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南京琐记

  • 2026-06-28 20:22:44
南京琐记
清晨在一阵阵鸟语中醒来，一看表才5点40分，“傻咕咕”还在不停地叫着。打开窗帘，天是阴着的，窗外郁郁葱葱，绿叶的叶子上像打了一层蜡，不知是什么树木开出的小黄花，格外惹眼。
今天应该是黄煌老师在我们医院做大柴胡汤的魅力的讲座。早晨我翻开《黄煌经方医话临床篇》神方大柴胡汤，其中提到“大柴胡汤治疗的不是一个疾病。更不是一个症状，应该是一种综合征或体质状态”，发人深省。
早晨到楼下吃早餐，心里没有明确的目的地，随便进了一家看起来有些年头的高邮饭店。记忆里，高邮是盛产鸭蛋的。这里边包子种类繁多，我看花了眼。随着当地人的吃食，随大流了。两个大肉包子足以填饱肚子。下回要仔细选一选。毕竟那么丰富，跟北方的早餐店比较起来的话。
上午跟诊忙，中午偷闲吃碗面，拆肉面，老板解释是猪后腿肉，面汤浓墨，肉片有嚼劲，伴甜甜的味道，跟北方的面有鲜明的不同。只不过面的感觉有点些微不同，有点硬，爽口但不劲道。
南京传统中医门诊部，门面简约大方，干净卫生。处处透露着黄煌经方的学术气息。
一整天的学习跟诊下来，头懵懵的。内心里在打着自己的小算盘，哪个方子的用方思路更加清晰了，抓手明朗了。减肥的思路又开阔了。回去还有好多人等我给他们减重呢。
傍晚阴着天，有风，天气不像往常燥热，偶尔掉几滴雨，空气似乎有点湿润的味道。走在凤凰西街上，看着路旁的饭馆，打量着自己要去吃些什么……计划着晚上自己有空再去复盘一下，越婢加术汤的“肉极”怎么理解？防己黄芪汤何时可以与越婢加术汤合用？越婢加术汤人的特征都是唇红肤白汗多的吗？半张防风通圣散既然有四逆散打底，那么他的底色又是什么？跟除烦汤有何共同的地方？小孩子的小柴胡汤证和小建中汤证如何鉴别？
充实而紧张的一天。
2026年6月13日夜于南京
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  138. /yingpanguazai/ssd/ssd1/www/b.460.net.cn/vendor/topthink/think-template/src/template/contract/DriverInterface.php ( 0.86 KB )
  139. /yingpanguazai/ssd/ssd1/www/b.460.net.cn/runtime/temp/b35eef690f41e64ad9e1c098cfc7d3bc.php ( 11.98 KB )
  140. /yingpanguazai/ssd/ssd1/www/b.460.net.cn/vendor/topthink/think-trace/src/Html.php ( 4.42 KB )
  1. CONNECT:[ UseTime:0.000876s ] mysql:host=127.0.0.1;port=3306;dbname=b460;charset=utf8mb4
  2. SHOW FULL COLUMNS FROM `fenlei` [ RunTime:0.001368s ]
  3. SELECT * FROM `fenlei` WHERE `fid` = 0 [ RunTime:0.000795s ]
  4. SELECT * FROM `fenlei` WHERE `fid` = 63 [ RunTime:0.000807s ]
  5. SHOW FULL COLUMNS FROM `set` [ RunTime:0.001694s ]
  6. SELECT * FROM `set` [ RunTime:0.000710s ]
  7. SHOW FULL COLUMNS FROM `article` [ RunTime:0.002194s ]
  8. SELECT * FROM `article` WHERE `id` = 586748 LIMIT 1 [ RunTime:0.001148s ]
  9. UPDATE `article` SET `lasttime` = 1782665640 WHERE `id` = 586748 [ RunTime:0.001628s ]
  10. SELECT * FROM `fenlei` WHERE `id` = 65 LIMIT 1 [ RunTime:0.000677s ]
  11. SELECT * FROM `article` WHERE `id` < 586748 ORDER BY `id` DESC LIMIT 1 [ RunTime:0.001396s ]
  12. SELECT * FROM `article` WHERE `id` > 586748 ORDER BY `id` ASC LIMIT 1 [ RunTime:0.001302s ]
  13. SELECT * FROM `article` WHERE `id` < 586748 ORDER BY `id` DESC LIMIT 10 [ RunTime:0.001881s ]
  14. SELECT * FROM `article` WHERE `id` < 586748 ORDER BY `id` DESC LIMIT 10,10 [ RunTime:0.001880s ]
  15. SELECT * FROM `article` WHERE `id` < 586748 ORDER BY `id` DESC LIMIT 20,10 [ RunTime:0.001855s ]
0.202695s