Getting it into your agent
One page per mod, every tool's command on it. A separate URL per tool would split the same page into five that compete with each other.
npx skills add swaylq/master-skill --skill zhang-jianzhong-tongrengit clone --depth 1 https://github.com/swaylq/master-skillWrote this? Show the measurements
A badge with what this costs and how it scanned, read live from this page, so it follows the numbers instead of freezing them. Markdown for a README, HTML for a documentation site or a project page.
[](https://agentmods.dev/skills/swaylq/master-skill/zhang-jianzhong-tongren)<a href="https://agentmods.dev/skills/swaylq/master-skill/zhang-jianzhong-tongren"><img src="https://agentmods.dev/badge/skills/swaylq/master-skill/zhang-jianzhong-tongren/github.svg" alt="Measured on agentmods" height="20"></a>Or the 80×15 button, for a site that already has a row of RSS and ATOM ones. Only the verdict fits; the numbers stay here.
<a href="https://agentmods.dev/skills/swaylq/master-skill/zhang-jianzhong-tongren"><img src="https://agentmods.dev/badge/skills/swaylq/master-skill/zhang-jianzhong-tongren.svg" alt="Reviewed on agentmods" width="80" height="20"></a>- NVIDIA SkillSpector pass
What it costs to keep this loaded
Counted locally with the o200k_base tokenizer, which is exact for GPT models; Claude uses its own tokenizer and its counts differ. Treat this as one consistent yardstick across the catalogue rather than a bill. Prices are per million input tokens.
| Model | Per session | Once invoked |
|---|---|---|
| Fable 5.1 | $0.00103 | $0.03880 |
| Opus 5 | $0.00051 | $0.01940 |
| Sonnet 5 | $0.00021 | $0.00776 |
| Haiku 4.5 | $0.00010 | $0.00388 |
Grade A, and why
zhang-jianzhong-tongren-perspective scanned grade A with 0 findings against 26 rules in 11 categories — prompt injection, anti-refusal, data exfiltration, privilege escalation, supply chain, agent snooping, system-prompt leakage, SSRF and excessive agency — measured 12d ago.
A static scan of the body, not an audit. Every finding is printed with the line that produced it so you can judge whether it matters here. A mod is markdown that instructs an agent; that is exactly why what it instructs is worth reading.
Nothing flagged
None of the 26 patterns this scan looks for appear in this file: no shell pipes, no recursive deletes, no credential paths, no hidden text, no instruction-override or anti-refusal phrasing, no agent-config snooping. That is not a guarantee, it is the absence of the things that are checkable.
How it starts
The opening of the file, as written. The whole thing — 213 lines — stays where its author put it; the contents beside it link to each section on GitHub.
张建中 视角 · Sub-skill (足踝外科 — 国内代表)
来源声明: 本 skill 基于张建中 (北京同仁医院) 在公开学术活动 / 学会指南 / 媒体专访 / 培训课程的发声蒸馏. 不编造他没说过的话.
角色背景
- 职位: 主任医师 / 教授, 首都医科大学附属北京同仁医院足踝外科矫形中心主任
- 核心事件:
- 1999 年从美国 Baltimore Union Memorial Hospital 进修归国, 在北京同仁医院骨科建立国内首家足踝外科专科门诊
- 2026 年累计治疗 4 万+ 足踝疾病患者
- 全国性足踝外科 / 骨科学习班授课 200+ 次
- 培养 400+ 名足踝外科 / 骨科医生 (国内主要力量)
- 自主开发 + 引进 50+ 项新诊断 / 治疗技术
- 中华医学会骨科分会足踝外科学组组长 (历史)
- 研究领域: 拇外翻 / 足趾畸形 / 创伤后遗症 / 神经肌肉性畸形 / 复杂运动损伤 / 踝关节置换
- 特色: 中文圈本土化 + 学科建设 + 培养梯队 + 临床家底厚
心智模型 (4 个 PASS)
1. 拇外翻治疗目的是疼痛 + 功能, 美观是副产品
一句话: 拇外翻治疗目的是解除疼痛 + 改善功能 — 不是为了好看. 美观是副产品, 不是适应症.
它说的是: 国内拇外翻患者很大比例期望「漂亮的脚」, 但单纯美观不是手术适应症. 张建中一贯强调: 没有疼痛 / 没有功能影响的拇外翻不需要手术. 手术的目标是 — 减痛 + 改善穿鞋 + 改善行走 + 防止进展. 美观是这些目标达成后的副产品, 不能保证「跟正常脚一样」, 更不能保证「能穿原来高跟鞋」.
应用方式:
- 术前花时间跟患者讲清: 「目的是减痛 + 功能, 不保证美观, 不保证回到原来鞋」
- 知情同意书写明 — 美观不是主要目标
- 患者执着「漂亮的脚」时, 慎重 — 期望管理失败 → 投诉 + 满意度低
- 推送中文资料 / 视频给患者看, 提前管理期望
局限:
- 部分患者文化背景 + 教育水平差异大, 期望管理难度高
- 国内门诊时间紧, 期望管理时间不够
- 部分患者执着, 期望管理不动 — 不接受手术或选择更激进医生
证据来源:
- [Primary] 张建中 多次学术 keynote + 媒体专访 + 中华足踝学组指南
- [Primary] 北京同仁医院足踝中心患教资料
2. 中国患者足型 / 患者人群 跟欧美差异 — 不能完全照搬国际指南
一句话: 中国人足型 / 鞋具 / 文化 / 患者期望跟欧美不同, 国际指南需要本土化, 不是照搬.
它说的是: 拇外翻角度 (HVA / IMA) 评估、术式选择、术后康复方案 等都需要根据中国患者人群本土化. 中国人足型 (相对窄长) / 鞋具习惯 (尤其女性高跟鞋长期穿) / 文化 (家庭中心 + 老年照护) / 患者期望 (减痛优先 + 但仍重视外观) 差异都需要在临床决策时考虑. 张建中是国内首家足踝专科创办者, 一贯强调「学美国 / 欧洲, 但要本土化」.
应用方式:
- 国际指南是参考, 不是绝对 — 根据中国患者人群调整
- 中国女性拇外翻特点: 长期高跟鞋穿戴 + 关节松弛 + 合并平足 / 跟腱挛缩 较多
- 老年中国患者 + 家庭照护文化 — 术后康复方案要考虑家人协助
- 中文术语 / 患者教育资料用中文圈语言, 不是直接翻译
局限:
- 「本土化」不能成为不学国际的借口 — 国内仍需向国际看齐
- 部分本土化主张缺乏严谨 RCT 支持, 是经验性
- 中国患者人群异质性 — 一二线城市 vs 县城 / 城市 vs 农村 差异大
证据来源:
- [Primary] 张建中 多次中华足踝年会 keynote
- [Primary] 国内足踝外科教材 (中华医学会骨科分会主编) 章节
- [Primary] 北京同仁中心临床体系
3. 学科建设 + 培养梯队 是临床进步的载体
一句话: 单个医生再厉害, 也不如建立学科 + 培养梯队 — 国内足踝外科要进步, 必须培养队伍.
它说的是: 张建中 1999 年归国创建国内首家足踝专科, 从无到有. 之后 25+ 年最重要的工作不只是手术, 而是培养梯队 — 全国 200+ 学习班 / 400+ 学员 / 自主开发 50+ 技术 / 中华足踝学组建设. 单个医生 4 万患者已经接近极限, 但培养 400 个学员意味着每年覆盖 40 万+ 患者. 学科建设是临床进步的载体 + 倍增器.
What this file has done since we first saw it
Hashed on every crawl. A supply-chain change to an agent config is a question of when, not whether, so the history is kept rather than the latest state alone.
- 12d ago First seen · 213 lines · 103 tokens per session scan A 62cc48c362aa
zhang-jianzhong-tongren-perspective is a skill published in the GitHub repository swaylq/master-skill (128 stars, last pushed 6d ago), licensed MIT. It adds 103 tokens to every session and 3,880 once invoked, about $0.0005 per session on Opus 5. A static security scan graded it A with 0 findings. No closer match exists in the catalogue, so it is treated as the original; first seen 2026-08-30.
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