You can think of a puffer as the thing that puffs. A puff is one short breath of air. Some puffers send a little cloud of air out; others fill up with air until they go round and fat. Hold that one breath of air in mind and the fish, the medicine device and the winter coat all sit in the same picture.
puffer 可以想成「跟一口氣有關的那個東西」。puff 就是短短的一口氣。有的 puffer 是把那口氣噴出去,像按一下就噴出藥的吸入器;有的 puffer 是把那口氣裝進自己身體裡,鼓成圓圓的一團,像河豚,也像塞滿羽絨的厚外套。先記住「一口氣」這個畫面,三個意思就不會各走各的。
From the word’s history
Wiktionary analyses the word as puff + -er, that is, the one that puffs.
來源資料把這個字拆成 puff(吹一口氣)加上 -er(做這件事的人或東西),所以字面就是「會吹氣的那個」,正好對上現在的每一個用法。
Wiktionary, "puffer"
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