问题 问答题 简答题

病例摘要:宋某,男,42岁,农民。2012年7月28日就诊。昨日夜间感寒后突发腹泻,色黄如水,腹痛肠鸣,至上午已十余次,周身酸痛,肢体沉困,胸脘痞闷,不能纳食,微恶风寒。舌苔白,脉濡缓。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:请与痢疾相鉴别。

答案

参考答案:

主诉:腹泻1天。

中医辨病辨证依据(含病因病机分析):

患者以大便清稀,排便次数增多为主症,故诊断为泄泻。时值长夏,暑湿挟寒,客于胃肠,则病泄泻。邪客胃肠,传导失司,湿滞混杂而下,大便溏稀,色黄如水,次数频多,腹痛肠鸣;胃纳失司,升降不利则胸脘痞闷,不能纳谷;寒湿伤人,阳气不展,则周身酸痛,肢沉体困;舌苔白,脉濡缓均为寒湿内盛之征。故辨证为寒湿内盛证。

中医病证鉴别(中医执业考生作答):

泄泻与痢疾的鉴别:两者均为大便次数增多、粪质稀薄的病证。泄泻以大便次数增加,粪质稀溏,甚则如水样,或完谷不化为主症,或伴见腹痛肠鸣。痢疾以腹痛,里急后重、便下赤白脓血为特征。

诊断:

中医疾病诊断:泄泻中医证候诊断:寒湿内盛证

中医治法:散寒化湿

方剂:藿香正气散加减

药物组成、剂量及煎服法:

完形填空
完形填空。
     My sister and I grew up in a little village in England. Our father was a struggling   1  , but I always knew
he was   2  . He never criticized us, but used   3   to bring out our best. He'd say," If you pout water on
flowers, they flourish. If you don't give them water, they die." I   4   as a child I said something   5   about
somebody, and my father said, "   6   time you say something unpleasant about somebody else, it's a reflection
of you." He explained that if I looked for the best   7   people, I would get the best   8  . From then on I've
always tried to   9   the principle in my life and later in running my company.
      Dad's also always been very  10  . At 15, I started a magazine. It was  11  a great deal of my time, and the
headmaster of my school gave me a  12   : stay in school or leave to work on my magazine.
     I decided to leave, and Dad tried to sway me from my decision,  13  any good father would. When he
realized I Had made up my mind, he said, "Richard, when I was 23, my dad  14  me to go into law. And I've 
 15  regretted it. I wanted to be a biologist,  16  I didn't pursue my  17 . You know what you want. Go fulfill it."
     As  18   turned out, my little publication went on to become Student, a national  19  for young people in the
U.K. My wife and I have two children, and I' d like to think we are bringing them up in the same way Dad  20  
me.
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