问题 问答题

王××,男,2岁。2002年8月20日就诊。主诉:腹泻2天。现病史:患儿于2天前起病,腹痛,腹泻,大便黄色稀水便,挟少许粘冻,气味秽臭,量较多,日行7~8次,轻度发热,口渴,便时哭闹,肛门灼热发红,食少,恶心未吐,小便短黄。曾用思密达等药治之,疗效不显。查体:T:38℃,神烦,体倦,口唇干红,舌红,苔黄腻,指纹紫滞。心肺(-),腹软,无明显压痛,无明显脱水征,肝脾不肿大。大便常规检查:白细胞少许,红细胞:0~1/HP。就本例患儿写出中西医诊断,中医证型,病机分析,提出治法、主方,开出处方。

答案

参考答案:诊断:泄泻,湿热泻。(急性肠炎) 病机分析:夏日暑湿当令,患儿感受湿热之邪,蕴结脾胃,下注大肠,传化失职,故见泻下黄色稀水便,挟少许粘冻,气味秽臭;湿性粘腻,热性急迫,湿热交阻,中焦气机不畅,故便时哭闹,肛门灼热发红;湿困脾胃,胃失和纳,则食少,恶心未吐;热重于湿,则见轻度发热、口渴、舌红,苔黄腻;湿热注下,故见小便短黄;指纹紫滞乃湿热蕴结实证之征。病机总属湿热蕴结,肠失传导。治法:清热利湿。主方:葛根黄芩黄连汤加减。 处方:煨葛根10g,黄芩6g,黄连2g,马鞭草10g,煨木香4g,法半夏6g,茯苓10g,藿香10g,六一散(包)10g,焦山楂10g。口服补液盐1包,冲水频服。

阅读理解

阅读理解。

    I received pictures of my daughter floating (漂浮) on a lake in California. Right there under the sun during

the hottest time of the day, she has only her swimsuit to cover her.

    When I showed it to my students, it was as if I had shown them scenes from a horror (恐怖) movie.

    "But she will get dark," they said. 

    "That's what she wants," I told them. "We think darker skin (肤色) is beautiful."

     They looked at me in disbelief. It was as if I came from the moon.

     For years, American girls spend their summer trying to get as tanned (晒黑) as possible. In China, on the

other hand, girls use umbrellas all year round.

     What in the world is going on?

     The pale skin we think looks unattractive (不漂亮) is what Asian women want. Both groups want to meet

their culture's standard (标准) of beauty.

     In the US, if you can afford to go on vacation in the summer, you head for a river, a lake or a beach,

where you try to get as much sun as possible. If you are rich you take a winter vacation in some sunny spot.

Your winter tan shows your wealth.

     In China, once upon a time, the few wealthy were the ones who didn't have to work out in the hot sun. So

the whiter the skin, the richer the woman. The folk opera performers who play these ladies wore lots of white

makeup (妆容). The tradition survives to this day.

     So it comes naturally that none of my students wishes to follow the Western ways in this regard.

     But now I am noticing that a new business-the tanning booth (美黑店)-started up in China. I admire those

brave enough to define (给…下定义) their own idea of beauty, but I do wonder what their grandmothers

would have to say to them about it!

1. The students were shocked at the picture the writer showed them because _____. [ ]

A. they thought it shameful for a girl only to wear a swimsuit

B. the writer's daughter was wearing very little while out in the sun

C. it is dangerous for a girl to be out on a lake alone

D. with the powerful sunlight the writer's daughter would have got a suntan

2. According to the article, which kind of woman meets the American standard of beauty? [ ]

A. Women with blond hair.

B. Women with a slim figure.

C. Women with tanned skin.

D. Women with pale skin.

3. In the US a winter tan usually means the person _____. [ ]

A. is hard-working

B. doesn't have to work

C. has a lot of money and spare time

D. is from a very poor family

4. The writer _____ the tanning booth started up in China. [ ]

A. is not interested in

B. doesn't understand

C. doesn't like

D. has mixed feelings about

单项选择题