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。
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137.患者,男,40岁。近3个月来,多食易饥,形体消瘦,体重减轻3kg,大便干燥,舌苔黄,脉滑有力。其诊断是
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/fbdadc769a114a22a3fe1aa91c6eb04e.png)
.消渴上消肺热津伤CYJO
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/72d8bb5c365a4b57bbf2f004a98f2ad0.png)
.消渴中消胃热炽盛FURM
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/06d72aeea77b4bafa5784f3aef2759f7.png)
.消渴下消肾阴亏虚OXUE
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/f150c2f8ba9e4dec8893b99a75f80ce4.png)
.消渴下消阴阳两虚JXUY
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/5528edf1d8d746f49d862be4a652ebd5.png)
.便秘热秘RHWOVUECTEPM
解析:解析:参见本细目第2题,故选B。本题历年重复出现,故考生要掌握中消的主症、治法及方药。
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84.患者,男,30岁。腹痛,里急后重,赤多白少,肛门灼热,小便短赤,舌红苔黄,脉滑数。其证候是
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/fbdadc769a114a22a3fe1aa91c6eb04e.png)
.疫毒痢QAPDFACBRBEXNJ
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/72d8bb5c365a4b57bbf2f004a98f2ad0.png)
.湿热痢LLOAHPLXQSRWJE
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/06d72aeea77b4bafa5784f3aef2759f7.png)
.阴虚痢UIDWBHAGCOCLDB
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/f150c2f8ba9e4dec8893b99a75f80ce4.png)
.休息痢HOQWPMQEBLHSHS
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/5528edf1d8d746f49d862be4a652ebd5.png)
.寒湿痢JVKIPWGIWGWGIE
解析:解析:本证属于湿热蕴结,熏灼肠道,气血壅滞,脂络受伤导致的上述症状,属于湿热痢的范畴。故选B。
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157.[A][B][C][D][E] 158.[A][B][C][D][E] 159.[A][B][C][D][E] 160.[A][B][C][D][E]
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57.患者平素头晕头痛,耳鸣目眩,突然口眼㖞斜,舌强语謇,舌质红苔黄,脉弦。证属
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/fbdadc769a114a22a3fe1aa91c6eb04e.png)
.中经络之风痰人络KKPC
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/72d8bb5c365a4b57bbf2f004a98f2ad0.png)
.中经络之风阳上扰LTEY
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/06d72aeea77b4bafa5784f3aef2759f7.png)
.中经络之阴虚风动PKPY
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/f150c2f8ba9e4dec8893b99a75f80ce4.png)
.风痰瘀阻XQIMKUCWUXME
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/5528edf1d8d746f49d862be4a652ebd5.png)
.痰浊瘀闭ECELPKURXVMU
解析:解析:由题干可知患者首先是中经络,但没有痰象及阴虚之象,为肝火偏旺,阳亢化风,横窜络脉所致,属于风阳上扰证。故选B。
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107.下列哪项不属于阴水的特点
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/fbdadc769a114a22a3fe1aa91c6eb04e.png)
.多由下而上,继及全身US
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/72d8bb5c365a4b57bbf2f004a98f2ad0.png)
.肿处皮肤绷紧光亮US
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/06d72aeea77b4bafa5784f3aef2759f7.png)
.按之凹陷不易恢复US
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/f150c2f8ba9e4dec8893b99a75f80ce4.png)
.多逐渐发病US
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/5528edf1d8d746f49d862be4a652ebd5.png)
.小便少赤涩US
解析:解析:阴水病因多为饮食劳倦,先天或后天因素所致的脏腑亏损。发病缓慢,肿多F足踝开始,自下而上,继及全身,肿处皮肤松弛,按之凹陷不易恢复,甚则按之如泥,属里、属虚或虚实夹杂,病程较长,《金匮要略》之正水,石水多属此类。故选B。
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81.患者,男,24岁。腹痛肠鸣,泻下粪便臭如败卵,但泻而不爽,脘腹胀满,舌苔白厚而腐,脉滑。其治法是
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/fbdadc769a114a22a3fe1aa91c6eb04e.png)
.消食导滞MCWKDHAOISQI
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/72d8bb5c365a4b57bbf2f004a98f2ad0.png)
.活血化瘀LBYJDMYFFARP
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/06d72aeea77b4bafa5784f3aef2759f7.png)
.清热利湿MLYWCCJMEUTS
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/f150c2f8ba9e4dec8893b99a75f80ce4.png)
.芳香化湿KNQXORVWGYKM
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/5528edf1d8d746f49d862be4a652ebd5.png)
.抑肝扶脾IGLHXFWLKHWQ
解析:解析:本证为食滞内停,运化失司,胃肠不和所致。治法以消食导滞。故选A。
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36.患者心烦不寐,心悸,头晕,耳鸣,腰酸梦遗,五心烦热,口干,舌红,脉细数。其治法是
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/fbdadc769a114a22a3fe1aa91c6eb04e.png)
.化痰清热,和中安神SL
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/72d8bb5c365a4b57bbf2f004a98f2ad0.png)
.益气镇惊,安神定志EF
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/06d72aeea77b4bafa5784f3aef2759f7.png)
.疏肝泻热,镇静安神CU
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/f150c2f8ba9e4dec8893b99a75f80ce4.png)
.滋阴降火,养心安神NO
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/5528edf1d8d746f49d862be4a652ebd5.png)
.补养心脾,益气生血NX
解析:解析:题干中五心烦热,口干,舌红,脉细数提示为阴虚火旺之象,故应滋阴降火,备选答案中只有D适合。故选D。
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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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35.治疗不寐肝郁化火证,应首选
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/fbdadc769a114a22a3fe1aa91c6eb04e.png)
.养心汤PYDRLKOYBBKRXM
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/72d8bb5c365a4b57bbf2f004a98f2ad0.png)
.龙胆泻肝汤RBCFFUUYAG
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/06d72aeea77b4bafa5784f3aef2759f7.png)
.归脾汤YYFJVFNVDYNNQT
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/f150c2f8ba9e4dec8893b99a75f80ce4.png)
.安神定志丸GOLCBKXFJU
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/5528edf1d8d746f49d862be4a652ebd5.png)
.黄连阿胶汤KFUQHYWQYW
解析:解析:肝郁化火,上扰心神,治法以疏肝泻火,镇心安神,方用龙胆泻肝汤加减。本方泻肝胆实火,清肝胆湿热,适用于肝郁化火上炎所致的不寐多梦,头晕头胀,目赤耳鸣,口于便秘之症。故选B。
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