系统性红斑狼疮患者，近1周病情加重，X线胸片示肋膈角变钝，症见胸闷胸痛，心悸怔忡，时有微热，咽干口渴，烦热不安，红斑皮疹，舌红苔厚腻，脉濡数。治疗应首选的方剂是（）
A.葶苈大枣泻肺汤合泻白散
B.瓜蒌薤白桂枝汤
C.桂枝芍药知母汤
D.化斑汤
E.丹参饮
参考答案：A
解析：根据题干描述，患者病情加重，出现胸水，舌红苔厚腻，脉濡数，中医治疗可用葶苈大枣泻肺汤合泻白散清热蠲饮。瓜蒌薤白桂枝汤主治胸阳不振、痰气互结之胸痹。桂枝芍药知母汤主治寒热错杂之痹证。化斑汤主治气血两潘之发斑，症见发热，或身热夜甚，外透斑疹，色赤，口渴或不渴，脉数等。丹参饮由丹参、砂仁、檀香三味药组成，主治血瘀气滞之心胃诸痛。
Last August ,our class________ something very special on our school trip .We ________ to Mount Tai .We ________ our trip at 12:00 at night .Everyone in our class _______ a bag with some food and water .After three _______ ,someone _____ at the map and found out we were’t anywhere near the top. My legs _________ so tired that I wanted ______.My classmates told me _______ going ,so I went on.Twenty ________ later ,the sun started to come up .It was so beautiful that we forgot about the last five hours !
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