云南中医学院

《针灸学》双语考试试卷 1卷参考答案

Ⅰ 单选题(每题1分，共20分)

There is only one correct choice for each item, please mark it.

1.C 2.A 3.E 4.A 5.D 6.C 7.C 8.D 9.D 10.A 11.C 12.A 13.C 14.A 15.A 16.C 17.C 18.C 19.B 20. B

Ⅱ Multiple-choice(2个或2个以上选择，每题1分，共10分)

1.ABCDE 2.CE 3.ACE 4.BC 5.ABDE 6.AD 7.AE 8.AB 9.ABCDE 10.DE

Ⅲ Filling the blank(每空0.5分，共10分)

1.stemming, entering,outthrusting,combination

2.meridian acupoints,extraordinary acupoints and Ashi points

3. 阴阳十一脉灸经、足臂十一脉灸经

4. 何若愚

5. 十二经之海,血海

6. 中府,期门

7. 脾经,胃经

8. 乳根、膻中、少泽

Ⅳ Explain the concept(每题3分，共15分)

1.痹证：风、寒、湿、热等引起的以肢体关节及肌肉酸痛、麻木、重着、曲伸不利，甚或关节肿大灼热等为主症的一类病症

2.原络配穴法：指把先病经脉的原穴和后病的相表里的经脉络穴相配合称之，如大肠先病先取合谷，肺经后病取列缺

3. 核骨：指第1跖骨的头部突起

4.膂：夹脊两旁的肌肉

5. When the needle is inserted to a certain depth, the patient may feel soreness, numbness or distention around the point. The operator at the same time may feel tenseness around the needle. This is called "arrivalof Qi," indicating the needling has produced its effect in calling the channels and collaterals into function.

Ⅴ Questions (每题10分，共30分)

Please expound the below questions in brief.

1.(1)Regulating yin and yang

(2)Reinforcing healthy qi and expelling pathogenic factors

(3)Concentration of treatment on the essential aspect

(4)Selection of treatment according to the individual conditions

2. 涌泉：足趾跖屈时，约当足底(去趾)前 凹陷处，归肾经;

上巨虚：犊鼻下6寸或足三里穴下3寸，归胃经;

商阳：食指未节桡侧，指甲根角旁0.1寸，归大肠经;

阳陵泉：腓骨小头前下方凹陷中，归胆经;

关元：前正中线上，脐下3寸，归任脉;

丝竹空：眉梢的凹陷处，归三焦经。

3.答：①不盛不虚即脏腑经络虚实表现不甚明显②由于病变脏腑，经脉本身的病变而不涉及其他脏腑经脉，属本经自病③本经自病者，应按本经循经取穴④脏腑虚实表现不明者，多采用平补平泻的针刺手法(评分标准：答对四点者给满分，其余酌情扣分)

Ⅵ case  analysis

病案分析(下列病案，仅选择一题回答，多题作答无效，并论述所选病例的中医诊断，辩证分型，针灸治则，治法，针灸处方及方义，若选英文题，可用中文作答 15分)

答案：

1.(1) TCM Diagnosis: Wind Stroke

(2) Modern medicine Diagnosis: Apoplexy

(3) Differentiation of syndromes: qi deficiency, blood stasis and phlegm retention.

(4)Acupuncture therapy (principles, method, prescription and its significations)

Principles: benefiting qi, activating blood circulation and resolving phlegm;

Method: needling is applied with even reducing and even reinforcing method;

Prescription: MS 8(L), LI 14, LI 11, LI 4, GB 30, ST 32, ST 36, ST 40 SP 6 of right side;

Significations: abbreviated.

2. 诊断：胃痛

分型：肝气犯胃

治则治法：疏肝和胃止痛，以胃经、经包经及募穴为主

处方方义：足三里——合治内腑;中脘——胃募穴，健运中洲，调理气机;内关——理气止痛，主治心胸胃疾;太冲——疏肝解郁

操作：足三里平补泻，内关中脘泻法，太冲泻法