168.治疗眩晕痰浊中阻证,应首选
A. 七福饮
B. 还少丹
C. 转呆丹
D. 知柏地黄丸
E. 河车大造丸
解析:解析:治疗中风中经络,肝肾阴虚,风阳上扰证,应首选天麻钩藤饮。本方平肝息风,用于阳亢风动,晕眩,肢麻等症。治疗眩晕痰浊中阻证,应首选半夏白术天麻汤,本方主要治疗风痰上扰等证。故9题选A,10题选B。
组题:(以下小题共用备选项)
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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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152.腰痛患者,腰部冷痛重着,转侧不利,静卧痛不减,遇阴雨天疼痛加重,舌苔白腻,脉沉缓。其证候是
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/fbdadc769a114a22a3fe1aa91c6eb04e.png)
.寒湿VYAYOIIYNEBYCGMQ
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/72d8bb5c365a4b57bbf2f004a98f2ad0.png)
.风寒GLPCQARQIRXBQDJL
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/06d72aeea77b4bafa5784f3aef2759f7.png)
.瘀EUKVDUXBWMCXSTOPGH
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/f150c2f8ba9e4dec8893b99a75f80ce4.png)
.湿热WOGKTVHIPWKHIJTO
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/5528edf1d8d746f49d862be4a652ebd5.png)
.肾虚THUQMLMOFEXSWODH
解析:解析:腰痛有寒湿、湿热、瘀血、肾虚等。寒湿之邪留着腰部,痹阻经络,气血不畅,故见腰部冷痛重着,转侧不利,静卧痛不减,湿为阴邪,故遇阴雨天疼痛加重。舌脉俱是寒湿之象。故辨证为寒湿。故选择A。
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181.治疗阳黄湿重于热,应首选
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172.胃痛暴作,恶寒喜暖,得温痛减,遇寒加重,口淡不渴,或喜热饮,舌淡苔薄白,脉弦紧。证属
A. 柴胡疏肝散
B. 逍遥散
C. 越鞠保和丸
D. 半夏厚朴汤
E. 橘皮竹茹汤
解析:解析:7题患者为肝气郁结,横逆犯胃,胃气阻滞,属于肝气犯胃证,故选C。8题患者为寒凝胃脘,阳气被遏,气机郁滞,属于寒邪客胃证,故选A。
组题:(以下小题共用备选项)
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177.[A][B][C][D][E] 178.[A][B][C][D][E] 179.[A][B][C][D][E] 180.[A][B][C][D][E]
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116.患者,女,49岁。性情急躁易怒,吞酸嘈杂,口苦口干,胸闷胁痛,舌红苔黄,脉弦数。治疗应首选
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/fbdadc769a114a22a3fe1aa91c6eb04e.png)
.小柴胡汤EFWCTVMSFJLD
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/72d8bb5c365a4b57bbf2f004a98f2ad0.png)
.越鞠丸KVLVDHGFILVQCX
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/06d72aeea77b4bafa5784f3aef2759f7.png)
.安神定志丸ADAVNUESCQ
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/f150c2f8ba9e4dec8893b99a75f80ce4.png)
.半夏厚朴汤VHSMHOIBOV
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/5528edf1d8d746f49d862be4a652ebd5.png)
.丹栀逍遥散ESXBGOBPTS
解析:解析:参见本细目第2题,故选E。本证历年以不同形式出现,考生要引起重视,对本证的主症、治法、方药要熟记。
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70.患者脘腹痞塞不舒,胸膈满闷,头晕目眩,身重困倦,呕恶纳呆,口淡不渴,舌苔白厚腻,脉沉滑。治疗应首选
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/fbdadc769a114a22a3fe1aa91c6eb04e.png)
.保和丸VBAFPPNLVVPNSB
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/72d8bb5c365a4b57bbf2f004a98f2ad0.png)
.泻心汤WNRJFMICNMHHFI
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/06d72aeea77b4bafa5784f3aef2759f7.png)
.二陈平胃汤LAHTBESYUT
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/f150c2f8ba9e4dec8893b99a75f80ce4.png)
.越鞠丸LIJQHQFMOCWTPT
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/5528edf1d8d746f49d862be4a652ebd5.png)
.补中益气汤WJRSNMXHKF
解析:解析:脾不运化,痰湿内生,壅塞中焦,则生痞满,胸膈满闷,呕恶纳呆。痰湿蒙窍故头晕目眩,身重困倦。用二陈平胃汤除湿化痰,理气宽中。故选择c。
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103.患者腹部积块明显,硬痛不移,面暗消瘦,纳减乏力,闭经,舌边暗见瘀点,苔薄,脉细涩。治疗应选
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/fbdadc769a114a22a3fe1aa91c6eb04e.png)
.旋覆花汤IYHJBJGGHWLO
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/72d8bb5c365a4b57bbf2f004a98f2ad0.png)
.血府逐瘀汤TGHAPVEGKS
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/06d72aeea77b4bafa5784f3aef2759f7.png)
.膈下逐瘀汤ASIIUNEDQX
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/f150c2f8ba9e4dec8893b99a75f80ce4.png)
.少腹逐瘀汤CBAYEJDHQM
![](https://yi2.oss-cn-shenzhen.aliyuncs.com/5528edf1d8d746f49d862be4a652ebd5.png)
.桃仁红花煎CDINNSSSUQ
解析:解析:本证属于瘀结不消,正气减损,脾运不佳,导致的上述症状,治疗应该祛瘀软坚,扶正健脾,首选膈下逐瘀汤。故选C。
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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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