中医实践技能考试第一站必须熟记（The first station of practice skill examination must learn by heart）

中医实践技能考试第一站必须熟记（The first station of practice skill examination must learn by heart） 中医实践技能考试第一站必须熟记(The first station of practice skill examination must learn by heart) 1, the cold wind cold syndrome [] the passage of cold, Yang Wei Yu on the appearance, not warm muscle, is the struggle between good and evil, aversion to cold, fever. Invasion of lung, Lung Qi obstruction, then the congestion. The bladder of the foot is connected to the head by the head of the bladder, causing headache. Cold leading to lead, systemic limb joints tight, so the acid heavy. The tongue is thin and white, but the veins are tight and the wind is cold. Xinwen jiebiao. Jingfang Baidu San (15 10 19 wind Schizonepeta notopterygium rhizome 10 Bupleurum 6 Balloonflower 10 Zhiqiao 10 15 10 15 Fuling decursivum almond licorice 6). 2, [] cold wind heat syndrome of wind heat attack, Wei table and heat evil and Wei Yang added, the fever and sweating, slightly evil wind. Heat beam table, invasion of lung, Lung Qi obstruction, the nose sneezing, Qi Shangni, so micro cough. In Qing Dynasty, wind heat evil, sore throat. The tip of the tongue is red, the fur is thin and white, and the pulse number is the image of wind heat attacking the watch. Acrid cold relieving exterior. Yinqiaosan jugeng Decoction (green bean and honeysuckle Forsythia 15 15 6 10 10 almond licorice roots of Platycodon grandiflorum 6 Mint 6 Gardenia 10 10 10 10 niubangzi Schizonepeta fermented black bean wind 10). 3, cough cough lung yin deficiency [] pathogenic heat invading the lung, lung unfavorable cough: so burning chest collaterals, Tianjin coagulation for phlegm, heat evil injury Tianjin, so the chest pain, cough deep turbid cough spit yellow phlegm, thirst. Cough for a long time, the damage of lung yin, moistening lung loss reduction, so the expectoration less, and not easy to cough up. The lung yin deficiency, body fluid can moisten dry mouth and throat, so. The lung and the large intestine are in the exterior and interior, and the lung yin injury is insufficient for the intestinal fluid, so the stool is dry. Yin is the fire, so fanre. Thermal disturbance of mind, then the restless sleep at night. The tongue is red with little moss, and the pulse is counted as the image of internal heat due to Yin deficiency. Ziyin lungs, cough and phlegm, Shashen Maimendong Decoction (Radix Ophiopogonis Polygonatum leaf licorice pollen raw flat). 4, cough phlegm retention in the lung [] lung Jiao dirty, susceptible to external pathogens, pathogenic factors attack lung, lung qi, body fluid is cloth, Tianjin coagulation sputum, cough sputum amount is. A loss in spleen and lung, spleen, phlegmendogenous on stains in the lung, lung clogging, the cough phlegm, white and thick long-term healing. The phlegm dampness stops and the Qi is not smooth, so the chest tightness is not comfortable. Phlegm dampness in middle Jiao, so see poor appetite, eat less, stool. Greasy tongue fur, pulse moisten slip for phlegm stop like. Dryness warming phlegm and regulating qi to stop cough. Erchen decoction and keep close soup three. 5, asthma exacerbation of asthma [] cold phlegm in lung disease, perennial. Fuxie in sense of touch with Qi or phlegm lead, due to phlegm, gas, airway obstruction, dyspnea and so the wheezing sound. No dispersing lung qi. Therefore, chest stuffiness. Yin Yang in, not propaganda, it was dark and hysteresis. In the cause of cold, no heat, it is not thirsty and wants to drink. The white fur of the coating is slippery, and the veins are taut and taut. Warming lung to dissipate cold and resolving phlegm and relieving asthma. Sheganmahuang Decoction (sheganmahuang licorice ginger Pinellia from early Asarum Schisandra) 6, asthma exacerbation of asthma of heat sink Tanjiu accumulated heat, phlegm heat obstructing lung. The evil Qi meets the feeling, touches the lung, loses the breath, so it has difficulty breathing, and the phlegm in the throat is roaring and coughing. Chest Qi does not develop, so chest tightness. The burning hot fluid, Tianjin accumulation of phlegm, phlegm heat cement, so thick yellow phlegm, spit bad, phlegm fire heat, so sweating, red face, bitter taste. Red tongue, yellow greasy fur, slippery pulse number, are accumulation of phlegm heat like. Heat Xuanfei Huatan dingchuan. Dingchuantang (Ginkgo Sangbaipi ephedra coltsfoot Pinellia almond perilla Scutellaria licorice). 7, chest over Huajiahu heart qi deficiency of both qi and Yin, gradually decline, blood running sluggish, blockage of Qi and blood barrier, so the chest pain. Labor is the gas consumption, so tired induced. Chest long, Qi deficiency of both qi and Yin, no blood, deficiency of context more unfavorable, poor blood, blood stasis, the chest pain when time, lasting not more. Qi asthenia, tiredness shortness of breath; blood does not moisten the surface complexion not China, the heart raises, and Yin Huo Wang, the palpitation. Blood deficiency can not nourish, clear the body is dizziness. Dry mouth is the image of Yin deficiency. Red tongue, little coating, thready pulse to the Qi and yin deficiency syndrome. Supplementing qi and nourishing Yin, activating blood circulation and dredging collaterals. Shengmaisan Tianwangbuxin Dan (15 15 two winter Schisandra Astragalus Codonopsis Baizhufuling Angelica Salvia Chuanxiong Radix Glycyrrhizae). 8, obstruction of blood stasis in the chest pain, fixed do not move, is blood stasis. Signs of obstruction of collaterals. Blood belongs to Yin, night is also Yin, two Yin plus, blood stasis is more serious, so at night very sore. Blood stasis obstruction, the heart raises, so palpitation. The color of the tongue is dark and dark, and the pulse condition is unsmooth. Blood stasis, Tongluozhitong, Xuefuzhuyu Decoction (Angelica, Radix Paeoniae Rubra Chaihu Taoren Honghua Zhiqiao licorice ballonflower Chuanxiong). 9, stomach pain, spleen and stomach cold, eating disorders, damage the spleen and stomach, long time cause spleen deficiency, Yang deficiency is cold, endogenous, so stomach pain faint, hi temperature Xi press. The spleen and stomach, then decomposed the transport of water valley is weak, poor appetite,. Spleen limbs, Zhongyang sluggish, muscle and muscle loss and the temperature raise, so tired, tired limbs, hand and foot under temperature. Spleen wet, so thin stool. Pale tongue, white fur and weak pulse are both the deficiency of the spleen and stomach and the deficiency of Qi in the spleen. The spleen and stomach pain. Huangqi Jianzhong Decoction (Huangqi Guizhi 15 15 6 12 30 cerealose peony licorice ginger 10 4 jujube Codonopsis 15). 10, the stomach stomach yin asthenia stomach for the dry soil, the hero, with his childhood love spicy taste, long Haoshang stomach yin, yin deficiency and qi stagnation, stomach meridian dystrophy, deficiency of heat disturbance, so the faint epigastric burning, noisy like hunger. The stomach is hard to suffer from hunger and hunger. Yin, dry mouth and throat, five upset hot, constipation, red tongue, little coating, feeble pulse. Nourishing Yin, tonifying stomach and relieving pain. A crown with fried Shaoyaogancao Decoction (Radix 15 TGP 15 licorice 9 the 15 medlar 12 born 12 Radix 15 Angelica 12) 11, the stomach incoordination between liver and stomach liver, hi, the patient usually is not irritable, stagnation of liver qi, liver Qi Hengni make stomach, so stomach pain. The two side of the liver is the dividing line of the liver, so the pain is connected with the two stresses. The middle Jiao Qi stagnation, abdominal swelling belching, sigh of Qi to stretch, so hi sigh. Qi stagnation, intestinal conduction disorder, stool is not good. The disease belongs to the liver and the main pain, so that the pulse string. Soothing the liver and regulating qi and relieving stomach pain. CHSGS Hu licorice Cyperus Chuanxiong Radix Paeoniae Alba Fructus aurantii tangerine peel) 12, dysentery damp eat unclean food, damp heat and pestilence evil in intestinal congestion, leading to stagnation of Qi blood, fat collaterals damaged, as the red and white pus, diarrhea; damp heat stagnation in the intestine, gas poor, so the conduction disorders, abdominal pain, tenesmus; damp heat, anus burning, urine short red. Red tongue, yellow greasy fur, slippery pulse number is humid like. Qingchang Huashi, regulating qi and activating blood detoxification. Peony soup (peony, cinnamon, liquorice, rhubarb, Radix Scutellariae, Coptis chinensis, Angelica sinensis, areca, woody) 13, dysentery, cold dysentery, dysentery, long time, consumption of blood, blood damage, and the spleen and stomach. Spleen deficiency cold, cold dampness retention in the intestine, so diarrhea with thin white frozen; Han Sheng is empty, lost in the temperature raise bowel, abdominal pain, hi warm; Spleen Yang, stomach weak limbs, loss of charge, so the limbs not warm, anorexia, lassitude; kidney yang deficiency, is not closed solid, so slip incontinence, anal bulge, after more. Cold chills, Yaoxisuanruan Yang deficiency of spleen and kidney as. Pale tongue, white fur, weak pulse, weak and weak are all like cold bones. Warming up the spleen and kidney to stop the stasis. Zhenren yangzang Decoction of Taohua Decoction (Radix Codonopsis Atractylodes japonica Chishizhi nutmeg cinnamon ginger chebulinic Angelica Radix Paeoniae Alba Radix Glycyrrhizae) 14, Feng Shui flood passage of cold, edema, lung health disorders, so that the wind water resistance, Feng Shui to wrestle, flush skin, hair edema; Wei table and so see micro bad cold, sour body, fever. In the cold stagnation of heat, so the upside of throat, sore throat. Evil heat hurts Jin, so thirsty, constipation. Evil heat disturbing God, then see upset; evil heat tend to lower Jiao, heat injury the net, so see red red urine. Red tongue, yellow greasy moss, pulse floating number, are evil heat in the table, within water and wet like. Dispelling wind and clearing away heat to relieve lung qi and promote diuresis. Yuebijiazhu Decoction and five skin drink (ephedra almond Shi Gao Poria peel Pericarpium cogongrass rhizome Atractylodes Alisma Plantago duckweed thistle licorice ginger bark Pisang red bean) 15, spleen deficiency Yin edema usually eat cold, spleen yang, spleen dysfunction, water wet, pan on the skin, and edema. The Yang Qi does not vibrate, the Qi does not turn water, the water tends downward, so the body swells below the waist. The transport of spleen weakness, anorexia, abdominal distension. Spleen wet, wet and mixed water valley, so thin stool; Spleen deficiency of Qi and blood, while fatigue, pale complexion. Yang does not change Qi, water is not wet, so the lack of urine. Pale tongue, white fur, greasy pulse, slow and weak, spleen yang deficiency, water wet inside stop like. Warm the spleen and yang to make the water moist. Spleen yin (dry ginger Aconite Decoction to 6 gun grass nuts 10 Baizhufuling Zhigancao Guizhi ginger early areca papaya) 16, pass the card, labor, spleen, kidney, two empty, pass a long time, damage the spleen and kidney, kidney qi is not solid, so the urine is acerbity, the drenching is endless. Labor consumes Qi, so it is called labor. The kidney yang deficiency, Yaoxisuanruan, lassitude. The deficiency of Qi and blood in spleen deficiency makes the face white. Spleen yang deficiency, the loose stools. Pale pale tongue, weak pulse, spleen and kidney two empty, Qi and blood deficiency of the elephant. Invigorate the spleen and invigorate the kidney. Incomparably (yam worm meat ronsen dogwood to dodder Schisandra officinalis Guangzhou Chishizhi Poria Tianze purging Eucommia Achyranthes) 17, stranguria Shilin usually eat Feigan, like drinking wine tasting, fatness of wet heat, damp heat, suffering as urine, gravel, obstruction of the urethra, so frequent urination is not smooth. Gravel can not be discharged with urine, impede the gas machine, the obstruction is pain. Lumbar colic. Stone damage choroid, urine color red red. The tongue is red, the fur is thin and yellow, and the pulse and string are like the damp heat. Qingrelishi, Tonglin Paishi (Pyrrosiae malvae Herba Dianthi talc Plantago bidentata money Caohai Jinsha chicken) 18, in the elimination of moss with Xiaoke over sixty years, the constitution of yin deficiency and excessiveness of subject. Gastropyretic decomposition of water valley setting capacity, so eat easy to hunger. The heat consumption hurts the blood and does not fill the muscles. Therefore, the body is emaciated. Tianjin stomach deficiency, the large intestine is not moisten, so dry stool. Yellow, pulse slippery moss is like. Clearing stomach, purging fire, nourishing yin and increasing fluid. Decoction (Rehmannia Radix trichosanthis Coptis Rhizoma Anemarrhenae gypsum Achyranthes Gardenia) 19, diabetes in the heat, Tianjin, diabetes, yin deficiency based, dry hot as the standard. Intense lung heat, the liquid consumption of disability allowance, so the dry mouth polydipsia. The lung section, through withered waterways, heat injury to the lung, governance of dereliction of duty, water of Tianjin, to lead, the urine volume increased. The tip of the tongue is red, the fur is thin and yellow, the pulse counts, the lung is hot and the injury is like an injury. Heat lungs, shengjinzhike. Diabetes (TCS 30 Gegen 12 Radix 12, Scutellaria Coptis rhizome) 20, hypochondriac pain and damp and hot spicy taste of long-term consumption of goods, stuffed with wet heat, damp and hot liver and gallbladder, liver meridian and gallbladder Qi, so even back pain in the right hypochondrium, bile pan in the mouth, the mouth, the damp heat in middle Jiao, Qi, abnormal movements, transport disorder, so the poor appetite, nausea. Heat evil injury Tianjin, so urine red will dry. Red tongue, yellow greasy moss, pulse string for hepatobiliary humid like. Qingrelishi. Longdan Xiegan decoction. 21, hypochondriac pain liver yin deficiency of liver yin deficiency can moisten the liver meridian, the liver area pain, may not repair, "Yin consumption, so tired after the pain can relieve the liver area, after the break, Yin Yi heat, burning hot fluid is dry mouth and throat, heat disturbing mind is Fanre hearts. The liver opens the eye in the eye, the yin deficiency is deficient, cannot honor, the light eye, therefore dizzy, two eye dry. Liver reinforcement, deficiency of liver yin, limb bones loss in Ruyang, so fatigue. The tongue is red and has few moss, and the pulse is thin. It is the picture of internal heat due to Yin deficiency. Nourishing yin and softening liver. Persistent fried. 22, Yin Huang jaundice cold dampness block infection, the spleen and stomach, Yang did not declare, make bile overflow, so see yellow, yellow, yellow urine. Because cold is Yin, yellow is dull and smoky. Wet trapped Middle Earth, spleen yang, transport and dereliction of duty, so the poor appetite, eating less, abdominal distension, chest tightness, pale mouth thirst, loose stools. Yang deficiency, so see Shenpi chills, fatigue. Pale tongue, greasy moss, pulse moisten slip as cold as stopping. The spleen and stomach, warm and cold. Yinchenzhufu Decoction (Yinchen Baizhu Fuzi Ganjiang Zhigancao Poria two cinnamon Alisma Rhizoma Atractylodis) 23, vertigo patients with hyperactivity of liver Yang very irritable, emotional upset, then Yu and hot fire, Yin Yin, Yang and not the liver yang hyperactivity, disturbing orifices, the dizziness, headache. Yang Kang God, restless soul, and irritability, insomnia. Red tongue, yellow moss, pulse string for signs of hyperactivity of liver yang. Calming liver and suppressing yang, nourishing liver and kidney. Gastrodia and Uncaria Decoction (gastrodia, uncaria, stone) 24, dizziness, phlegm, obstruction, labor, gas consumption, Hurt the stomach, spleen and stomach dysfunction, stuffed into the water valley wet phlegm, phlegm blinded orifices, Qing Yang does not rise, then the head such as Mongolia, dizziness, blurred vision. The dampness obstructing spleen, Qi, the nausea, anorexia. Pale red tongue, white and greasy fur, slippery pulse are spleen phlegm like. Eliminating dampness and phlegm, spleen and stomach. Banxia Baizhu Tianma decoction. (Xian Jian Du Nakagawa Achyranthes Gardenia Scutellaria motherwort Poria Caulis Loranthaceae) 25, the stroke of meridian old kidney yin deficiency, kidney yin deficiency, Yin Yang convergence, hyperactivity of liver Yang, Yang in the wind, walk up with phlegm meridians, poor context, so suddenly Kouyanwaixie, paralysis of the limbs, drooling. Yang hyperactivity in the upper, the Qing orifices are disturbed, so dizziness, tinnitus, dizziness. Kidney yin deficiency, waist palace lost support, therefore, yaoxisuanruan. Red tongue, thin pulse string for yin deficiency of liver and kidney and the like, yellow greasy with phlegm heat for. Nourishing yin and activating yang to extinguish wind and dredge collaterals. Zhenganxifeng Decoction (Niu Xisheng keel effect aspartic malt haematitum oysters licorice figwort Kawa Ko capillaris born tortoiseshell) 26, arthromyodynia Tongbi wind cold dampness evil invasion of the body, into the meridians, stay in the joint, block the circulation of Qi and blood, so the hands joint swelling pain, morning stiffness. Cold evil, the stagnation, the fixed pain, the pain is severe, blood heat is more smooth, so the pain reduction, Yuhan choroid contracture, so pain more drama. Han Yin evil, the skin color is not red, do not touch the heat. The moss is thin and white, and the pulse is taut. It is the image of cold pathogen. Warming meridian to dissipate cold and expelling wind and removing dampness. Aconite Decoction (decocted 6 ephedra Radix aconite Guizhi Asarum roasted ginger) 27, blood heat Qing Zhi uterine stimulation, liver qi stagnation, it fell to fire, heat, blood disturbance, forcing blood folly, caused by uterine bleeding, blood is not at, the net is not dripping. The heat is in the interior, so the blood is red, the texture is sticky, the heat hurts the stomach, the fluid is thirsty, the heat is disturbed, and the mind is upset. Liver Qi Sheng fire, so the two hypochondriac distending pain, dry stool; red tongue, yellow moss, pulse a few strings for the blood heat syndrome. Heat and cooling blood, regulating menstruation. Qingre Gujing Tang (Sanguisorba Oujie Scutellaria and Bupleurum to palm carbon Gardenia Digupi paeonol gelatin oyster shells) 28 children with diarrhea, diarrhea due to improper diet because of excessive eating meat, damage the spleen and stomach, spleen injury is the transport function of dereliction of duty, not to kill gastric injury Valley, persistent food within the stop, voicing is not divided, and go into the large intestine, diarrhea. Sushi stop area, stagnation of the stomach, Qi is not smooth, so the abdominal distension, pain, the abdominal pain, pain to diarrhea. After purging stagnation, Qi Chang, the reduction of pain. Sushi in rot, belching and acid gas dirty red, so bad. Red tongue, yellow thick and greasy, stool SuanChou, loss of appetite, vomiting is syndrome of stagnation of the diet. Promote digestion. Baohe Pill (hawthorn God radish seed 3 grams of Pinellia Fuling Chenpi Forsythia). 29, external headache and internal injury headache, how to identify? 1 exogenous headache: acute onset, short course, or accompanied by severe pain symptom; potential pain, endless, true; to heavy pain, pain, pain, pain, jumping pain or ache. 2 internal injury headache: onset is slow, the course of disease is longer; headache recurrence. When light weight, much is false is mixed; with faint pain, pain, pain free, Yuqing will stimulate or fatigue easy to attack or worse. 30. The rhythmic manifestations of pain in gastric ulcer and duodenal ulcer? Gastric ulcer often in the xiphoid or left gastric ulcer pain after a meal 1/2~2 hours after onset, gastric emptying 1~2 hours after remission, the law is eating - pain relief. Duodenal ulcer in the xiphoid right, duodenal ulcer in the stomach pain, usually in the meal 3~4 hours after onset, after eating remission, the law is eating - - to ease pain. 31, the identification of spots and rash? Spot color dark red or purple, point into the tile to my skin, do not ask, the pressure does not fade; rash color red or white, a little like millet, or out of the skin, such as petals, ask my, press fade. 32. What are the clinical features and clinical significance of Zheng's voice? Divine consciousness is not clear, language repetition, intermittence, low voice fuzzy. The heart qi deficiency syndrome of mental injury, scattered. Thirsty or cold drink in hot chicheng. The injury; dry mouth, but want to rinse water to swallow more tips with blood stasis. 33 smooth exchanges fluently, such as disk ball, Tact. The main food stagnation, phlegm, excess heat syndrome. The strings are straight and long, as in strings. The main hepatic cholelithiasis, the main pain, phlegm. The main yellow greasy fur and damp and hot, phlegm heat, indigestion hot rot. The tongue of blood stasis not circulation of qi stagnation and blood stasis. 34, how to diagnose empty Li? What's the point? The patient supine, doctors stand on the right side, with the right hand flat empty place, that is, the left breast 4, 5 intercostal, apical pulse. Test cases of gas intensity, the actual situation, and the prognosis of disease. 35. What are the key points in the identification of asthma and dyspnea? Wheezing refers to the sound of wheezing in the throat, dyspnea, a recurrent, independent disease, wheezing and panting. Out of breath by breath means, shortness of breath and difficulty, is a symptom of many acute and chronic diseases. Panting may not pant. 36, chest pain and chest pain really distinguish heartache heartache mild degree, pressing with a sense of suffocation, short duration, the number of seconds to 15 minutes of rest or service Nitroglycerin Tablets can quickly relieve and shortness of breath, palpitation, sweating. The ischemic ST-T segment changes and the myocardial enzyme spectrum is normal. The real pain severe pain with compression, fear, death frequency sense, long duration of up to 30 minutes or more, rest or take Nitroglycerin Tablets to alleviate, with pale sweating, limb cold, cyanosis of the lips and nails. Electrocardiographic patterns of myocardial infarction. Abnormal myocardial enzymes. 37 have tuberculosis, cough, hemoptysis, dyspnea, palpitations (pulmonary tuberculosis, bronchus, lung cancer, heart disease) disease. Symptoms of bleeding include itching of the throat, coughing, chest tightness, etc.. Blood comes from the lungs and comes out with a cough. Bright red, often with foam, phlegm, saliva. Vomiting blood, stomach pain, hypochondriac pain, jaundice, syndrome (peptic ulcer, cirrhosis, etc.) history. Before the bleeding symptoms are nausea, epigastric discomfort, dizziness, etc.. Blood comes from the stomach and comes out with vomiting. Scarlet or purple, often with food debris. What is jaundice? What is recessive jaundice? Jaundice refers to the increased concentration of bilirubin in the blood which causes the sclera, skin, mucous membranes, and other tissues and fluids to become yellow. If the bilirubin concentration in the blood increases, and the clinical has not yet appeared visible jaundice, known as recessive jaundice.