问题 问答题

丁某,女,28岁,已婚。
初诊日期:2001年9月10日。因产后十余天,微热自汗,小腹绵绵作痛就诊。患者分娩时失血过多,产后小腹绵绵作痛,喜按,恶露量少色淡,至今腹痛不止。近五天来,身有微热,自汗,伴头晕耳鸣,目眩,心悸少寐,手足麻木,大便干燥。检查:面色萎黄,舌淡红,苔薄,脉虚细微数。腹软,喜按。
要求:诊断、病机要点、治法、方药。

答案

参考答案:诊断:产后发热,产后腹痛;血虚型。
病机要点:患者分娩时失血过多而致血虚。营血亏虚,胞脉失养,或气随血耗,气虚运血无力,血行迟滞,故令小腹痛。阴血骤虚,阳无所附,虚阳浮越于外,则引起发热。
治法:养血益气,和营退热。
方药:八珍汤加味。
熟地15g、白芍15g、当归15g、川芎10g、党参10g、白术15g、茯苓10g、甘草6g、黄芪20g、地骨皮 15g。

单项选择题

As Philadelphia grew from a small town into a city in the first half of the eighteenth century, it became an increasingly important marketing center for a vast agricultural hinterland. Market days (1) the crowded city even more crowded, as farmers from within a (2) of 24 or more kilometers brought their sheep, vegetables, cider and other products for direct sale to the (3) . The High Street Market was continuously (4) throughout the period until 1736, (5) it (6) from Front Street to Third. By 1745 New Market was opened on Second Street. The next year the Callow Hill Market began (7) .

Along with market days, the (8) of twice-yearly fairs persisted in Philadelphia (9) after similar trading days had been discontinued in other colonial cities. The (10) provided a means of bringing handmade goods from (11) places to would-be buyers in the city. Linens and stockings from Germantown, (12) , were popular items.

Auctions were another popular (13) of trade. Because of the competition, retail (14) opposed these as well as the fairs. (15) governmental attempts to eradicate fairs and auctions were less than successful, the ordinary (16) of economic development was on the merchants’side, as increasing business specialization became the (17) of the day. Export merchants became differentiated from their importing counterparts, and specialty shops began to appear (18) general stores selling a variety of goods.

One of the reasons Philadelphia’s merchants prospered was because the surrounding area was undergoing tremendous economic and demographic growth. They did their business, (19) , in the capital city of the province, (20) to not only the governor and his circle, but citizens from all over the colony.

3()

A.townspeople

B.farmers

C.merchants

D.governors

单项选择题