| [ | |
| { | |
| "question_num": 1, | |
| "query": "患者，男，38岁。呃声低长无力，气不得续，泛吐清水，脘腹不舒，喜温喜按，面色胱白，手足不温，食少乏力，大便溏薄，舌质淡，苔薄白，脉细弱。该患者辨证为", | |
| "options": { | |
| "A": "胃阴不足证", | |
| "B": "气机郁滞证", | |
| "C": "胃中寒冷证", | |
| "D": "脾胃阳虚证", | |
| "E": "胃火上逆证" | |
| }, | |
| "answer": "D", | |
| "reason": "根据症状辨证为呃逆，脾胃阳虚证。治法为温补脾胃，降逆止呃。首选方剂为理中丸加减。" | |
| }, | |
| { | |
| "question_num": 2, | |
| "query": "患者，男，38岁。呃声低长无力，气不得续，泛吐清水，脘腹不舒，喜温喜按，面色胱白，手足不温，食少乏力，大便溏薄，舌质淡，苔薄白，脉细弱。其治法是", | |
| "options": { | |
| "A": "顺气解郁，和胃降逆", | |
| "B": "养胃生津，降逆止呃", | |
| "C": "温中散寒，降逆止呃", | |
| "D": "清胃泄热，降逆止呃", | |
| "E": "温补脾胃，降逆止呃" | |
| }, | |
| "answer": "E", | |
| "reason": "根据症状辨证为呃逆，脾胃阳虚证。治法为温补脾胃，降逆止呃。首选方剂为理中丸加减。" | |
| }, | |
| { | |
| "question_num": 3, | |
| "query": "患者，男，38岁。呃声低长无力，气不得续，泛吐清水，脘腹不舒，喜温喜按，面色胱白，手足不温，食少乏力，大便溏薄，舌质淡，苔薄白，脉细弱,治疗应首选的方剂是", | |
| "options": { | |
| "A": "益胃汤", | |
| "B": "理中丸", | |
| "C": "五磨饮子", | |
| "D": "竹叶石膏汤", | |
| "E": "丁香散" | |
| }, | |
| "answer": "B", | |
| "reason": "根据症状辨证为呃逆，脾胃阳虚证。治法为温补脾胃，降逆止呃。首选方剂为理中丸加减。" | |
| }, | |
| { | |
| "question_num": 4, | |
| "query": "患者，女，43岁。全身皮肤黄染2月。现症：面目及肌肤淡黄，甚则晦暗不泽，肢软乏力，心悸气短，大便溏薄，舌质炎苔薄，脉濡细。该患者辨证为", | |
| "options": { | |
| "A": "气滞血郁证", | |
| "B": "脾虚湿滞证", | |
| "C": "寒湿阻遏证", | |
| "D": "湿热阻遏证", | |
| "E": "肝脾不调证" | |
| }, | |
| "answer": "B", | |
| "reason": "面目及肌肤淡黄，甚则晦暗不泽，肢软乏力，心悸气短，大便溏薄，舌质淡苔薄，脉濡细，辨证为黄疸，阴黄脾虚湿滞证。治法为健脾养血，利湿退黄。首选方剂为黄芪建中汤。" | |
| }, | |
| { | |
| "question_num": 5, | |
| "query": "患者，女，43岁。全身皮肤黄染2月。现症：面目及肌肤淡黄，甚则晦暗不泽，肢软乏力，心悸气短，大便溏薄，舌质炎苔薄，脉濡细。其治法是", | |
| "options": { | |
| "A": "清热利湿、利胆退黄", | |
| "B": "行气活血，利湿退黄", | |
| "C": "调和肝脾、理气助运", | |
| "D": "温中化湿、健脾和胃", | |
| "E": "健脾养血、利湿退黄" | |
| }, | |
| "answer": "E", | |
| "reason": "面目及肌肤淡黄，甚则晦暗不泽，肢软乏力，心悸气短，大便溏薄，舌质淡苔薄，脉濡细，辨证为黄疸，阴黄脾虚湿滞证。治法为健脾养血，利湿退黄。首选方剂为黄芪建中汤。" | |
| }, | |
| { | |
| "question_num": 6, | |
| "query": "患者，女，43岁。全身皮肤黄染2月。现症：面目及肌肤淡黄，甚则晦暗不泽，肢软乏力，心悸气短，大便溏薄，舌质炎苔薄，脉濡细,治疗应首选的方剂是", | |
| "options": { | |
| "A": "茵陈五苓散", | |
| "B": "黄芪建中汤", | |
| "C": "附子理中汤", | |
| "D": "归芍六君子汤", | |
| "E": "茵陈术附汤" | |
| }, | |
| "answer": "B", | |
| "reason": "面目及肌肤淡黄，甚则晦暗不泽，肢软乏力，心悸气短，大便溏薄，舌质淡苔薄，脉濡细，辨证为黄疸，阴黄脾虚湿滞证。治法为健脾养血，利湿退黄。首选方剂为黄芪建中汤。" | |
| }, | |
| { | |
| "question_num": 7, | |
| "query": "患者，女，32岁，已婚。妊娠10周。阴道少量出血，色淡质稀，腰酸，小腹空坠疼痛，神疲肢倦，面色少华，心悸气短，舌质淡，苔薄白，脉滑无力。诊断该患者的证型是", | |
| "options": { | |
| "A": "肾虚证", | |
| "B": "湿热证", | |
| "C": "气血虚弱证", | |
| "D": "跌仆伤胎证", | |
| "E": "虚热证" | |
| }, | |
| "answer": "C", | |
| "reason": "胎漏、胎动不安气血虚弱证:妊娠期阴道少量出血，色淡红，质稀薄,或小腹空坠而痛，腰酸,面色㿠白，心悸气短，神疲肢倦，舌淡，苔薄白，脉细弱略滑。治法:补气养血，固肾安胎。方选:胎元饮。" | |
| }, | |
| { | |
| "question_num": 8, | |
| "query": "患者，女，32岁，已婚。妊娠10周。阴道少量出血，色淡质稀，腰酸，小腹空坠疼痛，神疲肢倦，面色少华，心悸气短，舌质淡，苔薄白，脉滑无力。其治法是", | |
| "options": { | |
| "A": "清热凉血，固冲止血", | |
| "B": "固肾安胎", | |
| "C": "补气养血，固肾安胎", | |
| "D": "滋阴清热，养血安胎", | |
| "E": "活血化瘀，补肾安胎" | |
| }, | |
| "answer": "C", | |
| "reason": "胎漏、胎动不安气血虚弱证:妊娠期阴道少量出血，色淡红，质稀薄,或小腹空坠而痛，腰酸,面色㿠白，心悸气短，神疲肢倦，舌淡，苔薄白，脉细弱略滑。治法:补气养血，固肾安胎。方选:胎元饮。" | |
| }, | |
| { | |
| "question_num": 9, | |
| "query": "患者，女，32岁，已婚。妊娠10周。阴道少量出血，色淡质稀，腰酸，小腹空坠疼痛，神疲肢倦，面色少华，心悸气短，舌质淡，苔薄白，脉滑无力。治疗应首选的方剂是", | |
| "options": { | |
| "A": "寿胎丸", | |
| "B": "阿胶汤", | |
| "C": "保阴煎", | |
| "D": "胎元饮", | |
| "E": "桂枝茯苓丸" | |
| }, | |
| "answer": "D", | |
| "reason": "胎漏、胎动不安气血虚弱证:妊娠期阴道少量出血，色淡红，质稀薄,或小腹空坠而痛，腰酸,面色㿠白，心悸气短，神疲肢倦，舌淡，苔薄白，脉细弱略滑。治法:补气养血，固肾安胎。方选:胎元饮。" | |
| }, | |
| { | |
| "question_num": 10, | |
| "query": "患者，女，54岁。心胸隐痛，时作时休，心悸气短，动则益甚，伴倦怠乏力，声息低微，面白自，舌质淡红，舌体胖，边有齿痕，苔薄白，脉虚细缓。该患者辨证为", | |
| "options": { | |
| "A": "寒凝心脉证", | |
| "B": "气阴两虚证", | |
| "C": "痰浊闭阻证", | |
| "D": "心肾阴虚证", | |
| "E": "气滞心胸证" | |
| }, | |
| "answer": "B", | |
| "reason": "心胸隐痛，时作时休，心悸气短，动则益甚;伴倦怠乏力，声息低微，面白自汗，舌质淡红，舌体胖，边有齿痕，苔薄白，脉虚细缓，可辨证为胸痹气阴两虚证。治法为益气养阴，活血通脉。首选方剂为生脉散合人参养荣汤。" | |
| }, | |
| { | |
| "question_num": 11, | |
| "query": "患者，女，54岁。心胸隐痛，时作时休，心悸气短，动则益甚，伴倦怠乏力，声息低微，面白自，舌质淡红，舌体胖，边有齿痕，苔薄白，脉虚细缓。其治法是", | |
| "options": { | |
| "A": "温补阳气，振奋心阳", | |
| "B": "滋阴清火，养心和络", | |
| "C": "通阳泄浊，豁痰宣痹", | |
| "D": "益气养阴，活血通脉", | |
| "E": "辛温散寒，宣通心阳" | |
| }, | |
| "answer": "D", | |
| "reason": "心胸隐痛，时作时休，心悸气短，动则益甚;伴倦怠乏力，声息低微，面白自汗，舌质淡红，舌体胖，边有齿痕，苔薄白，脉虚细缓，可辨证为胸痹气阴两虚证。治法为益气养阴，活血通脉。首选方剂为生脉散合人参养荣汤。" | |
| }, | |
| { | |
| "question_num": 12, | |
| "query": "患者，女，54岁。心胸隐痛，时作时休，心悸气短，动则益甚，伴倦怠乏力，声息低微，面白自，舌质淡红，舌体胖，边有齿痕，苔薄白，脉虚细缓。治疗首选方剂是", | |
| "options": { | |
| "A": "柴胡疏肝散", | |
| "B": "枳实薤白桂枝汤合当归四逆汤", | |
| "C": "血府逐瘀汤", | |
| "D": "瓜萎薤白半夏汤合涤痰汤", | |
| "E": "生脉散合人参养荣汤" | |
| }, | |
| "answer": "E", | |
| "reason": "心胸隐痛，时作时休，心悸气短，动则益甚;伴倦怠乏力，声息低微，面白自汗，舌质淡红，舌体胖，边有齿痕，苔薄白，脉虚细缓，可辨证为胸痹气阴两虚证。治法为益气养阴，活血通脉。首选方剂为生脉散合人参养荣汤。" | |
| }, | |
| { | |
| "question_num": 13, | |
| "query": "患者，男，43岁。小腿累累青筋，盘屈如蚯蚓．久则痛体增大，下坠不适感加重，气短乏力肮腹坠胀，腰酸，舌淡苔薄白，脉细缓无力。该患者辨证为", | |
| "options": { | |
| "A": "筋瘤脾肾亏虚证", | |
| "B": "筋瘤劳倦伤气证", | |
| "C": "筋瘤气血亏虚证", | |
| "D": "筋外伤瘀滞证", | |
| "E": "筋瘤寒湿凝筋证" | |
| }, | |
| "answer": "B", | |
| "reason": "患者小腿累累青筋;盘屈如蚯蚓,诊断为筋瘤,久站则瘤体增大,下坠不适感加重，气短乏力,脘腹坠胀,腰酸，舌淡苔薄白,脉细缓无力，为劳倦伤气证。治法当补中益气,活血舒筋。首选补中益气汤加减。" | |
| }, | |
| { | |
| "question_num": 14, | |
| "query": "患者，男，43岁。小腿累累青筋，盘屈如蚯蚓．久则痛体增大，下坠不适感加重，气短乏力肮腹坠胀，腰酸，舌淡苔薄白，脉细缓无力。其治法是", | |
| "options": { | |
| "A": "暖肝散寒，益气通脉", | |
| "B": "活血化瘀，和营消肿", | |
| "C": "补中益气，活血舒筋", | |
| "D": "清热利湿，解毒通络", | |
| "E": "疏肝解郁，活血解毒" | |
| }, | |
| "answer": "C", | |
| "reason": "患者小腿累累青筋;盘屈如蚯蚓,诊断为筋瘤,久站则瘤体增大,下坠不适感加重，气短乏力,脘腹坠胀,腰酸，舌淡苔薄白,脉细缓无力，为劳倦伤气证。治法当补中益气,活血舒筋。首选补中益气汤加减。" | |
| }, | |
| { | |
| "question_num": 15, | |
| "query": "患者，男，43岁。小腿累累青筋，盘屈如蚯蚓．久则痛体增大，下坠不适感加重，气短乏力肮腹坠胀，腰酸，舌淡苔薄白，脉细缓无力。治疗首选方剂是", | |
| "options": { | |
| "A": "补中益气汤", | |
| "B": "暖肝煎", | |
| "C": "活血散瘀汤", | |
| "D": "通脉汤", | |
| "E": "活血通脉汤" | |
| }, | |
| "answer": "A", | |
| "reason": "患者小腿累累青筋;盘屈如蚯蚓,诊断为筋瘤,久站则瘤体增大,下坠不适感加重，气短乏力,脘腹坠胀,腰酸，舌淡苔薄白,脉细缓无力，为劳倦伤气证。治法当补中益气,活血舒筋。首选补中益气汤加减。" | |
| } | |
| ] |