Nino d'Heresie

  剛睡醒感到難以起床，睡眠醫學上稱為「睡眠慣性」，它是睡眠和清醒之間的過渡狀態，表現為暫時性的認知和動作反應遲緩，持續時間通常約20~30分鐘，不過一小時內都算正常。 Sleep inertia refers to the groggy, disoriented feeling experienced after waking up. It's a transitional state between sleep and wakefulness characterized by impaired cognitive and physical performance. Sleep inertia typically lasts around 30 minutes, but it's normal within an hour. 時型(chronotype)為夜型人(俗稱夜貓族) 與社交時差高的人 (工作日與休假日的睡眠時間中點差異 [前移或後移] 兩個小時以上) ，以及剛好在深睡期或快速動眼期被叫醒的人，都會有更明顯的睡眠慣性反應。這些人會對外在刺激 (例如鬧鐘) 的喚醒依賴程度較高。 People who are night person (owl), people with high social jet lag (more than two hours of difference between midpoint of sleep on workdays and midpoint of sleep on free days [shifts forward or backwards]), and people who wake up from deep sleep or during a REM sleep cycle can increase the likelihood of experiencing sleep inertia. These people also have a higher reliance on external stimuli (such as alarm clocks) to wake them up. 除了上述情況之外，神經疾患和憂鬱症患者，也會變得需要異常長的時間才能脫離睡眠慣性。過長的睡眠慣性時間可否作為神經/...

  今年5月底，在我完全不抱期待的情況下，收到了期刊出版社確定刊登的信，第一時間跟圈外的朋友分享好消息。以他很喜歡提出質疑然後開啟辯論的個性，第一句回覆是：「所以試驗結果如何？」 At the end of May this year, I received a letter from a journal publisher confirming that the article would be published, even though I had no expectations at all. I immediately shared the good news with a friend outside my professional circle. As he likes to raise questions and start debates, his first reply was: "How were the trial results?" 「我記得病人轉普通病房的天數縮短了？不，其實我不確定結果如何，因為我是 “blinded” 的，我在執行計劃的時候是不該知道病人分組和結果的。他開始寫的時候我也離職了。」我說。 “I think the main result is fewer delirium days in the treatment group. No, I’m not sure, because I should be ‘blinded’, they shouldn’t tell me the results during the study, and by the time he started writing the paper, I left the hospital.”  「原來如此。會不會像對岸很多那種研究設計充滿疑慮的論文啊？......但如果可以加速痊癒，那也是好事啦。」他試圖挽救場面。 “I see. Seems like how a lot of China does their TCM research…questionably. But faster healing…if true, is good.” He tried to save it. 「我不知道耶。就算結果顯示有正面影響，要放入臨床實...

最近的一些事，讓我重新定義別人說的話對我來說的意義。
不知道是不是經歷過嚴重飲食失調的人才會懂，例如我聽到人家說「噢我吃不太下。」「我從早上忙到現在都沒吃什麼東西。」「人不舒服沒胃口」之類的，我會立刻反射性的冒出「我怎麼會吃這麼多？」「我好貪吃。」「我真不該吃東西。」之類覺得自己很噁心很糟糕的負面心聲。
 Some recent events have redefined how I interpret people's words. I don’t know if only people who have experienced serious eating disorders would understand, for example, when I hear random person says “Oh, I can’t eat much.” “I haven’t eaten anything since this morning.” “I feel sick and lost appetite” and so on, negative thoughts instantly pop up in my head, such as “Why do I eat so much?” “I’m so greedy.” “I really shouldn’t eat.” and other negative thoughts that make me feel myself disgusting and terrible. 回想起來其實會發現，自己對「正常」的認知，跟其他人可能很不一樣，描述同一件事的用詞，自己和別人常常是很不一樣的，反過來說，別人用這樣去描述一件事，被我理解出來可能落差很大。
 Looking back, I should have noticed earlier that my perception of "normal" might be very different from that of other people. The words others and I use to describe the same thing are often very different. So I think it makes se...

前幾天睡眠醫學會晨會在講 Sleep terror (睡驚)，就是剛進入深睡時突然驚恐醒來，但沒有完全醒，會吼叫或防衛性肢體動作，造成東西損壞（少數造成自己受傷，大部份都是室友比當事者還驚嚇），但事後本人不會記得。我今天整理資料，突然想到陰陽蹻脈病。Sleep terror幼兒比較常見，但成人也有。這讓我想到之前門診的一位大學生，有一陣子就是剛睡沒多久會聞到電線燒焦味，然後恐慌，心臟很用力跳動，快喘不過氣、滿身大汗的醒來。 A few days ago, the TSSM held a morning meeting to talk about “sleep terror,” a sleep disorder in which a person has a sudden arousal from deep sleep in a terrified state, while not fully awake. The person may scream or engage in violent/defensive bodily activity, causing damage to things (in some cases, people cause injuries to themselves, but in most cases, their roommates are more frightened than the person involved), but the person will not remember it afterwards. When I was sorting out some information today, the idea of the Yin/Yang Heel Vessels disease suddenly came to me. Sleep terror is more common in young children, but it can also happen in adults. This reminds me of a college student who I saw in the outpatient clinic before. For some time, he would smell the smel...

  它的樹幹是有眼睛的那種 Those eye-like shapes on its tree trunk ⵥ 老房子旁邊長出一棵大樹，樹根和小蛇一般粗的藤正在侵蝕牆壁。我們試著把它砍掉，結果它從切開的地方流出像是血漿還是草莓果醬的顏色。室友A還以為她弄傷了手，但其實那是樹汁。 我們原本以為那是一棵苦楝樹，但它會流紅色的汁，所以似乎是一棵茄苳？ A big tree grew beside the old house, and its roots eroded the wall. We tried to cut it off, and it came out the colour of blood plasma or strawberry jam. My roommate thought she was injured, but it was actually tree sap. We thought it was a neem tree, but the one with red sap seems to be an Autumn Maple Tree. 不確定它是什麼... not sure what it is...eh ⵥ 今天早晨的暴雨，打在周圍的鐵皮屋頂好大聲，感覺好像住在瀑布裡。 The heavy rain in the morning hit the surrounding iron roofs so loudly that it felt like living in a waterfall. ⵜ. 感受到木的穿透力真可怕。可以鑽進任何裂縫再從內部撐破，或是木質化之後比岩石硬，植物纖維比任何人工的織物 還堅韌難摧，又兼具可塑性。加上最近在看一部漫畫， 安田佳澄的《愚者之夜》，在清理老房子旁邊的侏羅紀公園時真的一再測試我的恐懼臨界點。那些藤蔓的生長方式讓植物與動物之間的界線變得模糊。 It's terrifying to feel the penetrating power of the woods. It can drill into any fissure and then crack things open from the inside, or become harder than rock after becoming wood-...

「帶脈」為奇經八脈之一，是全身唯一一條橫向的經脈，行於腰際，形似腰帶。 帶脈起源於肝經循行身體側邊的章門穴，高度在臍上三指幅寬(2寸)、第11肋游離端下方。 帶脈位於上下半身之樞紐地帶，約束和聯繫所有縱向的經脈。 The belt vessel is one of the eight extra meridians. It is the only meridian that flows horizontally. The belt vessel originates from the lower part of hypochondrium, near the end of the 11th floating ribs, almost where the LR13 acupoints are, and passes around the waist like a belt. As the belt vessel lies in the pivotal area between the upper and lower body, its essential function is to restrain and connect all the longitudinal meridians. 男性腰圍超過90公分(約35吋；穿L的褲子有點緊，或必須穿XL以上)、女性腰圍超過80公分(約31吋；穿不太下XL的褲子)，是帶脈失調的指標之一；可能是帶脈失調造成腰圍病態胖大，也可能腰圍失控使帶脈失去功能，兩者可以是互為因果。 A male waist circumference of more than 90 cm (about 35 inches; wearing L pants is a bit tight, or must wear XL or above) and a female waist circumference of more than 80 cm (about 31 inches; can not fit into XL pants) is one of the indicators of belt vessel disorder. It may be that the belt vessel disorder causes obesity, or it ma...

  으 你是否想過，為何人無法憑靠堅強的意志力戒除上癮的東西？這是因為「成癮」並不是意志力不夠堅強，而是人為了活下去而產生的一種求生行為。有些成癮的習慣具有破壞性，會帶來不良後果，但每當人無法處理痛苦，又極力想找回安全感、找到安慰、取回掌控感，或只想變得麻木，就可能發展出成癮行為作為他的應對策略。 Have you ever wondered why willpower alone doesn’t stop addiction? Because addiction isn’t about weakness - it’s about survival. Some of the habits might be destructive and bring adverse consequences, but whenever an individual is struggling with unprocessed pain and is desperate to feel safe, soothed, regain a sense of control, or simply want to be numb, addiction can develop as his/her coping mechanism. 能讓人成癮的東西不只限於香菸、毒品或酒精，難以停止瀏覽社群媒體和短影音、情緒性進食、情緒性購物、過度工作、追求他人的認可、性成癮......這些都是上癮。 Addiction isn’t just cigarettes, drugs or alcohol. It can be endless scrolling on social media and reels, emotional eating, emotional shopping, overworking, chasing validation in relationships, and hypersexuality. 那你有想過，同樣都暴露在壓力之下，有的人很快就出現了成癮行為，有的人沒有，這是為什麼呢？有所謂「容易成癮」的體質或先決條件嗎？ Have you ever thought about this: when exposed to the same pressure, some individ...