问题 单项选择题 A3/A4型题

患者,男,27岁,因暴食,次日出现腹泻,腹痛肠鸣,泻下物为未消化食物,臭如败卵,泻后痛减,伴厌食、嗳腐,舌苔厚腻,脉滑。

若病人食积较重,脘腹胀满,苔垢浊而厚,应()

A.加木香、枳实

B.改用大承气汤

C.加大山楂、六神曲

D.改用枳实导滞丸

E.加大黄、黄芩

答案

参考答案:D

解析:1.寒湿泄泻--症状:泄泻清稀,甚如水样,腹痛肠鸣,脘闷食少,苔白腻,脉濡缓。若兼外感风寒,则恶寒发热头痛,肢体酸痛,苔薄白,脉浮。治法:芳香化湿,解表散寒。方药:藿香正气散。2.湿热泄泻--症状:泄泻腹痛,泻下急迫,或泻而不爽,粪色黄褐,气味臭秽,肛门灼热,烦热口渴,小便短黄,苔黄腻,脉滑数或濡数。治法:清热利湿。方药:葛根芩连汤。3.伤食泄泻--症状:腹痛肠鸣,泻下粪便,臭如败卵,泻后痛减,脘腹胀满,嗳腐酸臭,不思饮食,苔垢浊或厚腻,脉滑。治法:消食导滞。方药:保和丸。4.脾虚泄泻--症状:大便时溏时泻,迁延反复,完谷不化,饮食减少,食后脘闷不舒,稍进油腻食物,则大便次数明显增加,面色萎黄,神疲倦怠,舌淡苔白,脉细弱。治法:健脾益气。方药:参苓白术散。5.肾虚泄泻--症状:黎明之前脐腹作痛,肠鸣即泻,泻下完谷,泻后则安,形寒肢冷,腰膝酸软,舌淡苔白,脉沉细。治法:温补脾肾,固涩止泻。方药:四神丸。6.肝郁泄泻--症状:时有胸胁胀闷,嗳气食少,每因抑郁恼怒或情绪紧张之时,发生腹痛泄泻,腹中雷鸣,攻窜作痛,矢气频作,舌淡红,脉弦。治法:抑肝扶脾。方药:痛泻要方。

单项选择题
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SPECIAL EVENTS THIS WEEKEND

Captain Goodfellow

Do your children enjoy interesting stories, funny games, and exciting dances? Captain Goodfellow will be ready to teach all these things to children of all ages at the City Theatre on Saturday morning at 10:00. Free.

Walking Tour of the Town

Forget your worries on Saturday morning. Take a beautiful walk and learn about local history. Meet at the front entrance of City Hall at 9:30. Wear comfortable shoes!

Films at the Museum

Two European films will be shown Saturday afternoon at the Museum Theater. See Broken Window at 1:30. The Workers will be at 3:45. For further information, call 4987898.

International Picnic

Are you tired of eating the same food every day? Come to Central Park on Saturday and enjoy food from all over the world. Delicious and not expensive. Noon to 5:00 pm.

Take Me out to the Ballgame

It’s October, and tonight is your last chance to see the Redbirds this year. Get your tickets at the gate. It might be cold, so don’t forget sweaters and jackets.

Do You Want to Hear “The Zoo”

“The Zoo”, a popular rock group from Australia, will give their first US concert tomorrow night at 8 at Rose Hall, City College.

1. You can probably eat Chinese, Italian, and Arabian food at_______.

A. the front entrance of City Hall                      

B. the City Theatre

C. Rose Hall                                                   

D. Central Park on Saturday

2. You can see movies at the_______.

A. City College                                                      

B. Museum Theater                    

C. City Theater                                                      

D. Central Park

3. If you are going on the Walking Tour, don’t forget to______.

A. take some food                                           

B. tell interesting stories

C. learn about local history                                      

D. wear your comfortable shoes

4. The Redbirds ballgame ______.

A. is held in the afternoon                                           B. might be held outside

C. is held at the gate                                             D. might need sweaters and jackets

5. “The Zoo” is ______.

A. a park with lots of animals there                      

B. a US concert

C. a music group                                                       

D. going to give the concert at 8 am. tomorrow