在現代與傳統、城市與偏鄉的二元對比中，王湘琦的小說〈沒卵頭家〉描寫偏鄉村民的一場神秘怪病，這個疾病導致村民的身體產生變異，村民依過往的風俗習慣，選擇以巫醫療法來面對困難。然而城鄉的差異與知識權力的不平等，囿限了村民的思維與行徑。尤其在醫病間相對弱勢的患者角度裡，主人翁吳金水病體治癒後，留下的卻是內心無法填補的缺憾，揭示出象徵體制下傳統價值觀的傳承與影響，這樣的深層心態實有待深入的關注與探討。因此本文擬從偏鄉病人的身體變異出發，剖析鄉民面對疾病的心理與行為，現代醫學與知識介入後的差異碰撞，以及主人翁選擇「殘身」導致心靈匱缺的補償推力，最後藉由小說結尾的光明導向，提出一個敘事治療的詮釋途徑。

In the binary contrast between modernity and tradition, city and partiality, Wang Xiangqi’s novel “No Scrotum Boss” describes a mysterious disease in a black humor way, which causes the villagers’ body to mutate. In accordance with past customs and habits, choose to face difficulties with folklore therapy. However, the differences between urban and rural areas and the inequality of intellectual power limit the thinking and behavior of villagers. Especially in the perspective of patients with relatively weak medical conditions, the main body Wu Jinshui’s body is cured, leaving behind the insufficiency of inner heart, revealing the inheritance and influence of traditional values under the symbolic system. Attention and discussion. Therefore, this paper intends to analyze the psychology and behavior of the rural people in the face of the disease, the psychological conflicts between the modern people and the knowledge, and the compensation thrust of the master's choice of "residual body" leading to the lack of mind. Through the light guidance at the end of the novel, try to propose a reference aspect of narrative therapy from the perspective of the reader's interpretation.