74.患者腹痛拘急,得温痛减,遇冷更甚,饮食减少,口不渴,小便清利,舌苔白腻,脉沉紧。其证候是
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/fbdadc769a114a22a3fe1aa91c6eb04e.png)
.气滞HBAWFDFROXDABSUQ
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/72d8bb5c365a4b57bbf2f004a98f2ad0.png)
.实寒CKRLTYGVMEOHPXNE
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/06d72aeea77b4bafa5784f3aef2759f7.png)
.血瘀OYFVPKMMWCRPIYLN
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/f150c2f8ba9e4dec8893b99a75f80ce4.png)
.实热XQCOYFRHTEJBNXBQ
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/5528edf1d8d746f49d862be4a652ebd5.png)
.虚寒KYKCNXBRWENRGPNN
解析:解析:此证为寒邪凝滞,中阳被遏,脉络痹阻,属于实寒。故选B。
https://www.shititong.cn/cha-kan/shiti/0005e1ce-3c55-8358-c044-ce3414c8e900.html
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106.患者腹大坚满,脉络怒张,胁腹刺痛,面色暗黑,面颈胸臂有血痣,手掌赤痕,大便色黑,舌质紫暗有紫斑,脉细涩。治疗上应首选
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/fbdadc769a114a22a3fe1aa91c6eb04e.png)
.实脾饮EFDRFQHJXUSRRT
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/72d8bb5c365a4b57bbf2f004a98f2ad0.png)
.膈下逐瘀汤TGRFOXHXAJ
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/06d72aeea77b4bafa5784f3aef2759f7.png)
.调营饮VLLIVSOROMNTNF
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/f150c2f8ba9e4dec8893b99a75f80ce4.png)
.血府逐瘀汤HUJSQVXQEL
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/5528edf1d8d746f49d862be4a652ebd5.png)
.少腹逐瘀汤JVXGGVEFFS
解析:解析:患者腹大坚满为鼓胀表现。考生注意抓特征性表现,脉络怒张,胁腹刺痛,舌质紫暗有紫斑,此为瘀血之象,属于鼓胀的肝脾血瘀证,治以活血化瘀,行气利水。方用调营汤。故选C。
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166.真心痛正虚阳脱证,宜选用
A. 天麻钩藤饮
B. 半夏白术天麻汤
C. 镇肝熄风汤
D. 补阳还五汤
E. 地黄饮子
解析:解析:真心痛寒凝心脉证代表方为当归四逆汤,治疗真心痛正虚阳脱证代表方为治疗四逆加人参汤,故2题选B,3题选C。
组题:(以下小题共用备选项)
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17.患者心悸不宁,心烦少寐,头晕目眩,手足心热,耳鸣腰酸,舌红少苔,脉细数。其治法是
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/fbdadc769a114a22a3fe1aa91c6eb04e.png)
.滋养肝肾,镇惊安神XS
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/72d8bb5c365a4b57bbf2f004a98f2ad0.png)
.滋阴清火,养心安神VK
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/06d72aeea77b4bafa5784f3aef2759f7.png)
.滋阴益肾,定志安神YQ
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/f150c2f8ba9e4dec8893b99a75f80ce4.png)
.益肾养心,镇惊安神EC
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/5528edf1d8d746f49d862be4a652ebd5.png)
.滋阴养心,定志宁神UN
解析:解析:由患者表现可知本证属于肝肾阴虚,心火不降,心火内动,扰动心神,治疗宜滋阴清火,养心安神。故选B。
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28.患者,女,38岁。咳嗽声重,痰略稀白,恶寒无汗,舌苔薄白,脉浮紧。其证候是
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/fbdadc769a114a22a3fe1aa91c6eb04e.png)
.风寒袭肺DUVFIXHJAPYM
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/72d8bb5c365a4b57bbf2f004a98f2ad0.png)
.痰湿蕴肺GJWNOWBYRTFH
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/06d72aeea77b4bafa5784f3aef2759f7.png)
.风热犯肺HDGEUVINIDAM
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/f150c2f8ba9e4dec8893b99a75f80ce4.png)
.肝火犯肺AOYYSHSMYNRH
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/5528edf1d8d746f49d862be4a652ebd5.png)
.风燥伤肺CPEAIWWIONXF
解析:解析:咳嗽声重为风寒束肺,肺气壅遏,不得宣通。咳痰稀薄色白为寒邪袭肺,气不布津,津液凝聚为痰。恶寒发热无汗为风寒外束,郁于肌表。苔薄白,脉浮紧为风寒表象。故选A。
https://www.shititong.cn/cha-kan/shiti/0005e1ce-3c54-79b8-c044-ce3414c8e900.html
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135.患者多食易饥,形体消瘦,大便干燥,苔黄,脉滑实有力。其证候是
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/fbdadc769a114a22a3fe1aa91c6eb04e.png)
.上消之肺热津伤证TYEP
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/72d8bb5c365a4b57bbf2f004a98f2ad0.png)
.中消之胃热炽盛证BTAX
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/06d72aeea77b4bafa5784f3aef2759f7.png)
.下消之肾阴亏虚证PUPN
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/f150c2f8ba9e4dec8893b99a75f80ce4.png)
.上消之阴阳两虚证UIXD
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/5528edf1d8d746f49d862be4a652ebd5.png)
.中消之气阴亏虚证RJRA
解析:解析:胃火炽盛,胃热消谷,耗伤津液导致的多食易饥,形体消瘦,大便干燥,苔黄,故本证属于中消之胃热炽盛证。故选B。
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128.患者皮肤有大量青紫点,手足烦热,颧红咽干,午后潮热,盗汗,月经过多,色红而稠,伴齿衄。舌红少苔,脉细数。证型是
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/fbdadc769a114a22a3fe1aa91c6eb04e.png)
.阴虚火旺PDRHGUBPKADF
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/72d8bb5c365a4b57bbf2f004a98f2ad0.png)
.脾不摄血PCHOOURBUIDM
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/06d72aeea77b4bafa5784f3aef2759f7.png)
.血热伤络LMRHSSEDIMLD
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/f150c2f8ba9e4dec8893b99a75f80ce4.png)
.肝肾阴虚YEOLYQYRANXX
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/5528edf1d8d746f49d862be4a652ebd5.png)
.气滞血瘀HHBDHJGGYEVS
解析:解析:虚火内炽,灼伤脉络,血溢肌肤,导致皮肤有大量青紫点。手足烦热,颧红咽干,午后潮热,属于阴虚火旺。故选A。
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44.患者头痛昏蒙,胸脘满闷,呕恶痰涎,苔白腻,脉滑或弦滑。其治疗应首选
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/fbdadc769a114a22a3fe1aa91c6eb04e.png)
.二陈汤WYKYYGADBSNFVW
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/72d8bb5c365a4b57bbf2f004a98f2ad0.png)
.涤痰汤GSYOWLFIYCVEHV
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/06d72aeea77b4bafa5784f3aef2759f7.png)
.半夏白术天麻汤OLBFKF
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/f150c2f8ba9e4dec8893b99a75f80ce4.png)
.滚痰丸MEXAYDTMXJSYPY
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/5528edf1d8d746f49d862be4a652ebd5.png)
.苓桂术甘汤PPGGLOQOYI
解析:解析:本证属脾失健运,痰浊中阻,上蒙清窍所致。治法:健脾燥湿,化痰降逆。代表方:半夏白术天麻汤加减。本方功能健脾化痰,降逆止呕,平肝息风,用于治疗脾虚生痰,风痰上扰清空所导致的头痛。故选C。
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11.患者咳嗽,胸痛,发热,咯吐腥臭浊痰,甚则脓血相兼。其治疗原则是
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/fbdadc769a114a22a3fe1aa91c6eb04e.png)
.扶正为主MEYUKUSCFBCE
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/72d8bb5c365a4b57bbf2f004a98f2ad0.png)
.祛邪为主QKBUUXFTCSVE
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/06d72aeea77b4bafa5784f3aef2759f7.png)
.标本兼顾IWTJCVTLXKEW
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/f150c2f8ba9e4dec8893b99a75f80ce4.png)
.反治为主AUKRUFHYFWIV
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/5528edf1d8d746f49d862be4a652ebd5.png)
.实则泻其子LSJNFAFSIU
解析:解析:热毒蕴肺,蒸液成痰,热壅血瘀,属于成痈期,治疗以祛邪为主。故选B。
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39.患者多梦易醒,心悸健忘,眩晕,肢倦神疲,纳呆,面色少华,舌淡,苔薄,脉细弱。其证候是
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/fbdadc769a114a22a3fe1aa91c6eb04e.png)
.肝火扰心YMKFGRCDVKPU
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/72d8bb5c365a4b57bbf2f004a98f2ad0.png)
.心脾两虚PUDQSRNAJBJO
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/06d72aeea77b4bafa5784f3aef2759f7.png)
.心胆气虚FEJLWHUFKNTC
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/f150c2f8ba9e4dec8893b99a75f80ce4.png)
.痰火扰心SYFRJIFHYADJ
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/5528edf1d8d746f49d862be4a652ebd5.png)
.心肾不交JYTSOUPWCUYC
解析:解析:从患者肢倦神疲,纳呆,面色少华的表现可知,患者有脾失健运、心血不足之象。血不养心,神不守舍,故多梦易醒,心悸健忘。血虚不能上奉于脑,则眩晕。故答案选B。
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