接受高人的指導

今天有機會接受到別人對自己太極、動作及處世的指導，非常的感謝!

發現了一些自己沒注意到的問題，也再次覺得這世上高人好多，好像時間不夠用，只好多多往內心去找。

讀書要用心看，怎麼用心眼去看書，還在傷腦筋耶!

膝的注意

膝蓋往往在運動的過程中，過度地使用，相對地，髖關節就減少了使用的機會，所以現代人膝關節退化的不在少數。

檢視自己是否膝蓋過度使用，可以先把自己的膝蓋完全的伸直打死 (LOCK KNEE OR BACK KNEE)，隨後再開始動作，這樣或許比較能夠注意到是否膝蓋是腳動作的起始者，如果是的話，就有注意改正，這也是馬步的要點，不可不細究之。

續 THE POSTURAL PRESCRIPTION

續 THE POSTURAL PRESCRIPTION, originally uploaded by Frank Chen Rehab.

A healthy body require a healthy back. (但是 a healthy back
須要 a healthy abdomen muscles)，因為基本上 spine (back)必須
stabilized，才能perform很多動作，所以古人強調"丹田"的重要
性，一點也不為過。

Fit bodies always have fit backs. 就像很多武術高手一般，腳的
動作一定非常俐落。

The pleasures of change

If you learn nothing else from this book than to stand
correctly, your pain will already be reduced.
這句話"忠言逆耳"，每次在門診中，總很感概，為什麼多數的病人?
可吃藥 RUN 醫院，而不願意去改變一下姿勢，或許大家仍難體會姿
勢的重要性。

作者說: Trust me----Once you start these new movements, and
begin to see and fel the benefits, you'll be more than happy
to add more new movements to your lifestyle.

Standing properly (如附圖)
是不是很像馬步?
站在腳跟 or balls of foot
不要lock knee

Squatting requires full motion of the ankles, the knees, and
the hips. It lubricates each of those joints and gives them
the flexibility and stregth needed to function normally and
not degenerate.

Squatting throughout the day is a very important part. Like
all the other exercises recommended in this book, you can
do squats in the course of your daily activities.

Get in the habit of squatting whenever you can. It is an
excellent daily exercise for flexibility and strength.

Do not use your head and neck as an assist for a job that
the rest of your body is doing.
這是一般肩頸手臂痛病人常見的動作。

總結:
西方醫學目前已把姿勢和動作研究地很完善，但面對東方老祖宗的智
慧，總覺得好像少了那麼一點點。

處方不單指藥物

處方不單指藥物, originally uploaded by Frank Chen Rehab.

一般看病時，總是認為醫師給的處方就是藥物。看到這本書名，想到
之前在榮總學習時，主任常手寫一些運動的小紙張給病人，其實就是
一張處方簽了。

作者是一位外科醫師，BACK SURGEON，但寫出這樣的一本書，真是不
得不令人佩服感動。

這本書值得推薦!

內容摘要:
Consider the chair. This is a great example of an invention
that is at odds with our overall well-being. People in the
less "civilized" cultures generally stand or squat, both of
which are natural postures and thus supportive of good
physical health.

The solution to back pain begins with understanding our
lifelong fight against gravity.

By doing simple daily activities like putting away the
dishes or reading the newspaper, you can strengthen muscles
and burn extra calories. And by learning to walk, sit, bend,
climb, nad move properly, you can begin to eliminate any
back or body pain you've suffered in the past; in many
cases, it will disappear entirly.
(哇~~這句話，真的是要深思，臨床上看到的病人，多是從事運動而
加重症狀的)


Our behavior is often based on how we feel, and there is
increasing evidence that the actions, postures, and tone of
our bodies determine our feelings. If we feel sad, we act
sad. If we're in pain, we register this in our body language
by standing with tight shoulders, or we .....

Every joint needs to move through its full range of motion
frquently so that it distributes lubrication and nourishment
to the surface of the joint. Using only one area of joint
(and, as a rsult, overusing it) will not keep the entire
joint in a healthy, lubricated environment.

When the muscles are used appropriately, they are the main
protector of the joints and disks.

病是自家生

這是一本簡體版的書，內容結合了中醫及西醫的觀點，有很多不一樣的看法。很值得品味。

作者出身太醫世家，加上本身又是醫療專業人士，有很多不同當前西醫的觀點。比如作者提到"老人勿補鈣，請吃軟骨片"。

對於腰腿的疼痛，個人倒是很欣賞他的論點: "治療腰腿疼，請用弧形腹肌板"，作者提出了物理治療方面的概念，反倒不是那麼強調藥物或食療了。

華智仁波切六句精要

厭樂不厭苦，樂時五毒盛，
苦消宿世業，苦為師悲現；
厭贊不厭譏，贊增驕慢心，
譏遺自諸過，譏為聖尊賜；
厭高不厭低，位高生嫉慢，
低則閑善增，低卑實尊位；
厭利不厭衰，利引求護苦，
衰益苦聖行，貧為法所依；
厭賜不厭掠，賜實增厄負，
掠淨宿世債，知足為聖財；
厭親不厭仇，親乃解脫障，
仇為忍辱境，觀察一味要。

摘自一個足踝外科醫師的話

我們不禁要問：在有限的社會資源之下，每一個醫療行為或設施的投入是否可以對社會勞動力與經濟貢獻度更有效益？事實上，QALY就是依此需求及人性期待值所設定出的評估基準，也就是，醫療經濟的資源分配是以醫療行為對我們能產生多少QALY來計算。

 

若能以此來檢視足踝外科的治療效益，則其每單位金錢所能產生的QALY將極為驚人，這再次證明了足踝健康確實是生活品質的重要指標之一。

 

然而台灣健保給付的不合理，影響所及，並非只是少數弱勢族群的醫療品質，因為長期資源配置的偏差，將迫使醫院不考慮其他醫療法的可能性，只重視健保給付高又有回扣的手術，反之，健保給付低又沒有回扣的手術，就會變成沒有醫生要學，長期發展下來，很可能會導致：身體壞了也沒人管的窘況。

 

以足踝外科為例，它可說是極為注重小節的細緻手工業，尤其在踝關節、跟骨、附骨蹠骨這一帶，錯綜複雜。若台灣醫療體系持續無法提供專科培養這些專精足踝的醫師，那往後足踝病患所受到的待遇，就會永遠像是一根鋼釘插進去解決所有的跟骨骨折一樣！

 

 

http://blog.yam.com/chujohn/article/10360529

 

感想:若在台灣發生腳踝骨折，真是讓人頭痛的問題。

放鬆是最為難能，餘皆末事耳

 楊澄甫宗師說「太極練法，以心行氣，不用拙力，純任自然」。鄭曼青太師爺也說「楊澄師每日囑余曰：要鬆、要鬆…不鬆就是挨打的架子。…按鬆之一字，最為難能，如真能鬆淨，餘皆末事耳」(註六)。「太極不動手，動手非太極」是鄭太師爺反覆強調的重點。

鄭曼青談太極秘訣

鄭曼青:不錯，是有秘訣。但是此秘訣太過簡單，簡單的幾乎令人不敢相信。但是你又非信不可。否則你就無法成功。其秘訣僅為:你必須身心放鬆，你必須長時間接受失敗。你必須投資於失敗，否則你就無法成功。我有如今的成就，是導因我把驕傲置之於一旁，相信我老師的話，把身體放鬆，心靈靜定，只讓氣隨意行。開始時常使我遍體受傷。有時我會被重擊而跌至失去知覺。但仍堅持下去。聽老師的話，注意我的氣。在慘敗時我會忘了驕傲、焦慮、及自我。把自己身心完全騰空而全部讓位於氣，漸漸的我的技術進步了。直到這時我的反應才變得靈敏。可使化與打於瞬間完成。我的學生或是不相信這一套，或是雖相信而不熱心追求，何能得成。

 

不論是太極大師或是佛經中所教導的，都強調"簡單"，或許多數人都想太多了(過去心、未來心、現在心)。六祖壇經中有言:直心是道場。

姿勢愈來愈被現代醫學強調了

擷自網站 http://www.posturepress.com/id6.html
另一本應該也是很棒，關於現代生活的坐、站、移動:The New Rules of Posture: How to Sit, Stand, and Move in the Modern World
單單是講如何坐，就寫了一本書，內容真令人期待。

不過，在台灣若想常買原文書，是令人頭痛的事。

 

Consumer Book Review

Title: "Sitting Pretty: Looking and Feeling Better With Good Posture in Ten Easy Steps"
Author: Gregg J. Carb, DC
Publisher: Posture Press, 2004
Length: 72 pages, softcover
Price: $11.95 + S&H

"Sit up straight!" For many of us, those very words evoke bone-chilling childhood memories of a grade school teacher or our mother chiding us about our posture. Although we wondered what all the fuss was about back then, the answer seems perfectly clear to us today: Good posture is, quite literally, the "backbone" of good health.

Yet, for as much as we understand the importance of maintaining good posture, many of us continue to practice bad habits from childhood; slumping in our seats; bending over from our backs, instead of our knees; and walking or standing with sagging shoulders and heads bowed toward the ground; which may not be due to a lack of general knowledge, but simply not having at our immediate disposal the information necessary to correct our posture for good.

Well, sit up and listen! As its title suggests, Sitting Pretty: Looking and Feeling Better With Good Posture in Ten Easy Steps, provides everything you need to know about changing bad posture forever in a fun, concise, and easy-to-read format, complete with detailed drawings illustrating the "do's and don'ts" of posture.

Though the book, authored by doctor of chiropractic Gregg J. Carb, focuses primarily on posture and ergonomics in the workplace, the information is clearly intended to bring about positive changes in all of life's settings. The text is written in layman's terms and begins by briefly describing the physiology of the spine and its surrounding soft-tissues in order to further describe the negative impact of bad posture over time; including spinal degeneration and deformity; and establish why good posture is important to the body and overall health.

Then, in thorough detail, the book describes what constitutes good posture while standing, walking and sitting, and offers tips for readers to both test and correct their posture, including simple stretches and exercises that can be performed at home and in the office, as well as correct lifting, sitting and walking techniques, and ways of correcting ergonomic deficiencies in the workplace. The book ends by reviewing the salient points, and adds some final thoughts reiterating the positive health benefits of good posture.

Included are three appendices: checking and recording your own posture; a tear-out placard with illustrations of good posture for the workstation; and a weekly self-care record with instructions for monitoring progress and improvement.

There is little doubt that Sitting Pretty makes a strong case for the wide-reaching benefits of good posture. Employers might consider distributing this book to employees to help minimize workplace injuries due, in part, to poor posture; chiropractic patients would certainly find their treatments maximized by following the steps outlined in this book.

Rating: 10 out of 10
Rebecca Razzo / MPAMedia

Editorial Reviews

"simply and completely covers sound principles of how to improve body mechanics while doing what most people do all day... sitting. Many of the common aches and pains associated with bad sitting habits can be avoided by using the straightforward help in this book."
- Richard Fernandez, MD, Physical Medicine Specialist, Occupational Health Service, San Francisco General Hospital

"With the amount of sitting each of us does on a daily basis, this postural self-help book is a vital reference tool for helping any desk-bound worker avoid injury and improve his or her health."
- Jane McCullough, RN, Occupational Nurse, Levi Strauss & Co.

"Good to know information for people in any work environment to help them stay happier and healthier on the job through simple sitting instructions and exercises."
- Heather Wagner, Director of Human Resources, Bar Association of San Francisco

"Applying these easy to understand ideas could prevent many of the injuries that we see caused by poor posture and inactivity so common in today's computer-based workplace."
- Crystal Gold, Senior Claims Examiner, California Indemnity Insurance Co

Amazon.com Reviews

Effective medicine.
Reviewer: David Syring from Tujunga, CA United States

"This book is packed with information and effective tools to correct a simple yet common problem. It has made me aware of the easy mistakes we make daily and I am already taking corrective measures. This book keeps my attention because it doesn't add unnecessary fluff."

Excellent. EVERYONE needs this book.
Reviewer: Randy Schreck from San Francisco, CA United States

"I have been working in the corporate world for 15 years and spend a majority of time at my desk and in meetings around tables -- conference or restaurant. I am fairly active but always had lower back and shoulder discomfort. After reading this book, I have taken all of the information Dr. Carb has so masterfully simplified and applied it to my daily routine. INCREDIBLE! This book, to me, is the end-all in simplicity -- it's full of useful information, will ease discomfort and also prevent injuries from happening."

EVERYONE needs this book! Just What The Doctor Ordered
Reviewer: Alfred Ueda, DC, CCEP, QME from Novato, CA United States

"This book is profoundly simple and to-the-point. Dr. Carb was able to explain the how-to of good sitting posture in an understandable format. If you are looking for an easy to use training tool for yourself, your co-workers or employees, to prevent repetitive stress injuries, this is a must-have book. The numerous and well-illustrated tips in this concise guide to better posture will give anyone the insight of an ergonomic expert."

"Posture & Spine 101"
Reviewer: lactosefree from San Francisco, CA USA

"Sitting Pretty is easy to read and useful. Dr. Carb lays out the basic facts about the spine and explains how your body works in everyday language that any layman could understand. Sort of like "spine 101."
Simple instructions, tips, quick & easy to follow exercises and plenty of illustrations make this book useful for the busiest desk-chained people. Also useful are the checklist to monitor your own posture mistakes and the computer placard to use while sitting at work.
The best part is that the book takes less than half an hour to read. It's short and sweet without all the jargon. I also like it because it's small enough to carry around and easy to reference."

Sitting Pretty
Reviewer: Patric J. Darby MD, MS from Seattle, WA United States

"Simple and precise. This book is a must for anyone who employs the chronic sitter, i.e. operators, secretaries, office staff, etc, and should be part of every new employee's orientation and education. This information may help reduce employee sick days and make a big savings overall!"