7 模拟中医英语病例讨论【通用】.ppt

二.病史陈述 Inquiry : poor appetide ,constipation and urinary frequary , good sleep ,no nausea,vomiting,diarrhea. 问诊：胃纳不馨，大便闭塞，小便清长，夜寐尚安。无恶心、呕吐、腹泻等症。 Picture of the tongue : whitish enlarged tang with slight yellow fur in center . 舌象：淡白胖大舌，中有薄黄苔 Pulse -taking: Thin ,weak 脉象：细 弱 最新.课件 * 三.病证要点 epigestric pain 胃脘痛 最新.课件 * 四.中医辨证 Epigastric pain is a chronic persist ache in the upper abdomen. It can be caused by Qi asthemia ,pathogenic cold invasion and blood stasis，etc. 胃脘痛是中上腹的慢性持续性疼痛，可以因为气虚、外寒入侵或是血瘀等引起。 最新.课件 * 最新.课件 * 最新.课件 * 最新.课件 * 最新.课件 * 最新.课件 * 最新.课件 * 最新.课件 * 最新.课件 * 最新.课件 * 最新.课件 * 最新.课件 * 最新.课件 * 最新.课件 * 最新.课件 * 最新.课件 * 最新.课件 * 最新.课件 * 最新.课件 * 最新.课件 * 中医病例讨论 胃脘痛 （中焦阳虚） 最新.课件 * 一.辩证导引 Today we will discuss the TCM case of a 36-year-old man 。 今天我们要讨论的是3６岁男性中医病例. 最新.课件 * 二.病史陈述 First of all, I would like to present the case. 首先，我为大家介绍此病例 最新.课件 * 二.病史陈述 Today we will discuss the case of a 36-year-old man with recurrent epigastric pain for five months . 今天我们要讨论的是一位近五个月以来上腹疼痛的36岁男性病例。 最新.课件 * 二.病史陈述 Five months ago,the patient felt epigastric pain.At that time,the amylase levels was 349 U per liter. The white-cell count and the results of tests of liver function were normal.the pain continued,and the amylase levels did not return to normal . 五个月前,病人感到上腹疼痛.淀粉酶水平是349单位每升.白细胞数目和肝功能正常.疼痛继续.淀粉酶水平一直不正常. 最新.课件 * 二.病史陈述 Twelve weeks ago,he was administration of prednisone(20 mg twice daily). The patient’s pain resolved. The patient had lost 5.5 kg in weight during recent weeks. 12周前,病人使用了强的松20毫克,每天两次.最近几周病人体重下降5.5公斤. 最新.课件 * 二.病史陈述 Sixteen weeks before admission，an endoscopic examination showed diffuse attenuation of the common bile duct and focal narrowing at the origin of the left hepatic duct 入院前16周,内窥镜显示胆管变薄,左侧胆管变狭窄. 最新.课件 * 二.病史陈述 but the intrahepatic duct s were not optimally distended . The same day an upper gastrointestinal endoscopic examination showed abnormalities in the entire pancreas， 但是肝内胆管无扩张.同一天的胃肠内窥镜显示胰腺的畸形. 最新.课件 * 二.病史陈述 He had a tendency