作法，就是讀了一篇《古今醫案按》，或者該天有跟診的筆記，或者看到不錯的條文概念，都可以寫入該天的日誌。然後自己規定一個週間，譬如以我自己來說，就是週四。在週四這一天，回看前幾天寫下相關中醫的筆記，然後觀察這些筆記並列在一起，有沒有什麼樣的特殊連結或啟發，大概就是這樣的流程。簡...
中醫新手村21-善用mermaid語法來展開脈絡
在閱讀典籍的時候，當然直讀是很重要的。譬如《靈樞．經脈篇》的手太陰肺經之脈：
肺手太陰之脈，起於中焦，下絡大腸，還循胃口，上膈，屬肺，從肺系橫出腋下，下循臑內，行少陰、心主之前，下肘中，循臂內上骨下廉，入寸口，上魚，循魚際，出大指之端。其支者，從腕後直出次指內廉，出其端。是動則病肺脹滿，膨膨而喘欬，缺盆中痛，甚則交兩手而瞀，此為臂厥。是主肺所生病者，欬，上氣，喘喝，煩心，胸滿，臑臂內前廉痛厥，掌中熱。氣盛有餘，則肩背痛，風寒，汗出中風，小便數而欠。氣虛則肩背痛寒，少氣不...
中醫學習週記2026W37-大骨枯槁，大肉陷下
《玉機真藏論》的選讀條文
《素問．玉機真藏論》，有五條以「大骨枯槁，大肉陷下」為開頭的段落：
大骨枯槁，大肉陷下，胸中氣滿，喘息不便，其氣動形，期六月死，真臟脈見，乃予之期日。
大骨枯槁，大肉陷下，胸中氣滿，喘息不便，內痛引肩項，期一月死，真臟見，乃予之期日。
大骨枯槁，大肉陷下，胸中氣滿，喘息不便，內痛引肩項，身熱脫肉破䐃，真臟見，十月之內死。
大骨枯槁，大肉陷下，肩髓內消，動作益衰，真臟來見，期一歲死，見其真臟，乃予之期日。...
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緩慢記錄中醫臨床與閱讀生活，用文字對話也與自己對話。 此處為個人學習與思維迭代的數位花園。 交流歡迎透過threads.
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