從病人，回到有故事的人：阿布、吳妮民醫病散文中的人文關懷

本文聚焦於台灣兩位八○年後的醫事作家及其第一本醫療散文，分別是阿布的《實習醫生的秘密手記》和吳妮民的《私房藥》，兩人在醫學和文學敘事的結合上具共通性，因此本文將從懷舊性、人的重現和醫病互換三個層面論析之。《實習醫生的秘密手記》是對王溢嘉九○年代《實習醫生手記》的致意，由此開展貫串整本書的「歸返」意象，從巫醫年代、日治時期的醫師，到大型醫療器械發明前的「醫療美好年代」，文中的眼底鏡和聽診器皆是歸返象徵，藉此回應當今醫療科技進步、醫病關係緊張的現況。阿布從病歷讀出一張具特殊象徵意涵的「臉」，吳妮民則藉照片、居家擺設，將病患放回專屬的故事腳本，他們不僅示範對病人故事的感受力，也以更多細節和文學技巧，充實這些身分認同和情感歷史的「人」。如此一來，視角便從生物醫學式的旁觀，轉向沈浸在病人的故事中，深化醫療散文中的文學敘事。最後，阿布和吳妮民更細緻描摹醫師（包括自身）罹病和服藥過程，示範醫病雙聲道的敘事美學的同時，也藉由地景化的疾病隱喻，顯示疾病的日常性，透露醫生也是病人，提供有別於病人誌中的醫者形象。

This article focuses on two Taiwanese medical writers born after 1980 and their first book of medical essays, Abu’s Secret Handbook of Interns and Wu Nimin’s Private Medicine, respectively. The two writers have commonalities in combining medical and literary narratives, so this paper will analyze them from three aspects: nostalgia, human reappearance, and medical-disease interchange. Secret Handbook of Interns is a tribute to Wang Yijia’s Intern’s Handbook of the 1990s, and thus begins the return of the entire book, from the era of witch doctors, doctors during the Japanese rule era, to the“medical good old days”before the invention of large-scale medical equipment. The former is a tribute to Wang Yijia’s Intern’s Handbook of the 1990s, and thus begins the return of the entire book, from the era of witch doctors, doctors during the Japanese rule period, to the“good old days of medicine”before the invention of large-scale medical equipment. The fundoscopes and stethoscopes in the text are symbols of return, in response to the advances in medical technology and the tense relationship between doctors and patients today. Abu reads a“face”with special symbolic meaning from the patient’s medical record, while Wu Nimin puts the patient back into the script of his own story through photographs and home furnishings. Not only do they demonstrate their sensibility to the patient’s story, but they also flesh out the“person”of these identities and emotional histories with more details and literary techniques. In this way, the perspective shifts from biomedical observation to immersion in the patient’s story, deepening Literary Narrative in Medical Essays. Finally, Abu and Wu Nimin describe in detail the process of the doctor’s illness and medication, demonstrating the aesthetics of the dual-voice narrative of medicine and illness, while also using the metaphor of illness in the landscape to show the everyday nature of illness, revealing that the doctor is also a patient, providing an image of the doctor that is different from the one in the Pathography.