问题 问答题 简答题

病例摘要:李某,女,26岁,未婚,工人。患者自幼时(20余年前)即出现发作性肢体抽搐,牙关紧闭,发作时意识不清,半分钟至数分钟症状缓解。于当地医院诊断为"癫痫",服用抗癫痫药,上述症状少有发作。1个月前,患者自行减少抗癫痫药物服用,其后发作数次肢体抽搐、意识不清,约1分钟可缓解。现已加用抗癫痫药物,为求中药配合治疗,前来就诊。刻下症见:无肢体抽搐发作,自觉倦怠乏力,时感胸闷、恶心,晨起咯痰,色白质稀,纳差便溏。舌质淡,苔白腻,脉濡。答题要求:1.根据上述病例摘要,在答题卡上完成书面辨证论治。2.中医病证鉴别:请与厥证相鉴别。

答案

参考答案:

主诉:发作性肢体抽搐20余年。

中医辨病辨证依据(含病因病机分析):

患者发作性四肢抽搐20余年,诊断为痫病。患者先天禀赋不足,至心脑神机受损,而发痫病;脾虚不运,生化乏源,气血不足,而见倦怠乏力;脾虚痰湿内生,而见胸闷、恶心,咯吐稀白痰涎;脾虚运化乏力,故见纳差便溏;舌淡苔白腻,脉濡亦为脾虚痰盛之象。综上,辨证为脾虚痰盛证。

中医病证鉴别(中医执业考生作答):

痫病与厥证的鉴别:二者均可见到突然仆倒、昏不识人的主症,厥证则还有面色苍白、四肢厥冷,但无痫病所表现的口吐涎沫、双目上视、四肢抽搐甚则口中怪叫等症状。

诊断:

中医疾病诊断:痫病中医证候诊断:脾虚痰盛证

中医治法:健脾化痰

方剂:六君子汤

药物组成、剂量及煎服法:

阅读理解

阅读理解

     It's not easy being a teenager(13至19岁青少年)-nor is it easy being the parent of a teenager. You

can make your child feel angry, hurt, or misunderstood by what you say without realizing it yourself. It is

important to give your child the space he needs to grow while gently letting him know that you you'll still

be there for him when he needs you.

     Expect a lot from your child, just not everything.Except for health and safety problems, such as drug

use or careless driving; consider everything else open to discussion. If your child is unwilling to discuss

something, don't insist he tell you what's on his mind. The more you insist, the more likely that he'll clarn

up. Instead , let him attempt to solve(解决)things by himself. At the same time, remind him that you're

always there for him should he seek advice or help. Show respect for your teenager's privacy (隐私).

Never read him his mail or listen in on personal conversations.

     Teach your teenager that the family phone is for the whole family. If your child talks on the family's

telephone for too long, tell him he can talk for15 minutes, but then he must stay off the phone for at least

an equal period of time. This not only frees up the line so that other family members can make and

receive calls, but teaches your teenager moderation(节制). Or if you are open to the idea, allow your

teenager his own phone that he pays for with his own pocket money or a part -time job

1. The main purpose of the text is to tell parents      .

A. how to get along with a teenager    

B. how to respect a teenager

C. how to help a teenager grow up      

D. how to understand a teenager

2. What does the phrase "clam up" in Paragraph 2 probably mean?

A. refuse to talk  

B. show respect    

C.become excited      

D. seek help

3.The last paragraph is about how to teach a teenager

A. to answer the phone quickly      

B. to pay for his own telephone

C. to share the phone quickly        

D. to use the phone in a sensible way

4. What should parents do in raising a teenager according to the text?

A. Nor allow him to learn driving or take drugs  

B. Give him advice only when necessary

C. Let him have his own telephone            

D. Not talk about personal things with him

单项选择题