關於 please let me know when you are available ，我們在網路上蒐集到這些相關的討論、資訊與評價

近來我發現，在那些針對「熱衷探索自然」的戶外活動愛好者和發布秘境貼文者所日益增長批評裡，最常見的莫過於：

「遊客會製造垃圾！」
「這些地方很多人去的話，接下來就等著看到滿地垃圾吧！」
「這些『熱愛大自然』的人們就是最大的問題！」
「我們不能開放戶外景點給一般大眾，因為他們都不負責任，而且會破壞環境！」

但，真的是這樣嗎？這些遊客是將大量塑膠垃圾傾倒在山林河川當中的主力嗎？讓我們來深入檢視一下這個議題：「為什麼有些廢棄物的最後下場，不是在掩埋場、焚化爐、回收廠、或是相對應的公共衛生處理單位呢？」

不幸的是，一些不成熟的遊客走進了大自然，把垃圾丟在那裡。如果您拜訪任何受歡迎的瀑布或溫泉，可能還會在那裡看到一些垃圾。

遊客傾向於做出兩個錯誤的假設:
<露營垃圾全是可燃的>
這是錯誤的。就像您在家一樣，應將垃圾分類為廢物和可回收物，並隨身攜帶離開。您的垃圾都不應進入營火中。

<食物會迅速分解在自然裡>
雖然沒錯，但蔬菜和加工食品分解可能需要幾個月的時間，橘子皮，蛋殼，骨頭可能需要數年。如果您將麵條或白菜扔進河裡，它們就不會被魚吃掉。它會在那兒呆數周和數月，聞起來酸味並腐爛。即使魚類和動物確實吞噬了您的垃圾，但餵養野生生物也不是您的工作。有生命力的食物種子最終會成為入侵物種，奇怪的食物會使動物生病或死亡。所有多餘的食物都應隨身帶離開。沒有例外。

更糟糕的是隨處可見的煙蒂頭。為什麼吸煙者不認為這些有毒的塑料和化學物質是垃圾？這是無法接受的。

儘管這真令人氣憤，但它並不是山上垃圾的最大來源。嚴重的系統問題是與垃圾收集和處理需求有關

這支影片當中，展示了位於高雄六龜葫蘆谷瀑布的一些垃圾堆。這裡的地勢陡峭，任何被丟進森林裡的垃圾都會沿著斜坡滾下。每當雨水來臨之際之際，重量較輕的塑膠製品就會被沖刷到河流，一路漂流至下游，也就是大家會去玩耍的瀑布那兒；最終，它們進入海洋，並被海浪打上遙遠的某處沙灘。

不過，這隻影片清楚地展示了何謂「誤解」：第一眼看過去，覺得只是幾個保麗龍手搖杯和一些大家會為了踏青而帶出門的東西。但當我們再次細看，裡面居然出現水桶、巨型農用塑膠布（通常寬幅至少為一公尺，幅寬則可長達數十公尺）、農藥空罐、傢俱、和一般家庭垃圾：那些「沒有」任何一個去健行的人會帶著走的物品。這些廢棄物源自山裡，最有可能的來源也就是那些住在山裡的人們。那些垃圾，並非外來者所帶去的。

這並不罕見，也非單一事件。只要在任何山路旁停下，低頭向山壁下望去，就能看見成堆的垃圾袋。那些都是在家裡打包綁好的家庭垃圾，然後在行進中的車上往車窗外扔。家庭垃圾，是來自家庭，並非來自露營者；只要能檢視這些垃圾裡所含有的文件或郵件，便能揭曉它的來源。

即使這些會任意丟棄垃圾的人們只佔了山間居民的極小部分，他們還是有著極大的影響力。而在山區違法傾倒垃圾有過之而無不及的破壞力。無論是什麼原因，有部分居住在山上的住戶，偏好將家庭垃圾棄置於河川勝於妥當的處理。這裡所討論的並非這裡一個、那裡一個的零星垃圾。一個住在台灣的四口家庭，年平均垃圾製造量大約1600公斤。這樣的垃圾量，實屬相當巨大。

而正是因為一個家庭所能產生的垃圾量如此龐大，我們實在很難切確了解這樣的（隨意扔丟家庭垃圾）行為究竟擴及到什麼樣的程度。我在路旁的樹叢裡看過不下數百件垃圾⋯⋯或許數千件了也不一定。但這是因為數十或數百個家庭這麼做，我並無法斷言。唯一能確定的是，塑膠垃圾將「傳承」好幾世代。

如果今天去到偏鄉，將垃圾丟進垃圾桶裡，那些垃圾下場的可能性之一是，人們請來收垃圾的那些車隊將垃圾從民宿或餐廳接走，沒有依照環保署的規定處理，不但沒有把垃圾載到目的地，他們會找個在附近不為人知的地點就隨便把垃圾給倒了。山林裡滿滿都是這樣的情況。我們在河裏所見的一部分垃圾，就是從這些非法掩埋場所洗刷出來的結果。
除了上述提到的部分之外，卻還有其他來源也正在為這樣的情況有所「貢獻」：在許多地方，整卡車的垃圾就是直接傾倒於山路邊，直落山腳的河中。這裡所指的，並非單純的家庭垃圾或傢俱，而是包含來自建築、農業、和工業等的大型廢棄物。諸如此類的物件並非一般民眾所能接觸的到；那麼，之所以會在這裡看到這類型的垃圾只有一個原因：無論是本身製造這些垃圾的單位，或著是他們委託的民間清潔業者，最終選擇不按常規處理廢棄物，選擇違法私了，隨意傾倒。政府的相關單位真的應該要發展一套策略，來確認這些垃圾最終有好好抵達該去的地方。

每年颱風來臨，就會把這些成千上噸的垃圾帶到海洋。但那些垃圾堆卻不會因此減少：因為卡車會帶著新一批的垃圾來再度傾倒。

在對這一切麻痺之前，我那時還會拍攝影片來講述這樣的情況；但現在，我只會假裝眼不見為淨。

話說回來，我倒是能夠理解為何有些偏鄉的家庭垃圾並無法抵達該去的目的地。我本身就是來自於美國的偏鄉地區。在我的成長過程當中，並沒有「公共收垃圾」的這項服務。我們將廚餘做成堆肥，埋在遠離主建築的庭院一角，用落葉堆在上方，放置兩年後再挖來替花園施肥。垃圾和回收物會分在不同的袋子裡。每週一次，我父親會將這些袋子用車子載去離家約二十分鐘車程的郡屬廢棄物集散地和回收中心。的確，整個過程費力費時，但做好回收和妥當處理廢棄物對我爸爸來說非常重要，而我們當時也有這過程裡所需的一切資源來達成這項任務。

但並非我們的街坊鄰居都這麼做。有些家庭沒有時間好好處理垃圾，所以就把成堆的垃圾、生活用具、壞掉的車子和玩具等等，隨意散落在他們的住家四周。這也是相當常見的街景一隅。

在很多方面來說，偏鄉跟都市的生活條件比較起來，的確是不方便許多。以現實層面而言，實際的生活、家庭、經濟狀況，樣樣都會佔去不少時間。並不是所有家庭都能每每在需要之際，花上一個小時來丟好垃圾。但也有人是「能做，但我就是不想做」。沒有垃圾車的時候，他們便會選擇最為便捷的方式。政府真的應該針對山間社區提供更多的收垃圾選項。

我在這裡所訴說一切其實大家都了然於心，卻鮮少被提起。大部分在山林間那些路旁和河邊的垃圾並非來自登山客或是瀑布遊客。那些垃圾來自於那些從未抵達掩埋場的一般人類消耗結果。住在山間那些人們也不願見到如此景象。但這就是現實狀況。

這也是為什麼當我看到像是「殺風景！苦花潭遍地遊客垃圾 部落擬封閉」這樣的標題時，總會不由自主地翻個大白眼。沒錯，遊客不應該留下任何垃圾，但在不到百米之外，就有個在森林深處的家庭垃圾集散地。幾乎到哪兒都有垃圾。

如果大家有興趣前往探勘現場狀況的話，以下提供三個例子：
(大型): 24.035258, 121.170819
(大型): 24.6080971,121.2830025
(小型): 22.705481, 120.669413

面對這樣的狀況，針對個人的罰鍰並沒有太大幫助。大家平時在生活裏已經有夠多的煩惱了，否則也不會這樣處理事情。就是把收垃圾這件事情弄得再簡單一些就能幫上很大的忙了。山區的垃圾廢棄必須得簡單又方便，如同城市裡所提供的一樣。

最後還是要呼籲大家，因為疫情影響，人民改為國內旅遊，這是一件好事，多了親山近水的機會，也增加露營野餐烤肉樂趣，讓朋友家人感情更融洽!但是大家在拜訪大自然的同時，更需要以身作則，帶來多少食物垃圾，也請一件不留帶走。野生動物不需要被人類餵食，牠們喜歡自己自食其力，所以不用擔心動物會餓，而故意留下吃剩食物殘渣。揮揮衣袖，請帶走全部垃圾，包含烤肉架，野生動物不需要自己烤肉啦~

還有，大家不要再報復性集中旅遊啦~明明台灣美景青山綠水多到數不清，要記得分散人流，防疫新生活還是要落實，真的不知道去哪裡玩嗎?歡迎大家逛逛我的部落格，我製作了全台300多個景點地圖，可以選偏僻冷門的景點去唷~

One of the most common criticisms I see raised against nature goers and people who post 秘境 online is that visitors bring a lot of trash with them. If these areas have a lot of visitors, the result will be that there is a lot of trash. Nature-lovers are the problem. We can’t open up the wilderness to the general public, because they are irresponsible, and will trash the place. But is that really true? Are tourists the main driver of plastic waste in rivers and mountains? Let’s examine this issue a bit further and try to determine why some waste ends up in the rivers instead of landfills and public waste processing centers.

Unfortunately, some of immature tourists go into nature and leave their trash there. If you visit any popular waterfall or hot spring, chances are you will see some trash there too.

Tourists tend to make two false assumptions. One is that camping trash is burnable. It’s not. Your trash should be separated into waste and recyclables, just like you do at home, and taken out with you. None of your trash should go in the campfire.

The other is that food degrades quickly. It doesn’t. Vegetables and processed foods can months, orange peels, egg shells, bones can take years. If you toss noodles or cabbage into the river, it won’t be eaten by fish. It will stay there for weeks and months and rot and smell. Even if fish and animals did eat your garbage, it’s not your job to feed the wildlife. Viable food seeds end up as invasive species and strange foods make animals sick or die. All excess food should be taken out with you. No exceptions.

Even worse are cigarette butts. Why do smokers not think these toxic bits of plastic and chemicals are trash? This is unacceptable.

As infuriating as this is though, it’s not the biggest source of mountain garbage. There are serious systemic problems relating to garbage collection and disposal that need to be addressed.

This video shows a large trash pile at Hulugu Waterfall in Kaohsiung City, Liugui District. The terrain here is very steep. Any trash thrown into the forest will roll down the hill. When it rains, the lighter plastic products will be washed into the river and flow downstream, into the waterfalls you play at, and eventually to the ocean, and eventually onto a remote beach somewhere.

However, a closer look at the piles shows that this can be misleading: at first glance, it looks like a few styrofoam tea cups and items that people might bring on an outing with them. But as we look closer at the waste, we can see there are buckets, plastic farm sheeting, pesticide bottles, furniture, and general household waste. Items that no hiker would ever bring with them. This waste originated in the mountains, by people who live in the mountains. It was not brought by outsiders.

Neither is this a rare or isolated incident. If you stop at literally any section of mountain road and look over the edge you will see entire trash bags down below you. These are household trash bags that were packed and tied shut at home, then thrown out of the window of moving vehicles. It’s household trash, from houses, not campers, and critical examination of this waste would reveal the source through mail and other documents inside.

Even if it’s only a small percentage of the mountain population, they still have a big impact. Illegal trash dumps in the mountains have an even bigger impact. For whatever reason it is, some mountain dwellers prefer to throw their household waste into the river than dispose of it properly. This is not a stray bag here and there. The average 4 person household generates 1600KG of trash per year in Taiwan. That’s a lot of trash.

Because a single family can generate so much garbage, it’s difficult to tell how widespread this practice is. I’ve seen hundreds of trash bags in the forest by the side of the road. Possibly thousands. But if this is by dozens of families or hundreds of families I can’t say. Plastic lasts for generations.

If you visit rural communities and dispose of your trash in their trash can, there is a possibility that the private trucks they hired to pick up those waste from the restaurant or minsu aren’t taking it to an EPA landfill. Instead of delivering the trash to the final destination, they find an isolated spot nearby and just dump the garbage there. It may end up in one of these dumping sites instead. The mountains are full of them. Some of what you will see in a river is washed down from these illegal landfills.

In many places, entire truckloads of trash are dumped over the side of the roads and into the river below. This isn’t just household waste and furniture, but also construction, farming, and industrial waste too. This type of waste is not something that tourists bring into the mountains. Whoever was in charge of disposing of this waste properly decided to dump it into the forest instead. The government needs to develop a method of confirming that mountain waste reaches its intended destination.

Every year typhoons carry tons of this trash away to the ocean, but the trash piles never go away, because new trucks arrive to refill them.

I used to make videos about them before I became desensitized, but now I just pretend I didn’t see them.

I do understand why some rural household waste doesn’t make it to the correct locations though. I’m from a rural area myself. I didn’t have a trash service where I grew up. We composted food waste. It was dumped into piles far away from the house. We covered them with leaves and let them sit for two years before using it for soil in the garden. Trash and recyclables were separated into different bags. Once a week my dad drove these bags 20 minutes into town to the county dump and recycling center. It was a lot of effort, but recycling and proper waste disposal were very important to my dad, and we also had the resources to do it.

Not everyone on my street did though. Some families did not have the time and resources for proper waste disposal, and so they had piles of trash, appliances, broken down cars, broken toys, etc around their property. It was a very common sight.

In many ways, country living isn’t as easy and convenient as living in the city. Sometimes real life, family, and financial problems take up all your time. Not all families can spend an hour each time they want to take out the trash. Some people can, but just don’t want to. When trash trucks are not available, they will take the most convenient option. The government needs to increase trash pickup options for mountain communities.

What I’ve written here is well known, but not often talked about. Most of the roadside and riverside trash in the mountains isn’t from hikers and waterfall goers. It’s from normal human consumption that never makes it to a landfill. People who live in the mountains don’t like it either. But that’s what it’s like.

That’s why when I see headlines like (殺風景！苦花潭遍地遊客垃圾 部落擬封閉), I can’t help but roll my eyes. Tourists shouldn’t be leaving trash there, but there is also a household forest trash dump less than 100 meters away. There’s trash almost everywhere.

Here are a few examples if you wanna go check em out yourself:
(big): 24.035258, 121.170819
(big): 24.6080971,121.2830025
(small): 22.705481, 120.669413

Fines to individuals won’t help. People have enough problems, otherwise they wouldn’t act this way. Just make it easier to take the trash away. Trash disposal needs to be easy and convenient for mountain communities, just like it is for urban communities.

Finally, I still want to appeal to everyone. Because of the impact of the epidemic, the people have changed to domestic tourism. This is a good thing. There are more opportunities to get close to the mountains and rivers. It also increases the fun of camping and picnic barbecues, so that friends and family can feel more harmonious! But everyone is visiting nature At the same time, it is more necessary to set an example, and please don’t leave any food waste with you. Wild animals do not need to be fed by humans. They like to support themselves, so there is no need to worry that the animals will be hungry and intentionally leave leftover food residue. Flick your sleeves, please take away all the garbage, including the barbecue grill, wild animals don’t need to barbecue by themselves~

It’s clear that Taiwan’s beautiful scenery, green mountains and green waters are countless, remember to disperse the flow of people, and the new life of epidemic prevention still needs to be implemented. Do you really know where to go? Welcome everyone to visit me In my blog, I have made maps of more than 300 scenic spots in Taiwan. You can choose remote and unpopular scenic spots to go to

從非典到新冠肺炎

From SARS to Novel Coronavirus (COVID-19) - English version is in the second half

新冠肺炎，Novel coronavirus (2019-nCoV) 新型冠状病毒肺炎，疫情越來越嚴重，被證實可以人傳人，也在武漢以外的許多地方發現病例，造成世界各國及世界衛生組織（WHO）高度關切，當然也讓很多住在中國大陸及附近區域的華人非常緊張，就好像當年的非典肺炎疫情即將再一次大爆發一樣。

目前，現代醫學還沒有找到治療新冠肺炎的方法，只能針對某些症狀來處理，疫苗的研發更是遙遙無期。怎麼辦？每次遇到這種情況，中醫就會被搬出來，這次也不例外。新冠肺炎爆發後，網上馬上有許多中醫對付新冠肺炎的文章。當然，除非哪位中醫師看過、治好過大量的新冠肺炎病例，所有的討論都是猜想、假設。然而，有些猜想及假設值得參考，有些猜想及假設卻明顯在誤導大眾。

我還沒有治療過新冠肺炎，不能大肆評論。不過，我治好過很多禽流感、豬流感、及每年流感導致的嚴重肺炎及其它病變的病人。其中許多病人是被美國大型西醫院證實為嚴重肺炎，被要求醫院或居家隔離，偷偷溜出來找中醫看診的。也因此許多病人及討論中醫的網站，希望我能針對新冠肺炎發表一些意見。

我們以前就討論過，這些彪悍的流感病毒，經過那麼多年、那麼多次的變種（mutation），每年都不一樣，東漢時期傳下來的經典中醫，根本沒有遇到過現在的病毒，怎麼可能治療如此嚴重的肺炎呢？

中醫從來就不認識病毒，也不從病毒種類的角度來思考。中醫是探討人體受到外界因素破壞，失去平衡後，身體會有哪些現象、哪些反應，根據那些現象、那些反應來調整身體狀況，期待身體能恢復到平衡狀態，把外界因素帶來的破壞減到最小。我打個半開玩笑的比方，警匪槍戰時，我們注意到壞人哪個方向來的火力強大，造成我們部署在哪個位置的警員傷亡，這時我們會趕緊重新部署人員，或者想辦法增派警力，我們大概無暇去管壞人是用哪個牌子的槍、哪個工廠做的子彈！

雖然幾百年幾千年下來，病毒變種等等的外界因素改變了非常多，人體演化的改變卻非常有限。人體的功能，無論是怎麼被破壞的，某項功能被破壞而導致的症狀、反應、後續演變，卻依然有明顯的脈絡可循。也因為如此，在很多情況下，中醫以專注人體本身平衡狀態的治療方式，反而比西醫專注在外來敵人的治療方式來得有效許多。

依據多年累積大量的臨床病例觀察，無論是禽流感、豬流感、還是每年的流感，人體敗壞的進程依然如同傷寒雜病論探討的一樣，非常簡化的說，從一般桂枝湯證、葛根湯證等的表寒，轉變到小青龍湯證等的裡寒，津液不足、水道運化失調而化熱，變成比較嚴重的大青龍湯證，或者更嚴重肺臟的寒熱夾雜，金匮要略肺痿肺癰咳嗽上氣病脈證治第七篇中的射干麻黃證、葶藶大棗瀉肺湯證、澤漆湯證、小青龍加石膏湯證等等混雜出現，搞得亂七八糟，也不再是什麼簡單方劑可以對應的。

然而，雖然進程很像，不同於一般外感的是，這些嚴重流感肺炎病情加重的改變速度快非常多，也來得猛烈頑強很多。一般的外感從桂枝湯證、葛根湯證等轉變到大青龍湯證或更複雜的病情，通常需要一兩週的時間。同時，還得病人自己非常不注意，或者醫生治療錯誤，一般感冒才會沒辦法自己好，反而變成嚴重的病症。這幾年的流感，從一開始覺得不太對勁，到嚴重複雜的病情，只需要三四天，而且有越來越快的趨勢。這大幅提高中醫師治療流感時，判斷功力及敏感度的要求，中醫師必須在許多症狀還沒有出現時，就得抓緊時間，趕緊行動，卻又不能預防過度，反而讓病情加重。換句話說，時機、劑量、藥材比例變得非常重要，稍有不慎，就無法反轉病情。

舉個例子，有些病人得了流感，咳嗽非常嚴重，痰非常多，呼吸困難。依照中醫的辨證，假如一致都是寒，舌苔白、小便清、怕冷等等，本來依照辨證論治，我們可能會開射干麻黃湯加減給病人。然而，因為流感的進程非常快速，中醫師得非常敏感，譬如看到舌苔白卻帶有一絲絲乾的感覺，就很可能得加上大寒的石膏來避免肺喪失津液，卻又不能加太多石膏，以免肺寒加重。又譬如聽到咳嗽聲音非常深沈，從肺的底部發出，又帶有膿痰的濁音，就很可能得加上瀉肺的葶藶來避免肺中水飲、痰飲大幅增加，卻又不能加太多葶藶，以免肺變得太虛弱。

我們回頭來看這次的新冠肺炎。根據有限的資訊，我們知道感染後有大約兩週的潛伏期，這段時間沒有什麼症狀，病人可能只會感到有些疲憊。剛開始發病時，很像一般的感冒，病人會發熱、乏力，並不嚴重，沒有什麼流鼻涕等上呼吸道的症狀，有的甚至沒有發熱。約一半的病人一週多後恢復，另一半的病人卻在一週後出現呼吸困難，有些病人會快速進展為急性呼吸窘迫綜合征、膿毒症休克、代謝性酸中毒、凝血功能障礙等等嚴重的問題，可能導致死亡。

從上面的敘述，我們不難發現，一開始很像一般中醫外感的桂枝湯證、葛根湯證，一半的病人也就自己恢復了，另一半的病人卻出現快速的入裡化熱現象，肺津液迅速流失，非常濃稠的痰飲沈積在肺部下方。同時，中醫認為肺為人體調節津液的源頭，肺金生水，好比天空下雨一般，而當肺的功能及津液調節出現嚴重障礙，很快就會拖累三焦水道、腎臟等的功能，導致上面提到的幾種嚴重病情。換句話說，新冠肺炎可以讓輕微的太陽證外感，迅速發展成嚴重的肺痿肺癰，再進一步瓦解人體其它功能的運作。

怎麼治療？在沒有直接治療武漢肺炎病人的情況下，我們也只能根據有限的資訊來推論，不過，以前大量的流感肺炎治療病例，可以讓我們比較有信心的面對新冠肺炎。當病人已經出現明顯新冠肺炎症狀時，大多已經入裡化熱，嚴重的肺痿肺癰。這個時候，得用大劑量的石膏清肺熱、加強肺津液運作。也得靠葶藶、大戟等把肺下方濃稠的痰飲及胸腔可能的積液去掉，痰飲積液不去，是無法修復肺家津液運作的。同時，肺氣不宣，就好像吸管上頭堵住了，吸管內的水無法上下，我們還得使用麻黃等宣肺、發陽的中藥來配合。另外，肺已經受損了，除了大動作急救外，比較穩定後，還得靠一些潤肺的藥來收尾，讓肺完全恢復。如果我們列一個可能加入的中藥單，大致有石膏、葶藶子、大戟、生半夏、麻黃、射干、紫菀 、款冬花、 生薑、炙甘草、紅棗、麥門冬、杏仁等等。當然，如前面所言，用藥的時機、劑量、藥材比例非常重要，每一個病人的差異也很大，嚴格考驗中醫師的功力與膽識，一旦判斷錯誤，不但沒有效果，反而可能會加重病情。

網上有些中醫師，說新冠肺炎或其它流感肺炎可以用板藍根清熱解毒來治好。也有些中醫師說可以用麥門冬湯等等的輕劑治好嚴重的肺炎。甚至還有些中醫師說多喝綠豆湯可以預防新冠肺炎！其實，真的遇過、治好過禽流感、豬流感等嚴重流感肺炎的中醫師，一看這些文章，就幾乎可以確定這些人根本沒有治療過嚴重肺炎的經驗，充其量只是在西醫治療下，在旁邊幫幫病人一些小忙而已。這樣的情況下，難怪中國政府平時大力推展中醫，真的有如同新冠肺炎這樣重大疫情爆發時，卻看不到中國政府大量使用中醫方法來治療病人、控制疫情。醫學是實戰的學問，沒有大量臨床病例，講得再好聽都是沒有用的，如果希望中醫真的在主流醫學裡站立起來，希望中醫真的能面對大規模的疫情，回歸最基本的臨床療效，才是最重要的，其它都只像是武術表演，而非實際作戰。

From SARS to Novel Coronavirus (COVID-19)

Written in Chinese by Dr. Andy Lee, January 21, 2020
Translated to English by Dr. James Yeh and Dr. Andy Lee, March 28, 2020

The epidemic from Novel Coronavirus is becoming much more serious. Transmissivity among people has been proven. (Note: It's now named COVID–19. The term “Coronavirus” will be used here.) Cases were found in areas beyond Wuhan. It has caused serious attentions from the WHO (World Health Organization) and many countries around the world. The residents in China and the surrounding regions are quite worried and wonder whether it will break out like SARS (2003). (Note: The article was written on January 21, 2020, before Coronavirus became a global pandemic.)

So far, the modern medical field has not found a cure for Coronavirus, but resorts to treating patients’ symptoms only. Any vaccine to treat Coronavirus is still no way in the sight. What do we do? Every time such a situation happens, the topic of using Traditional Chinese Medicine (TCM) is raised (at least among the Chinese communities). There is no exception this time. Many articles related to using TCM on Coronavirus have been popping up on the web. However, unless some TCM doctors who have actually treated many Coronavirus cases, all the discussion would be hypotheses or assumptions. Some hypotheses are worth considering while many others could be quite misleading.

Personally I have not treated patients cases related to Coronavirus. (Note: Shortly after this writing, the author has directly and indirectly participated in treating patients of Coronavirus successfully, and has published other later blogs which included his involvement in treating those patients. Please refer to his medical blog http://www.DrLee.us.) However, I did treat and cure patients inflicted by other viruses in the past, such as the Bird Flu, Swine Flu, and other influenza. A good amount of those patients were diagnosed as severe pneumonia by large hospitals and were required for isolation or self-quarantine. Hence many of patients and online medical forums online are asking for my opinions about Coronavirus.

As we discussed before, all these viruses from the outbreaks are either newly found or mutated from previous strands. The strand can be different every year. Therefore, people always ask how one can say that the TCM knowledge developed in East Han Dynasty (25-220 AD) would be any useful for treating the modern diseases, let alone the severe ones.

It turns out that TCM does not recognize any virus and does not deal with the concept of which type of virus is microscopically at work. TCM looks at how human bodies would become out-of-balance and react to external stimuli. Once the body is out of balance, what symptoms will exhibit and what reactions will be to adjust the body conditions to regain the balance, hence to reduce the damage to the body to the minimum. Let me take an example to illustrate: when there is a gunfight between the police and bandits, we want to see which direction the shots are coming from, causing casualties of the police force, so that we are able to adjust or reinforce the police power. We have no time to think about which brand of the guns or bullets the bandits use.

Over thousands of years, the external viruses have changed and evolved quite a bit, but the evolution of human beings was quite limited. The human body function, no matter how it was damaged, the symptoms due to the damage of the function, the reactions, and the following progression of the disease still follow certain paths. For this very reason, TCM’s focus on the balance of the human body often surpasses the effectiveness of Western medicine, which focuses more on external treats and the microscopic aspect of how human body’s cells are impacted by the external treats.

From the accumulation of many years of clinical treatment and observations, no matter it is Bird Flu, Swine Flu or other influenza, the bodily ‘damage’ and its progression by the viral attack still follow the description of the classic TCM literature “Treatise on Cold Damage on Miscellaneous Disease” (傷寒雜病論). In short summary, the disease usually starts with “Exterior Deficiency or Weakness” (表虛) or “External Coldness” (表寒), for which is matched to one of the several syndromes named with the corresponding herbal remedies such as “Gui Zhi Tang” (桂枝湯) and “Ge Geng Tang” (葛根湯). Then, the disease moves onto the next stage “Interior Coldness” (裡寒) or “Lung Coldness” (肺寒), which shows the syndromes named as “Xiao Qing Long Tang” (小青龍湯), etc. When the respiratory system is “affected by the coldness”, the body fluid function of the respiratory system gets affected. The circulation function of the lung becomes “Dry and Overheated” (燥热). This would lead to a more serious stage “Heated Interior” (入裡化熱) and would often be matched to its herbal remedy “Da Qing Long Tang” (大青龍湯). Or, even worse, it becomes so-called “mixed coldness and heat” (寒熱夾雜) in the lung. Such a complex situation was extensively discussed in Chapter 7 of the classic literature “Synopsis of Prescriptions of the Golden Chamber” (金匮要略肺痿肺癰咳嗽上氣病脈證治第七篇). At this complex stage, the illness development varies significantly among patients of different preconditions and other variants. It is no longer the situation that a simple herbal remedy can be applied to all the situations. The TCM theory illustrates various treatments by those herbal remedies such as “She Gan Ma Hung Tang” (射干麻黃湯), “Ting Li Da Zao Xie Fei Tang” (葶藶大棗瀉肺湯), ”Ze Qi Tang” (澤漆湯), “Xiao Qing Long Jia Shi Gao Tang” (小青龍加石膏湯), and others.

However, even the disease progressions are similar, the more serious viral attacks like Coronavirus can and often do progress much faster with more severe consequences than the common flu. As described in the previous paragraph, normally the disease progression of the “External Coldness” stage to the more serious “Heated Interior” stage usually takes one to two weeks. It is also often due to the ignorance of the patient or misdiagnosis and treatment of the doctor, which prevents the patient from recovering from this “catching a cold”. In the recent several years though, the time period between the time that the patient did not feel well and the time that the patient is in a serious and complex situation can be as short as 3 to 4 days. We also see the trend that this period gets shorter and shorter. In other words, the disease progression is getting much faster. This phenomenon poses a much higher demand on TCM doctors’ ability to make a quick and proper judgment and sensitivity to the subject matter. TCM doctors must intercept the disease progression before it reaches to a more serious stage, even without obvious symptoms of the next stage. TCM doctors have to timely prescribe the proper herbal remedy in terms of the type of herbs and relative dosages of herbs. Too weak a dosage could not stop the progression while too strong a dosage could worsen the condition also. A misjudgment would not be able the turn the conditions around, but hurt the patient more.

The above can be illustrated by a simple example. A patient caught flu and has symptoms such as heavy coughing, lots of sputum, and difficulty in breathing. From the TCM dialectics, with observations of white tongue coating, clear urine, and feeling chilly, etc., it is clearly caused by “Coldness”. Such a patient typically should be prescribed with “She Gan Ma Hung Tang” (射干麻黃湯) or its variations. However, due to the fast progression of the modern flu, the TCM doctor would need to pay attention to much subtle details such as the dryness of the tongue although it still shows the white coating. In this case, Sheng Shi Gao (Gypsum, 生石膏) might need to be added to the herbal remedy to make sure that the lung would not suffer dryness. Given that Sheng Shi Gao (Gypsum, 生石膏) itself is an ingredicient that is “very cold” in nature, the dosage could not be too strong to make the lung too chilly. At the opposite end of the spectrum, if the sound of the coughing is very ‘deep’, like dense sputum coming from the bottom of the lung, the herbal remedy might need to add Ting Li (Sisymbrium indicum, 葶藶) to clear up the lung to avoid too much mucus in the lung. And again, the dosage of葶藶 could not be too much to weaken the lung. (Note: Handling the proper timing and proper remedy can be a real test to the ability and experience of the TCM doctor.)

Let’s go back to the discussion on Coronavirus. From the limited information available so far, we know that there are about two weeks of incubation period after the infection. There are little symptoms during this period and the patient may just feel more tired than usual. More obvious symptoms will start like those of common flu with fever, fatigue but not too serious. Upper respiratory symptoms like running nose are less common. Some patients may not even exhibit fever. About half of the patients infected will recover over a week or so. The other half of the patients will experience difficulty in breathing, or rapid progression to acute respiratory distress syndrome, septic shock, metabolic acidosis, coagulopathy, etc. Some patients had died due to these severe conditions.

From the above description, this Coronavirus, in the beginning, is very much like the common flu and will stay in stages of “Exterior Deficiency or Weakness” (表虛) or “External Coldness” (表寒). Half of the patients infected will recover by themselves as in common cold. The other half of the patients may exhibit situations of rapid penetration into inner organs and excess ‘heat’, which causes loss of fluidity of respiratory system and accumulation of dense sputum at the lower part of the lung. In the TCM theory, the lung serves as the initial “gating factor” of body fluids. When the lung fails to serve the proper function, other organs like the kidney will be adversely affected also. In other words, Coronavirus can turn a light “External Coldness” to extremely severe “Lung Atrophy” (肺痿) and “Lung Abscess” (肺癰), which in turn will impair the function of other organs.

How to treat? Without direct experience of treating Coronavirus patients, we can only postulate from our limited information available in hand. (Note: Shortly after this writing, the author has directly and indirectly participated in treating patients of Coronavirus successfully. The treatments were exactly as outlined in this article.) From the ample experience of dealing pneumonia cases caused by flu, we are confident that we can also treat Coronavirus successfully. When patients are showing the obvious Coronavirus symptoms, most of them would have entered the stage of “Heated Interior” (入裡化熱) with “Lung Atrophy” (肺痿) or “Lung Abscess” (肺癰) to a certain degree. At this stage, we will need large dosages of Sheng Shi Gao (Gypsum, 生石膏) to clear the heat to ensure the proper fluidity function of the lung. Also, we will rely on Ting Li (Sisymbrium indicum, 葶藶), Da Ji (Euphorbia pekinensis Rupr., 大戟), etc. to clear up the dense mucus at the lower part of the lung and to remove the edema of the chest chamber. Without getting rid of the excess mucus and fluid, the lung cannot properly function. We need to use Ma Huang (Ephedra sinica Stapf., 麻黃), etc. to enhance the lung function (宣肺、發陽) and restore proper breathing. When the lung is damaged as in fibrosis, after the conditions stabilize, we need to “moisturize” the lung (润肺) to help the lung to recover fully. In other words, we will most likely use the herbal ingredients such as Sheng Shi Gao (Gypsum, 生石膏), Ting Li (Sisymbrium indicum, 葶藶), Da Ji (Euphorbia pekinensis Rupr., 大戟), Sheng Ban Xia (Pinellia ternate, 生半夏), Ma Huang (Ephedra sinica Stapf., 麻黃), She Gan (Belamcanda chinensis, 射干), Zi Wan (Aster tataricus, 紫菀), Kuan Dong Hua (Tussilago farfara flower, 款冬花), Sheng Jiang (Ginger, 生薑), Zhi Gan Cao (processed Glycyrrhiza uralensis Fisch., 炙甘草), Hong Zao (Ziziphus jujube, 紅棗), Mai Men Dong (Ophiopogon japonicas, 麥門冬), Xing Ren (Prunus armeniaca, 杏仁), and others. As we discussed in previous paragraphs, the timing, dosage, the relative ratios of different herbal ingredients are very critical. Given that there are quite some variations in patient conditions, the challenges on TCM doctors’ comprehensive knowledge, judgment and courage are unprecedented.

In those articles online, some TCM doctors claimed that Coronavirus can be cured by Ban Lan Gen (Isatis tinctoria root, 板藍根), which is believed to have natural antibiotic chemicals to “clear up the heat and toxics”. Some TCM doctors suggested using a simple mild herbal remedy “Mai Men Dong Tang” (麥門冬湯), which mainly relies on the ingredient Mai Men Dong (Ophiopogon japonicas, 麥門冬). Some people even suggested that having the green bean soup could prevent Coronavirus. In fact, those TCM doctors who have good experience of treating Bird Flu, Swine Flu, and pneumonia caused by other influenza would know that the people making those claims never had the real experience of treating severe pneumonia. They at most helped in a minor way the patients under Western medicine treatments. Under such conditions, it is not a surprise that the China government has not used TCM as the primary method of treating Coronavirus, despite its big promotion of TCM in the recent years. (Note: After this writing, Coronavirus epidemic became so severe in China that the China government changed its strategy and started to use TCM extensively in treating many mild Coronaviurs cases.)

Medicine is the science based on real treatment results. Without a good amount of successful cases in clinical treatments, it is useless to promote any fancy idea of treating patients. If we would like TCM to be respected in the mainstream medicine and to be meaningfully used in a severe epidemic like Coronavirus, it is critical to focus on the most fundamental. That’s the clinical results. Like the martial arts, unless you can fight off the bad guys, it’s just a show of fancy movements.

（http://andylee.pro/wp/?p=7169）
#當張仲景遇上史丹佛

Written by Dr Auntie...

This boy is not Harry Potter. He is Omar Mukhtar, an ordinary boy who has no magical power whatsoever. But he had successfully made one of his dreams come true! And now for the first time ever, Mukhtar has made an exclusive tour in “Hogwarts”, the school of his dreams. Have you watched the video on YouTube? Let me tell you why you should watch it...

When my nephew Omar Mukhtar told us one day that he wanted to study in King Edwards’s School, we got worried! KES is one of the leading academic schools in the UK, so it’s so tough to get a place there. We were so concerned that Mukhtar might not be able to get in due to very high competition. We were concerned that Mukhtar might get disappointed! Little did we know that Allah has already planned something great for him, as a reward for his hard work and his kindness. So Mukhtar went for a test to get a place in KES and he passed. He was called for an interview at KES for a scholarship and he was successful. Mukhtar got a full scholarship to study at KES. MashaAllah. All praise is due to Allah.

People know that Mukhtar is a KES student, but what they don’t know is all the sacrifices he made to achieve his dream. There are so many behind-the-scene stories about my nephew and his “secrets” of success. How he cared for his ill mother from a very young age. How he sacrificed his own childhood time to care for Fatimah & Ali. How hard he had to juggle between his roles as a son, as a big brother, and as a student, all at the same time. It was truly a bumpy road for Mukhtar to be where he is now!

So that’s why you should watch the video. The video’s now available to watch on our YouTube channel: The Family UK (link below). Would you care to show my nephew your kind support please? I thank each one of you so much in advance for your kind support towards my nephew Mukhtar 🙏🏼
#mynephew #proudauntie #drauntieuk

https://youtu.be/N41HQU0n7qQ

謝謝我三個家人都很誠實跟我分享關於疫苗和台灣疫情的經驗跟想法！
我爸的生日過幾天就到了！祝他生日快樂～🎈🍰
Thanks Grandma, Dad, and Brooke for openly sharing your experiences with me and my viewers! Love you all :)
My dad's birthday is in a couple days! Wish him happy birthday～🎈
關於疫苗的事情請只要聽一聽當參考，當你決定要不要打疫苗或什麼時候打或打哪一種的時候最好還是參考各種資料，跟自己的醫生討論！
在下面留言跟我分享：當你有機會你打算直接打疫苗嗎？
Please do research when making a decision about whether or not you should get the vaccine, which vaccine you should get, and when you should get it. The stories shared in this video are just that: stories! You ought to consult a doctor with any medical questions you have.
Let me know in the comments: Are you planning on going to get the vaccine right away once it's available?

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✖️✖️✖️✖️✖️✖️✖️✖️✖️✖️✖️✖️✖️✖️✖️✖️✖️✖️✖️✖️✖️✖️✖️✖️✖️✖️✖️✖️

แช่งมั่ง (Damn!)
ศิลปิน : KP Angel ft. TACHAYA

*English subtitles are now available.
(Please click on 'CC' button or activate 'Interactive Transcript' function)

เนื้อเพลง

* ไปรักกันไกลๆ เพราะฉันทนไม่ได้
ที่เห็นเธอกับเขารักกัน และทิ้งฉันไป
ขอพูดบางคำ สั้นๆและง่ายๆ รักกันให้ดีนะ
อย่าให้เห็นว่าเลิกกันละกัน

รักเธอขนาดไหน แต่เธอกลับทำกันได้ลง
ช่วยไปรักกันไกลๆ ไม่อยากจะเห็นหน้าคน
ก็เพราะฉันไม่อยากจะฝืน กล้ำกลืนแล้วชื่นชม
ทั้งที่ใจ นั้นได้แต่คิด ให้ความรักนั้นล่มจม
ขอ.. ให้เขา นั้นรักเธอนานๆ
เชอะ...ผู้คนปะเลอะ ฉันถือว่าทำทาน
Ooh ฉันรู้ ผีเน่าโลงผุนั้นคู่กัน
Everything you do ขอให้ได้รับผลกรรม

( * )

ถูกป้อนความรักด้วยฟางหญ้า
ความรู้สึกของฉันไม่มีค่า
ทำลายกันแล้วยังมีหน้า
ควงให้เห็น แหม!! เธอนั้น ชั่งกล้า
มองตา ยิ้มหวานกันตลอด
ทำเป็นออเซาะแล้วเข้ากอด
อิจฉาน่ะฉันไม่มีหรอก
รกตาแค่นั้นที่อยากบอก
เธอจะรู้บ้างไหม ว่าเธอน่ะใจร้ายจัง
ไม่เคยมีความจริงใจ ไม่นานรักต้องพัง
ไอ้คนนิสัยอย่างนี้ ต้องเจอดีเข้าสักวัน
ใช่ ฉันแช่งให้เป็นแบบนี้ คอยดูให้ดีก็แล้วกัน

( * )

เราก็ศิษย์มีครู แต่ดูหรือใจมันยังพลาด
ฉันไว้ใจในตัวมนุษย์ ที่สุดคือพังไปดังคาด
คบใครก็ดูแค่หน้า หัวใจข้าจึงพินาศ
แล้วหยิบกระดาษปากกา ขึ้นจารึกคำอักษรว่า
ฟ้าดินจงเป็นพยาน กับสิ่งที่ฉันจะพูดไป
ให้เขาทุกข์และทรมาน ประหนึ่งต้องการสิ้นใจ
อย่าได้พบกับความรัก ไม่ว่าเขานั้นจะรักใคร
พลัดพรากและผิดหวัง เหมือนกับที่ทำฉันเอาไว้

( * , * )

Damn !

Get out of my life,
'Cause I won't survive to see you in love with her,
And left me crying
Remember my words,
Quite short and simple,
Love each other well. Don't let me know you break up so soon

How much I love you, you know, but you still hurt me
Please walk away with your love, no more I want to see you
I don't want to pretend believing your love is true
Actually, my heart wants your lover breaks up with you
I wish she loves you always
Meh... I'm not lonely. You go. It's OK
Ooh, I know you guys are mutant couple
Everything you do deserves a bad result

Your love was just a bullshit,
You thought I'm so stupid,
You dumped me then walk with her,
Arm in arm. Damn You!! How dare you!
Always so sweet when your eyes meet,
You hug each other, Oh... please!
Ask if I envy you… No!
It just annoys my eyes though
Don't you ever know that you are so unkind
With no sincerity, soon your love will die
You’re gonna get what’s coming to ya, bad guy
Yes, I'd put a curse on you to have no one staying by

I’m very well trained, but sometimes Homer still nods
I gave you my loyalty, but only treachery I got
I only knew your face, so my heart hurt a lot
In a piece of paper, I letter my words a plot
May sky and earth be witnesses to what I’m going to write
I'll curse you down to the dumps with a great torture till you die
To end with tragic love with whoever be in your life
To get trapped in the pain, same as you’ve done to me - Damn guy!

Special Thanks

Hair Stylist : Senpom Hair Salon
Costume : Nonnawat Atnonplueat
Makeup & Hair Stylist : Sorapoom Srinuam
Prop Balloon : L balloon party
Dancers : Inthira Uthai /Natthanicha Srisawasdiphalodom
Choreographer : Chindanai Bhuwakul Inthira Uthai /Natthanicha Srisawasdiphalodom

✖️✖️✖️✖️✖️✖️✖️✖️✖️✖️✖️✖️✖️✖️✖️✖️✖️✖️✖️✖️✖️✖️✖️✖️✖️✖️✖️✖️

ขอสนับสนุนให้ทุกคนมีตัวตนอยู่บนโลกนี้อย่างเสรีภาพ ตราบที่ไม่เดือดร้อนใคร
แด่ทุกสิ่งมีชีวิต ที่มีความหวัง และรักในตัวเอง

Instagram : kengtachaya
youtube : TACHAYA
Forwork(ติดต่องาน) : คุณเฮง 081-6291564
Facebook: https://www.facebook.com/tachaya.keng

#แช่งมั่ง #นางฟ้าเคพี #KPAngel

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More information:
https://mustsharenews.com/korean-makeup-etude-house/
https://nextshark.com/13-korean-beauty-products-recalled-toxic-metal/
https://www.koreaboo.com/news/these-famous-korean-beauty-products-cause-cancer-throw-them-away-now/
http://www.atimes.com/article/south-korean-cosmetics-recalled-inspection/


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