问题 问答题 案例分析题

张某,男,37岁,工人。2000年8月21日初诊。患者白睛红赤肿痛3天,羞明流泪,眵多清稀,头额胀痛,舌红、苔薄黄,脉浮数。试析:本病的病因病机、诊断、证型、治则、针灸处方及方义。

答案

参考答案:

病因病机:外感风热之邪,侵袭目窍,经气阻滞,火郁不宣,致目赤肿痛。 

诊断:目赤肿痛。 

证型:风热外袭证。 

治则:疏风散热、泻火解毒,只针不灸,泻法。 

处方:攒竹、瞳子醪、太阳、合谷、太冲、风池、曲池。 

方义:目在头面,诸阳经之脉均循行于眼区。攒竹为足太阳经腧穴,能宣泄患部之郁热,有通络明目作用;瞳子髅属足少阳经穴,可疏泻肝胆之火;太阳为经外奇穴,位于眼旁,点刺出血可清热明目;手阳明经穴合谷可调阳明经气、疏泄风热;目为肝窍,太冲乃肝经原穴,可导厥阴经气,降肝火而明日;风池、曲池可加强疏风散邪之力。 

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     A young man was getting ready to graduate from college, for many months he had   1   a beautiful sports car in a dealer's showroom, and   2   his father could well   3    it, he told him that was all he wanted.   
     On the morning of his graduation day his father called him into his own study and told him how   4    he was to have such a fine son. He handed his son a beautiful gift box.   5    but slightly disappointed, the
young man   6   the box and found a lovely book.   7    , he raised his voice at his father and said, "  8  
all your money you give me a book?" And rushed out of the house    9    the book in the study.  
     He did not contact(联系)his father for a whole year   10  one day he saw in the st reet an old man
who looked like his father. He   11   he had to go back home and see his father.   
     When he arrived at his father's house, he was told that his father had been in hospital for a week. The
moment he was about to   12   the hospital, he saw on the desk the   13  new book, just as he had left it
one   14  ago. He opened it and began to  15   the pages. Suddenly, a car key  16   from an envelope
taped behind the book. It had a lag (标签) with dealer's name, the  17  dealer who had the sports car he
had    18   . On the tag was the  19   of his graduation. and the   20  PAID IN FULL.

( )1.  A. expected  
( )2.  A. finding  
( )3.  A. afford  
( )4.  A. encouraged
( )5.  A. Nervous  
( )6.  A. packed  
( )7.  A. Angrily  
( )8.  A. At        
( )9.  A. toasting  
( )10. A. until    
( )11. A. learned  
( )12. A. get to    
( )13. A. much    
( )14. A. year    
( )15. A. clean    
( )16. A. lost    
( )17. A. old     
( )18. A. remembered
( )19. A. picture  
( )20. A. words    
B. enjoyed.  
B. proving    
B. offer      
B. comfortable
B. Serious    
B. opened    
B. Eagerly    
B. From      
B. putting    
B. as        
B. realized                    
B. search for           
B. still                     
B. month      
B. read      
B. came      
B. same      
B. desired    
B. place      
B. information
C. admired    
C. deciding    
C. keep        
C. proud      
C. Careful    
C. picked up    
C. Calmly      
C. With        
C. forgetting  
C. before      
C. recognized  
C. turn to                       
C. hardly      
C. week        
C. turn      
C. appeared   
C. special      
C. found      
C. date        
C. date        
D. owned    
D. knowing  
D. like    
D. moved    
D. Curious  
D. put aside
D. Anxiously
D. To      
D. leaving  
D. unless                   
D. admitted
D. leave for           
D. quite    
D. day      
D. count    
D. dropped  
D. new      
D. met      
D. met      
D. card    
单项选择题