• David Huang

橘子的启发 Inspirations from an orange


今天买了一粒橘子,握在手中,细细的感觉时候,可以感觉虽然是一粒橘子,但是橘皮的张力是不同的,不是所有部分都是同样的张力,有些部分比较紧,是由于里面的果肉分布的密度也不一样导致。所以橘子本身果肉密度以及果肉之间的空间决定了橘皮的张力,密度较高的部分使得橘皮变紧。我突然意识到,这和伤科一样道理。

中医的诊断,无论是脉,舌,都是通过局部得知身体内部的改变。换句话而言,身体的内部如果有变化,一定会反映在外部。对骨伤科而言,之前谈到的橘皮,其实就是我们的皮肤,而果肉就是软组织,刚好肌肉群也是被筋膜包裹,而橘子果肉也是有薄膜包裹。很多人来看病时候,就喜欢问我是在摸什么?皮肤是其中一个触诊的目标。其实一个人的皮肤反映出底下肌肉的紧张度,还有软组织之间的空间。

如果一个患者使用肌肉过度,肌肉紧绷,转折,导致皮下空间不够,皮肤会被肌肉限制住,张力加大,所以,皮肤的触诊,就和脉诊,舌诊一样,都是通过表面的改变,来得知身体内部的状态。



Today I happen to buy an orange, when I felt it in my hands, the skin of the orange actually differs in tightness, some areas are tighter than others. This is because, the flesh inside the orange have differing densities at various regions, hence affecting the tightness of the skin. This is when I realized, it is the same as TCM orthopedic diagnostics.

In TCM, no matter if its looking at the tongue or pulse, it is observing the external to get an idea of the internal changes in the body. Take the human skin for an example, its tightness and tension is just the same as the orange mentioned above, the human skin tension is determined by the muscle tension as well as fascia space underneath the skin.

For example, if a person over contracts a certain muscle, causing the muscle to be tight and rotated, this will in turn cause the skin on top to be tight and relatively less mobile. So the TCM diagnostic of skin, is the same as tongue or pulse, it is a way to observe the external, in order to understand the current circumstances of the internal structure.

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