[
  {
    "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。"
  }
]