65.患者,男,35岁。胃脘灼热疼痛,痛势急迫,易怒,口苦,泛吐酸水,舌红苔薄黄,脉弦数。其治法是
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/fbdadc769a114a22a3fe1aa91c6eb04e.png)
.疏肝理气止痛YUKMDHJW
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/72d8bb5c365a4b57bbf2f004a98f2ad0.png)
.清肝泄热化湿KLVBCGAK
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/06d72aeea77b4bafa5784f3aef2759f7.png)
.疏肝泄热和胃MENRDWBB
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/f150c2f8ba9e4dec8893b99a75f80ce4.png)
.疏肝理气和胃KVGYWOUD
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/5528edf1d8d746f49d862be4a652ebd5.png)
.理气和胃止痛KFUORWUY
解析:解析:肝气郁结,横逆犯胃,胃气阻滞,郁而化热导致的肝胃郁热的上述症状。治疗宜疏肝泄热和胃。故选C。
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169.治疗痴呆髓海不足证,应首选
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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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51.患者,男,50岁。眩晕,头重如蒙,胸闷恶心,食少多寐,舌苔白腻,脉滑。治疗应首选
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/fbdadc769a114a22a3fe1aa91c6eb04e.png)
.黄连温胆汤JEETQCUPFC
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/72d8bb5c365a4b57bbf2f004a98f2ad0.png)
.天麻钩藤饮RQPPDPVKDY
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/06d72aeea77b4bafa5784f3aef2759f7.png)
.黄连上清丸FXIBOPANYX
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/f150c2f8ba9e4dec8893b99a75f80ce4.png)
.半夏白术天麻汤NSMQFV
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/5528edf1d8d746f49d862be4a652ebd5.png)
.半夏厚朴汤DTRIWATYNR
解析:解析:本证主要由于痰浊中阻,上蒙清窍,清阳不升导致。治法宜化痰祛湿,健脾和胃。代表方为半夏白术天麻汤加减。本方燥湿化痰,平肝息风,用于治疗脾虚湿盛,风痰上扰之眩晕。故选D。
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122.患者小便混浊如膏如脂,带甜昧,尿频量多,头晕耳鸣,腰膝酸软,多梦遗精,下肢无力,口咽干燥,舌质红,脉沉细而数。其治法是
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/fbdadc769a114a22a3fe1aa91c6eb04e.png)
.补益肝肾RIJMLJWFROTJ
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/72d8bb5c365a4b57bbf2f004a98f2ad0.png)
.滋阴潜阳CRABTXOFBNKO
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/06d72aeea77b4bafa5784f3aef2759f7.png)
.滋阴固肾FXNPVEQGPQOK
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/f150c2f8ba9e4dec8893b99a75f80ce4.png)
.温阳滋肾ETCBRLLFQYVK
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/5528edf1d8d746f49d862be4a652ebd5.png)
.益气固涩NQQANTSEWUGN
解析:解析:患者头晕耳鸣,腰膝酸软,遗精多梦,均提示有肾虚之象,故排除B、E。无肝系病变表现,故排除A。由各种症状分析,此患者为阴虚,故选C。
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144.关节疼痛有定处,疼痛剧烈。其诊断是
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/fbdadc769a114a22a3fe1aa91c6eb04e.png)
.行痹TMCRXHXMNCIUUOSG
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/72d8bb5c365a4b57bbf2f004a98f2ad0.png)
.痛痹DPBRGGFRFAMYUAKW
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/06d72aeea77b4bafa5784f3aef2759f7.png)
.着痹GNHUEPGISRMIIGRY
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/f150c2f8ba9e4dec8893b99a75f80ce4.png)
.热痹EHDYOBTNHJLWTYRM
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/5528edf1d8d746f49d862be4a652ebd5.png)
.久痹QLNGGXBNJSYOSWJY
解析:解析:寒邪兼夹风湿,留滞经脉,闭阻气血,导致痛有定处,属于痛痹的范畴。故选B。
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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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120.患者小便短数,灼热刺痛,尿色黄赤,少腹拘急,苔黄腻,脉滑数。其治法是
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/fbdadc769a114a22a3fe1aa91c6eb04e.png)
.利气疏导通淋OKQRBPKL
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/72d8bb5c365a4b57bbf2f004a98f2ad0.png)
.清热排石通淋OMFCEMXL
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/06d72aeea77b4bafa5784f3aef2759f7.png)
.滋阴清热通淋UNABBLKB
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/f150c2f8ba9e4dec8893b99a75f80ce4.png)
.清热凉血通淋RGYJXNRL
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/5528edf1d8d746f49d862be4a652ebd5.png)
.清热利湿通淋KYMJODIK
解析:解析:本证属于湿热蕴结下焦,膀胱气化失司,治疗应清热利湿通淋。故选E。
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158.治疗痰湿蕴肺型咳嗽的代表方剂是
A. 疏风清热,润燥止咳
B. 疏风清热,宣肺止咳
C. 清肝泄肺,化痰止咳
D. 清热肃肺,化痰止咳
E. 滋阴润肺,化痰止咳
解析:解析:治疗肝火犯肺型咳嗽的代表方剂是黛蛤散合黄芩泻白散.前方顺气降火,清肺化痰,后方清肝泻火化痰。合之使气火下降,肺气得以清肃,咳逆自平。治疗痰湿蕴肺型咳嗽的代表方剂是二陈汤合三子养亲汤,前方燥湿化痰,理气和胃,用于咳而痰多,痰质稠厚,胸闷脘痞,苔腻者。后方降气化痰,用于痰浊壅肺,咳逆痰涌,胸满气急,苔浊腻者。故6题选D,7题选A。
组题:(以下小题共用备选项)
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73.[A][B][C][D][E] 74.[A][B][C][D][E] 75.[A][B][C][D][E] 76.[A][B][C][D][E]
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