Just as a book is often judged ________ by the quality and appearance of its cover, a person is judged

immediately by his appearance. [      ]

A. previously  

B. uniquely

C. outwardly  

D. initially

患者腹部积块明显，质地较硬，固定不移，刺痛，形体消瘦，纳谷减少，面色晦暗黧黑，舌质紫，脉细涩。治疗应首选（）

A.逍遥散 

B.六磨汤 

C.柴胡疏肝散合失笑散 

D.膈下逐瘀汤合六君子汤 

E.八珍汤合化积丸