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 | 72 | Founded | 3 years ago | Last Issue | 9 days ago |
| Active | Language |  ZH-TW | |||
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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。...
中醫新手村20-暑氣的內經條文選讀
如果我們用「暑」這個字，來查詢《內經．素問》的話，有幾個經典條文可以看到怎麼描述暑氣的：
1.暑氣對人體的影響
因於暑，汗，煩則喘喝，靜則多言，體若燔炭，汗出而散。《生氣通天論篇第三》
這一個條文，我們可以知道暑氣對人體的影響：
1.(多)汗
2.煩,靜則多言- 這裡可以看到對於精神情緒的影響：煩躁感增加，暑熱傷及心神導致的神是昏蒙，譫語多言(見[1])
3.喘喝 - 暑熱內盛導致的喘息急促有聲(見[1])
4.體若燔炭
這些暑氣導致的體熱，會因為「...
中醫學習週記2026W31-中醫與心身症的閱讀
這一週剛拿到無境文化的《身體劇場-心身症的精神分析取徑》，初讀之下，身為中醫師在執業場域，其實也常常碰到這種身心症狀共構的狀態，如果你對心理學中精神分析學派關於這方面的討論有興趣，強力推薦大家可以買來研究一番。
臨床觀察逐漸讓我學到，所有的分析個案（以及分析師）總會在某個時刻身體化，特別是當壓力事件凌駕了他們慣用來處理心理痛苦和衝突的方式。
然而我最關注的是，某些個案對幾乎所有刺激情緒的事件都會生病（特別是激起憤怒或分離焦慮的情境）。個案常常從小就有這些症狀，但...
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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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