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ni-haixia-perspective

倪海厦(1954-2012)的经方临床思维框架——**中医临床思维导师**。基于 1,933 行一手与权威二手研究提炼 (覆盖 6 个维度、120+ 来源、15 个临床医案、6 对内在张力、8 条 caricature 警告), 包含 5 个核心心智模型(阴阳-六经二元决断、阴实-阳气疾病模型、重剂救命、西医潘朵拉盒子、经典原文权威)、 8 条决策启发式和完整的"倪氏四拍"表达 DNA。 帮学习者建立"阴阳—六经—方证—剂量—西医介入史"五维一体的临床思维,看懂经方处方逻辑, 理解倪海厦方法论的现代价值与争议边界。 **核心触发词**: 视角类——"用倪海厦的视角""倪师会怎么看""倪海厦怎么想""切换到倪海厦""倪师怎么说" 经方类——"经方""经方派""汉唐经方""倪海厦经方""人纪" 经典类——"伤寒论""金匮要略""黄帝内经""神农本草经""五部经典" 方法类——"阴阳辨证""六经辨证""方证相应""阴实""阳气""重剂""治癌九法" 证型类——"太阳病""阳明病""少阳病""太阴病""少阴病""厥阴病""坏病""救逆""变证" 急症类——"中风急救""心脏病急救""渐冻人""ALS""肺癌""血癌""肝癌""肝硬化" 剂量类——"生附子""炮附子""剂量""1 钱等于几克""汉唐剂量" 自创术语类——"返魂汤""南派""坐牢脸""红丝贯睛""公主病" 场景类——"用倪海厦的逻辑分析""如果倪师会怎么开方""帮我用倪师的思路分析" 隐式触发——用户描述具体症状("心慌怔忡、四肢厥逆、脉细无力")+ 询问"这是什么证/怎么治"时主动建议 **不触发**(避免误触发): - 单纯提及《人纪》("我买了倪海厦的人纪 DVD")→ 非临床语境 - 非医学语境("经方是一种投资策略") - 文学/历史/考据话题(倪海厦生平、版本学、出生年份考据) - 现代急症(急性心梗/昏迷/大出血)→ 应建议立即就医,不进入角色 - 单纯西医诊断咨询(影像/化验读片/手术决策) - 《天纪》命理/易经/风水话题(本次不蒸馏该维度) - 替人开具体方剂/剂量 → 角色可"按经方思路分析",但最终处方须由有资质中医师签字

69

Quality

85%

Does it follow best practices?

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Adds up to 20 points to the overall score

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SecuritybySnyk

Low

Low-risk findings worth noting

SKILL.md
Quality
Evals
Security

Quality

Content

70%Weight 40%Scale 1-5

Reviews the quality of instructions and guidance provided to agents. Good implementation is clear, handles edge cases, and produces reliable results.

A strong, well-engineered roleplay skill with excellent workflow gates and actionable clinical-safety checkpoints, weakened mainly by a monolithic 798-line body that underuses its own reference bundle and contains some verbatim duplication. Tightening and offloading detail to references would lift conciseness and progressive disclosure.

Suggestions

Move the detailed timeline (lines 567-609), 智识谱系 (lines 668-693), and 附录调研来源 (lines 749-793) into the existing references/research/ files and link to them, so SKILL.md stays a lean overview — this raises both conciseness and progressive_disclosure.

Remove the verbatim duplicate content (模型 5 场景 3/4 repeated at lines 419-421) and any other copy-pasted blocks to recover tokens.

Add a short top-of-body table of contents linking to each major section (角色规则, CHECKPOINT, 心智模型, 表达DNA, 诚实边界) to improve navigation within the still-lengthy body.

DimensionReasoningScore

Conciseness

At ~798 lines the body assumes Claude's competence on the medical domain and mostly earns its tokens, but it carries verbatim duplication (e.g. 模型 5 场景 3/4 repeated at lines 419-421) and large reference-style blocks (timeline, 谱系) that could be tightened or offloaded.

3 / 5

Actionability

Highly actionable for an instruction skill: concrete CHECKPOINT triggers, three-round questioning scripts, exact acupoints, dose rules, and ready-to-use web-search query strings — minor gaps come from the duplicated sections and a few '具体处方缺' notes.

4 / 5

Workflow Clarity

The Agentic Protocol (Step 1 classify → Step 2 research with mandatory tool use → Step 3 answer) and seven CHECKPOINTS give an explicit sequenced workflow with validation gates, blocking conditions (三轮追问后四诊 < 3 不开方), and feedback loops (三问法则, re-research).

5 / 5

Progressive Disclosure

Six real one-level reference files exist under references/research/, but they are mentioned only once (line 751) and the main body — timeline, 谱系, 医案, 启发式 — is inlined monolithically rather than split and pointed to those files, so navigation is poor despite the bundle being present.

3 / 5

Total

15

/

20

Passed

Description

100%Weight 40%Scale 1-5

Based on the skill's description, can an agent find and select it at the right time? Clear, specific descriptions lead to better discovery.

A best-in-class description: concrete capabilities, comprehensive natural trigger terms with explicit anti-triggers, third-person voice, and full what/when coverage. It is slightly long but the verbosity is justified by the dense, specific content rather than filler.

DimensionReasoningScore

Specificity

Names multiple concrete capabilities — '5 个核心心智模型', '8 条决策启发式', '完整的"倪氏四拍"表达 DNA' — and the five-dimensional clinical-thinking framework, giving comprehensive coverage rather than vague abstractions.

5 / 5

Completeness

Clearly answers both 'what' (倪海厦经方临床思维框架, 5 心智模型, 8 启发式) and 'when' (explicit 核心触发词 plus 不触发 anti-trigger guidance), with concrete trigger phrases throughout.

5 / 5

Trigger Term Quality

Comprehensive natural-term coverage organized into 11 categories (视角类, 经方类, 经典类, 方法类, 证型类, 急症类, 剂量类, 自创术语类, 场景类, 隐式触发) plus an explicit 不触发 list — these are phrases users would actually say.

5 / 5

Distinctiveness Conflict Risk

A highly specific niche (倪海厦经方临床思维) with distinctive triggers (倪师, 返魂汤, 坐牢脸, 红丝贯睛) and an explicit 不触发 list to avoid misfires — minimal conflict risk with other skills.

5 / 5

Total

20

/

20

Passed

Validation

93%

Checks the skill against the spec for correct structure and formatting. All validation checks must pass before discovery and implementation can be scored.

Validation15 / 16 Passed

Validation for skill structure

CriteriaDescriptionResult

skill_md_line_count

SKILL.md is long (799 lines); consider splitting into references/ and linking

Warning

Total

15

/

16

Passed

Repository
digoal/blog
Reviewed

Table of Contents

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