问题 单项选择题

患者,男,51岁。有心脏病史8年,此次因劳累受凉后发作。症见喘促日久,呼多吸少,动则更甚,形寒神疲,渐至喘促持续不解,抬肩撷肚,面赤躁扰,汗出如珠,脉浮大无根。查体:双肺可闻及干、湿哕音,心率,130次/分,心尖区可闻及舒张期奔马律,中医诊为“心力衰竭”,除西药治疗外,治疗应首选()

A.通脉四逆汤合参附龙牡汤

B.真武汤合五苓散

C.参附汤合五苓散

D.圣愈汤合小陷胸汤

E.参附汤合葶苈大枣泻肺汤

答案

参考答案:A

解析:呼多吸少,形寒神疲为心肾阳虚,面赤躁扰,汗出如珠,脉浮大无根为阳气欲脱。应首选通脉四逆汤合参附龙牡汤。

单项选择题
阅读理解

A

The choice to adopt and hold gratefulness is the one that is different from those who suffer misfortune and those who enjoy a full life.

My mother died when I was 24. It was a very difficult time in my life — everything seemed to fall apart. I lost my job, and then my utilities were turned off. I had to take cold showers for six months. A neighbor who knew about my situation came to my house and made me an offer. I took care of her children as a job, and I no longer went hungry. I was surprised that someone would trust me — a young woman with her children. And it was with the very confidence that before long I began taking care of other people’s children, too. I have since moved 300 miles from Boise, Idaho. For more than 23 years I have made every effort to reach out to all the kind-hearted people who helped me when I was down and out. Without their trust, I don’t know what I would have done. I am very involved in my community and volunteer at the local food bank, and I help out whenever I can. I’d like to owe what I am to whoever has offered me generosity.

If you are grateful for what you already have, the world will work together to give you more to be grateful for. Otherwise, the world will give you more to complain about.

Moreover, the true master learns to be grateful, in advance, for the things that are desired, because, being grateful in advance for some attainment or accomplishment does two very important things: one…it tricks your subconscious into believing that the goal is certain and two…it convinces other people, with whom you must interact to achieve your desires, that you know what you are about, that you are a winner, not a whiner (哀诉者).

小题1:The underlined word “utilities” refers to __________ in the passage.

A.water and gas supplies

B.gas and electricity supplies

C.shower equipment and water supply

D.heating and TV signals小题2: The writer was grateful mainly for ___________.

A.his neighbor’s donation

B.his community

C.having got the job

D.others’ trust小题3: The writer’s personal story in the second paragraph tells us that __________.

A.to be grateful will get you nowhere but away from home

B.a grateful person is most likely to be successful

C.we need to be grateful to be helpful and useful

D.the fragrance (芳香) stays in the hand that gives the rose小题4:The best title for the passage would be ____________.

A.A Thank-You Note to Trusting Neighbor

B.You Are a Winner, Not a Whiner

C.Be Grateful to Life in Advance

D.Gratefulness Brings a Great Fullness to Life