174.治疗呕吐肝气犯胃证,应首选
A. 健脾化湿
B. 温中健脾
C. 温中补肾
D. 散寒止痛
E. 散寒除湿
解析:解析:治疗胃痛肝气犯胃证,应首选柴胡疏肝散,本方疏肝理气,用于胃痛胀闷、攻撑连胁之证,故9题选A。治疗呕吐肝气犯胃证,应首选半夏厚朴汤,本方用于消胀化积。故10题选D。
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112.患者,女,45岁。浮肿3个月余,下肢为甚,按之凹陷不易恢复,劳累后加重,脘腹胀闷,纳减便溏,面色萎黄,神倦乏力。其证候是
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/fbdadc769a114a22a3fe1aa91c6eb04e.png)
.湿毒浸淫SMTNMFXKTYIF
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/72d8bb5c365a4b57bbf2f004a98f2ad0.png)
.水湿浸渍PXOYBJXEFVDC
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/06d72aeea77b4bafa5784f3aef2759f7.png)
.睥阳虚衰SFFDEAKLQXTA
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/f150c2f8ba9e4dec8893b99a75f80ce4.png)
.湿热壅盛CBWUVKHAMRET
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/5528edf1d8d746f49d862be4a652ebd5.png)
.肾气衰微VYRFIPJVJRUG
解析:解析:本证属于寒湿伤及脾阳,致水湿不化,属于脾阳虚衰。治法应该健脾化湿,通阳利水。故选C。
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99.患者发病急骤,黄疸迅速加深,色黄如金,高热烦渴,胁痛腹满,神昏谵语,舌质红绛,脉弦数。其证候是
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/fbdadc769a114a22a3fe1aa91c6eb04e.png)
.阳黄之热重于湿VGBOOL
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/72d8bb5c365a4b57bbf2f004a98f2ad0.png)
.阳黄之湿重于热WOUSCE
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/06d72aeea77b4bafa5784f3aef2759f7.png)
.急黄UDEWTIYHBXXRKPEQ
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/f150c2f8ba9e4dec8893b99a75f80ce4.png)
.阴黄SJQWXWSPRLPTTIYW
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/5528edf1d8d746f49d862be4a652ebd5.png)
.胆腑郁热JXIOEIEIFCDW
解析:解析:急黄为阳黄之重症,病情急骤,疸色如金,兼见神昏、发斑、出血等危象。主要由于湿热疫毒炽盛,深入营血,内陷心肝所致。根据题干故选C。
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146.患者肢体关节疼痛且游走不定,屈伸不利伴恶风发热,舌苔薄白,脉浮。治疗应首选
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/fbdadc769a114a22a3fe1aa91c6eb04e.png)
.乌头汤HGVLBPYBTPUGOV
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/72d8bb5c365a4b57bbf2f004a98f2ad0.png)
.薏苡仁汤JKSIWEUYGORW
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/06d72aeea77b4bafa5784f3aef2759f7.png)
.防风汤OAENFPLPUJIRHW
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/f150c2f8ba9e4dec8893b99a75f80ce4.png)
.羌活胜湿汤NJLSFWPSJT
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/5528edf1d8d746f49d862be4a652ebd5.png)
.白虎加桂枝汤RXAPSIAH
解析:解析:风寒兼夹风湿,留滞经脉,闭阻气血,导致关节游走不定,属于行痹的范畴。治疗宜用防风汤祛风通络,散寒除湿。故选C。
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186.治疗湿热浸淫之痿证,应首选
A. 小便点滴短少
B. 小便混浊如米泔水
C. 小便时尿道刺痛有血
D. 小便点滴不通
E. 小便有血
解析:解析:治疗水肿湿热壅盛证,应首选疏凿饮子泻下逐水,疏风发表,故9题选A。治疗湿热浸淫之痿证,应首选加味二妙散清热利湿,补肾通脉,故10题选D。
组题:(以下小题共用备选项)
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121.[A][B][C][D][E] 122.[A][B][C][D][E] 123.[A][B][C][D][E] 124.[A][B][C][D][E]
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100.患者身目俱黄,头重身困,胸脘痞满,食欲减退,恶心呕吐,腹胀、便溏,苔厚腻微黄,脉濡缓。治疗上应首选
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/fbdadc769a114a22a3fe1aa91c6eb04e.png)
.茵陈蒿汤HIDXGGVLBFFX
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/72d8bb5c365a4b57bbf2f004a98f2ad0.png)
.茵陈五苓散JOEISFMRYB
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/06d72aeea77b4bafa5784f3aef2759f7.png)
.茵陈术附汤IMHPLJFIRU
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/f150c2f8ba9e4dec8893b99a75f80ce4.png)
.鳖甲煎丸SVHIHQMNMNVE
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/5528edf1d8d746f49d862be4a652ebd5.png)
.逍遥散RJEODUPAPLXGAQ
解析:解析:本证主要由于湿遏热伏,困阻中焦,胆汁不循常道所导致的上述症状。治法:利湿化浊运脾,佐以清热:代表方为茵陈五苓散。功用利湿退黄,使湿从小便中去。故选B。
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16.痹证日久,邪痹心脉,瘀阻不通,心血运行不畅,多导致
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/fbdadc769a114a22a3fe1aa91c6eb04e.png)
.痉证HTENESAQEEMAFYFY
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/72d8bb5c365a4b57bbf2f004a98f2ad0.png)
.厥证MAFUEBBHKASDLEWW
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/06d72aeea77b4bafa5784f3aef2759f7.png)
.心悸UULSADDXCECILYBB
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/f150c2f8ba9e4dec8893b99a75f80ce4.png)
.痫证XIIIFKGGRVCDAVFA
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/5528edf1d8d746f49d862be4a652ebd5.png)
.以上均非HOFJNMYJVHSY
解析:解析:风寒湿-人体一痹证一日久不愈复感外邪一内舍于心一心痹一心脉痹阻一血行不畅一心悸,《素问·痹论》:“脉痹不已,复感于邪,内舍于心”,“心痹者,脉不通,烦则心下鼓”。故选C。
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76.患者腹大坚满,脘腹绷急,烦热口苦,渴不欲饮,小便短赤,便溏不爽,舌红苔黄腻,脉滑数。其证候是
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/fbdadc769a114a22a3fe1aa91c6eb04e.png)
.气滞湿阻HJQHVWVDDLJY
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/72d8bb5c365a4b57bbf2f004a98f2ad0.png)
.寒湿困脾FTNLOJCARFOD
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/06d72aeea77b4bafa5784f3aef2759f7.png)
.湿热蕴结IVSKVAKFSJEK
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/f150c2f8ba9e4dec8893b99a75f80ce4.png)
.脾胃阳虚JMTYSNHTERYQ
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/5528edf1d8d746f49d862be4a652ebd5.png)
.肝脾血瘀QNSQGHSBTNYY
解析:解析:题干中舌苔黄腻提示此证有湿热,排除A、B、D、E,此证为湿热内结,气机壅滞,腑气不通。故选C。
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90.患者,男,68岁。大便艰涩难下,面色咣白,四肢不温,喜热畏冷,腹中冷痛,腰脊酸冷,小便清长,舌淡嫩苔白,脉沉迟。其治法是
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/fbdadc769a114a22a3fe1aa91c6eb04e.png)
.益气通便AYPMMFOWNODY
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/72d8bb5c365a4b57bbf2f004a98f2ad0.png)
.温阳通便UBTQAANNXXCS
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/06d72aeea77b4bafa5784f3aef2759f7.png)
.养血润燥QFGOPRWERIHH
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/f150c2f8ba9e4dec8893b99a75f80ce4.png)
.润肠通便RXIQBPTHQBVU
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/5528edf1d8d746f49d862be4a652ebd5.png)
.健脾温中FFFSQELCWWUG
解析:解析:本证属于阳气虚衰,阴寒凝滞导致的上述症状,属于阳虚秘,治疗宜润肠通便。故选B。
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