星期一 晴天 2018年1月16日
时隔四个月
再次踏上国土
意味着放寒假啦
还记得当初我跟齐老师表达
假期里想跟着他上门诊学习时
齐老师说你回家吧
回去总结、累积病号~
因此这一次回家
我希望能去义诊
帮助身边的亲朋戚友
减轻他们的病痛
星期一 晴天 2018年1月29日
突然收到闺蜜发来的短信
问我能否帮忙看看她哥哥（恩哥）
当然义不容辞啊！
但，恩哥的病情相当棘手呢！
在中学期间时就知道恩哥病了
需要定期看医生吃药
但是当时候的我并没有深入研究
也搞不清楚究竟是怎么一回事
而目前根据闺蜜的形容是
沉默不语，少言，自言自语
到了约定时间，恩哥来了
他一副面无表情的样子，沉默少言
慧慧：请问你哪里不舒服呢？
恩哥：心慌得很，脑子总是无法冷静、胡思乱想。
慧慧：那我帮你号号脉。
恩哥：好。
诊察脉象所得：
脉思动、郁动，杂波纷乱，敛、刚、细、来疾去疾……
备注：恩哥的病情很复杂，并不在我的能力范围内，但是我真的很想尽我最大的能力帮助恩哥。
其实恩哥是工程师，留美博士，由于在大学时期及毕业后工作压力太大，导致出现精神问题。还记得我中学时期的时候，当时恩哥已经开始患病了，但是病情还在可控制中，当时我的数理科都是恩哥辅导的，即使我很差，思维逻辑比较慢，但是恩哥对待我犹如亲妹妹，并没有嫌弃我，课后常给我辅导，让我掌握课程内容。
这数十年来，恩哥看过很多医生，病情反反复复。我想给恩哥开药，但是精神病患者心思敏感、容易多疑，加上他们多处投医，仍不见效，肯定对医生抱有怀疑态度，因此我不知道他是否相信我。
星期三 晴天 2018年1月31日
我感到非常欣慰
第一次扎针后
恩哥觉得稍微有点改善
精神状况比较好
至少不会持续心慌
胡思乱想的状态稍微好转
星期四 晴天 2018年2月1日
今天又到了恩哥复诊的日子啦
慧慧：今天我打算开些药给你吃。
恩哥：好。（惜字如金，与我对话的内容还是很少）
继续摸脉，观察他的状况。
脉一样，还是思动、郁动，来疾去疾，内敛稍微减轻……
扎针的时候，被扎部位一样明显气肿，肱动脉处出现脉搏搏动。留针过程，脉上谐振波不停变化，头上出汗，针后脉象较平缓，脉动减少，来疾去疾消失。
处方：半夏15 厚朴12 茯苓20 紫苏叶20 防风15 木香9 白芍20 当归15 远志12 醋香附15 炒苍术15 佩兰20 柴胡15 炒枳壳15 甘草6
慧慧：开14副，你吃了有什么症状跟我说。
恩哥：好。
聊一聊
思动、郁动属于脉象要素“动”的范畴，根据不同的手感，可辨别五种心理紊乱状态的类型，患者多思，遭遇很多事情，心理压力极度大，因此思动、郁动。
患者的精神属于兴奋、紧绷状态，因此脉出现“疾”、“敛”、“刚”。
通过跟患者进行针刺治疗和心理疏导，让患者意识到自己的状况，并将患者过往压抑的不良情绪释放。针刺过程，患者血管出现跳动，说明痹阻点被打开，体内的气得以正常运行，郁气随之而出。针刺后，头部冒汗
针刺部位气肿是一种释放过程，因此治疗后，患者脉象改变，精神较之前放松。
为自己，为父母，为朋友
学中医，习脉学
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