中内一期末重点

中内一期末重点
中内一期末重点

中内一期末重点

(一)胃痛

1、名词解释

(1)心下痞(2)心嘈

2、简答题

(1)治疗肝胃郁热型胃痛,在理气药的选择上应注意什么?

3、类证鉴别:胃痛与腹痛

4、论述题

(1)试述胃痛与肝脾的关系。

5、要求背诵:

(1)教材P162:《医学正传》所云“但通之法,各有不同。调气以和血,调血以和气,通也;上逆者使之下行,中结者使之旁达,亦通也;虚者助之使通,寒者温之使通,无非通之之法也”。

(二)呕吐

1、名词解释

(1)呕吐(2)反胃(3)泄肝安胃

2、简答题

(1)为什么说呕吐不论虚实均存在胃气上逆?

(2)如何根据呕吐物进行辨证?

3、类证鉴别

(1)呕吐与反胃

(2)呕吐与噎膈

4、论述题

(1)呕吐、胃痛、泄泻均与肝气有关,其病理变化及治疗有何异同?

(三)痢疾

1、名词解释

(1)肠澼(2)滞下(3)逆流挽舟法

2、简答题

(1)痢疾的主要病机特点有哪些?

(2)刘河间对痢疾治疗方面的著名论述是什么?

3、类证鉴别

(1)痢疾与泄泻

(四)泄泻

1、名词解释

(1)飧泄(2)溏泄(3)五更泻(4)濡泄

2、简答题

(1)什么叫“治泻九法”?

(2)临床治疗泄泻时应该注意哪些方面?

(3)肾虚导致的五更泻应有哪些特点?

4、论述题:

(1)为什么说“泄泻之本,无不由于脾胃”?

(2)“湿”这一病理因素对泄泻发病的影响主要表现在哪些方面?(五)便秘

1、名词解释

(1)脾约(2)阳结(3)阴结

2、简答题:

(1)便秘的基本病机特点是什么?与哪些脏腑功能失调有关。3、论述题:

(1)对于便秘患者,如何灵活运用调畅气机之法?

(六)腹痛

一.简答题:

1、腹痛临床辩证及诊断时应着重注意哪些方面?

2、临床治疗腹痛时应注意那些方面?

二.类证鉴别:1、腹痛与胃脘痛 2、腹痛与胁痛

三.论述题:

1、《医学正传》是如何理解“治疗腹痛多以‘通’字立法的?(七)疟疾

一、名词解释:1、疟疾(正疟)2、疟母3、劳疟

二、简答题:

1、简述疟邪致病原理

(八)积聚

一、名词解释:1、积聚2、痞块3、癥瘕

二、简答题:

1、积聚辩证时应着重注意哪几方面

2、临床治疗积聚时应注意哪些方面

3、积聚日久,可变生哪些病证

三、类证鉴别:积聚与鼓胀

四、论述题:

1、为什么积聚之形成主要涉及肝脾?

2、为什么说治疗积聚时,治实当顾其虚,补虚勿忘其实?

(九)胁痛

一、名词解释:1、肝着

二、简答题:

1、胁痛疼痛性质有哪些?对于临床辩证有何意义?

2、试述疏肝理气药物在治疗胁痛时的应用要点。

三、类证鉴别:

1、胁痛与胸痛

2、胁痛与胃脘痛

(十)黄疸

一、名词解释:1、黄疸2、急黄3、萎黄

二、简答题:

1.什么叫“五疸”

2.黄疸临床辩证时应着重注意哪几方面

3.黄疸日久,可变生哪些病证?

三、类证鉴别:1、黄疸与萎黄

四、论述题:

1.如何理解“湿”在黄疸发病中的作用?为什么说“利小便”是治疗黄疸的重要方法?(十一)鼓胀

一、名词解释:1、鼓胀2、蜘蛛蛊

二、简答题:

1.鼓胀临床辩证时应注意哪些方面

2.临床治疗鼓胀时应注意哪些方面

三、类证鉴别:鼓胀与水肿

四、论述题:

1.如何运用逐水法治疗鼓胀?

(十二)湿阻

一、名词解释:疰夏

二、简答题:

1 临床治疗湿阻时应注意哪些方面?

三、论述题:

1 试述湿邪与脾胃的关系。

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