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1、精選優(yōu)質(zhì)文檔-傾情為你奉上 The six exogenous ksdns factors 外感六淫 The seven emotions 七情 Improper mprp diet 飲食失調(diào) (不適當(dāng)) Over strain 過度疲勞 Lack of physical exercise 缺乏鍛煉· Traumatic injuries;external ekst:nl injury 創(chuàng)傷、外傷Traumatic tr:mætk外傷用的 Bitten by animal and insect 蛇蟲鼠咬 · Stagnated blood and ph
2、legm flem fluid flu:d 瘀血痰濕 stæneit vi.停滯, 不流動, 不發(fā)展 phlegm flem 1. 痰2. 冷靜,鎮(zhèn)定fluid flu:d 液體流體 · 外感: diseases caused by exogenous evils eksdins 外因的· 六淫: six evils i:vl 壞的 風(fēng)邪: wind - evil 寒邪: cold - evil 暑邪: summer heat-evil 濕邪: wetness - evil 燥邪: dryness -
3、 evil 火邪: fire - evil 熱邪: heat - evil· 驚恐傷腎: fear impairing kidney imp vt.損害, 削弱 悲憂傷肺: sadness impairing lung 思慮傷脾: worry impairing spleen · 暴喜傷心: overwhelming joy impairing heart uvhwelm vt 難以禁受 大怒傷肝: rage impairing liver vi. n deficiency difinsi 虛 excess 實(shí)超過, 過多之量 exterio
4、r 表 interior 里 Yin 陰 Yang 陽 Cold 寒 Heat 熱· rising and falling of vital energy and evils 邪正盛衰vaitl 必不可少的· 陰陽失調(diào) disharmony of Yin and Yang dish:mni 不調(diào)和· 氣血失調(diào) disorder of Qi and Blood · 虛中夾實(shí), deficiency complicated with excess· 上盛下虛, excess in upper and deficie
5、ncy in lower· 真實(shí)假虛, true excess disease with false deficient manifestation· 表虛/實(shí), exterior deficiency/excess· 里虛/實(shí), interior deficiency/excess· 陽盛/虛, yang excessiveness / deficiency· 陰陽偏衰, deficiency of either yin or yang· 虛陽上浮, deficient yang with upper manifesta
6、tion顯示· 陰虛發(fā)熱, fever due to yin deficiency 陰虛火旺, hyperactivity of fire due to yin deficiency活動過度 虛火上炎, deficient fire flaring up 加劇、突發(fā)vi 陽損及陰, yang deficiency involving yin 亡陰/陽, yin/yang depletion dpli:n 用盡 陰陽離決, divorce of yin-yang 分離 真寒假熱, true cold disease with false heat manifestation 表現(xiàn) 寒熱
7、錯雜, intermingled cold and heat ntmgl vt、vi (使)混合 表熱里寒, exterior heat with interior cold Four diagnostic 四診 Inspection Observation 望診 檢查,視察 Listening and smelling聞診 Inquiry Auscultation and Olfaction 問診 Palpation and pulse taking切診 pls Body palpation按診 Abdominal examination 腹診 æbdmnl 腹部 Sym
8、ptoms 癥狀simptm Syndrome 綜合癥sindrum Physiotherapy 物理療法fiziuerpi Sign 體征 心悸 Palpitation pælpitein 怔忡 Fearful throbbing rbvi搏動 乏力 Lack of strength 目眩 dizzy vision dizi 眩暈 vin 視力, 視覺 眩暈 dizziness 頭重 heavy-headedness 神疲 lassitude of spirit læstju:d 無精打采 昏厥
9、 fainting feint 多夢 profuse dream prfju:s 浪費(fèi)的 健忘 forgetfulness 胸悶 oppression in the chest pren 壓抑 短氣 shortness of breath 煩躁 agitation ædten 反胃 stomach reflux ri:flks 逆流,退潮 惡心 nausea n:zi:, 干嘔 dry retching retvi 干嘔 嘔吐 vomiting vmit vt.vi .n 呃逆 hiccup hkp 吐酸 acid regurg
10、itation æsid ,酸的 ri:ditein回流 痞滿 stuffiness and fullness ,悶 胃脘痛 stomach duct pain dkt 導(dǎo)管 口苦 bitter taste in the mouth 口臭 fetid mouth odor fetd 惡臭的 ud氣味,名聲 口淡 bland taste in the mouth blænd 清淡的 厭食 anorexia ænreksi: fear of cold 畏寒 aversion to cold 惡寒. v:
11、n 厭惡 shivering 寒戰(zhàn)的 ivri High fever 壯熱 tidal fever 潮熱t(yī)adl alternating chills and fever 寒熱往來 :lt:nt 交替的 til寒冷· Vexing heat in the chest, palms and soles 五心煩熱 veks 使人煩惱的p:m 手掌sul腳心· nasal congestion 鼻塞 nezl鼻的 kndestn 阻塞 dyspnea 喘dispni: frequent urination 小便頻數(shù)
12、 jurinein 撒尿 reddish red urine 小便黃赤 red 淡紅色的 jurin inhibited urination 小便不利 nhbtd 壓抑的,拘謹(jǐn)?shù)?hematuria 尿血 Stone strangury 石淋stræjuri sloppy stool 便溏 slpi: 太稀的 stu:l 大便 Hard bound stool 大便硬結(jié) baund 被捆綁的 diarrhea 泄瀉 dari: tenesmus 里急后重 tnezms Qi collapse 氣脫 kl
13、30;ps 倒塌, 崩潰 Qi stagnation 氣滯 stægnen Blood stasis 血瘀 steisis Flooding 血崩 sunken middle qi 中氣下陷 skn 下陷的 insufficiency of middle qi 中氣不足 nsfnsi: 不足 disharmony of qi and blood 氣血失調(diào) dish:mni 不調(diào)和 dual deficiency of qi and blood 氣血兩虛 'dul 兩部分的, blazing of qi and blood
14、氣血兩燔 bleizi 熾熱的 Heat entering pericardium 熱入心包 perik:djm心包膜· impairment of fluid 傷津 impmnt損傷 器質(zhì)性精神障礙 Organic psychoses psai'kusi:z 精神分裂癥 Schizophrenia ,skidzu'freni 情感性精神障礙 Affective psychoses psai'kusi:z 神經(jīng)癥 Neuroses nju'rusi:z情感 affection 情緒 emotion 心境 mood 自知力 ins
15、ight 定向力 orientation精神障礙 Mental illness精神紊亂 Mental disorder 器質(zhì)性精神病 organic psychosis :'ænik psai'kusis 遺忘綜合癥 amnestic æm'nistic syndrome 譫妄 delirium di'lirim 癡呆 dementia di'meni 精神分裂癥 schizophrenia ,skidzu'freni 偏執(zhí)型 paranoid 'pærnid type 緊張型 catatonic ,k
16、30;t'tnik type 青春型 hebephrenic type 單純型 simple type 未分化型 Undifferentiated ,ndif'renieitid type 殘留型 Residual type 精神分裂癥后抑郁 Post-schizophrenia depression ,skidzu'freni神經(jīng)癥 neurosis nju'rusis恐懼癥 phobia 'fubi焦慮癥 Anxiety 廣泛性焦慮癥 generalized anxiety disorder dsrd 不適;疾病強(qiáng)迫癥 obsessive-compu
17、lsive disorder obsessive bssv, b-固執(zhí) 偏執(zhí)的compulsive kmplsv 極有趣的,令人著迷的2. 因著迷而引起的,上癮的3. 強(qiáng)迫性的 心境障礙 mood disorder 狂躁 mania 抑郁 depression 易激惹 irritability ,irit'bilti 雙相障礙 biplor disorder 意志增強(qiáng) hyperbulia haip'bjuli 意志減弱 hypobulia haip'bjuli 惡劣心境 dysthymic dis'imik disor
18、der 環(huán)性心境障礙 cyclothymia ,saiklu'aimi 抗抑郁藥 antidepressant drugs ,æntidi'presntInspection of Vitality vatælti: 生活力/ complexion 面色kmpleknaggravated(加劇) alcohol酒精 coldness of limbs The patient has been drinking alcohol for more than 20 years. ·patient has repeated attacks of s
19、tomachache for 20 years with marked deterioration(惡化) when he is hungry, relief after food intake. For the recent half year, the symptoms above became more serious which were manifested as consistent pain in the stomach, belching belt噯氣 and regurgitationri:ditein回流, moving and distending dstend
20、;腫脹 pain due to fullness in chest and abdomen æbdmn 腹部 and anorexia ænreksi: (厭食)。·he pain aggravates when hungry but it relieves after food intake. And that is the typical signs of stomachache. ·preference for curling up when lying喜蜷臥 ·The prolonged disease consum
21、es the spleen Yang energy, which makes the spleen fail to transport and distribute分布 the fluid and thus leads to reduced appetite, aggravated pain when diarrhea dari: . 腹瀉 , preference for press and warm, sallow complexion, pale and tender tongue. 由于病程日久,損傷脾之陽氣,故運(yùn)化失職,導(dǎo)致納減,溏瀉疼痛加劇,喜按喜熱,面色萎黃,
22、舌質(zhì)淡嫩 ·As about the white and yellow coating which is slightly greasy, it results from failure to transport and distribute due to Yang deficiency.·Diagnosis of modern medicine: Chronic gastritisgæstrats Diagnosis of T.C.M: Stomachache (spleen and kidney Yang deficiency accompanied
23、 by blood stasis·Therapeutic Principle: warming and tonifying (補(bǔ)益) the spleen and kidney , driving cold to relieve pain, promoting the circulation of blood to remove blood stasis. 治療原則:溫補(bǔ)脾腎,驅(qū)寒止痛 ,兼活血化淤· The Heart The Small Intestine The Liver The GallbladderThe Stomach The SpleenThe Large
24、Intestine ntestn 腸 The LungThe Bladder blæd The KidneyThe Triple Energizers endaiz ·Theory of meridians and collaterals 經(jīng)絡(luò)學(xué)說klætrl Meridians and collaterals 經(jīng)絡(luò)meridian 經(jīng)脈 mrdi:nMeridian - energy 經(jīng)氣Twelve Meridians 十二經(jīng)脈, Three Yang Meridians of the Hand 手三陽經(jīng)Three Y
25、in meridians of the foot 足三陰經(jīng)·手太陰肺經(jīng), Lung Meridian of Hand - Taiyin; 手陽明大腸經(jīng), Large Intestine Meridian of Hand - Yangming; 足陽明胃經(jīng), Stomach Meridian of Foot - Yangming; 足太陰脾經(jīng), The Spleen Meridian of Foot - Taiyin; 手少陰心經(jīng), Heart Meridian of Hand - Shaoyin; 手太陽小腸經(jīng), Small Intestine Meridian of Hand -
26、Taiyang; 足太陽膀胱經(jīng), The Urinary Bladder Meridian of Foot - Taiyang; 足少陰腎經(jīng), The Kidney Meridian of Foot - Shaoyin; 手厥陰心包經(jīng), Pericardium Meridian of Hand - Jueyin; 手少陽三焦經(jīng), Sanjiao Meridian of Hand - Shaoyang; 足少陽膽經(jīng), The Gall Bladder Meridian of Foot - Shaoyang; 足厥陰肝經(jīng), The Liver Meridian of Foot - Jueyin;
27、· Left hemisphere左腦 cerebrum 大腦 cerebro-=brain cerebrospinal 腦脊髓的 cerebrovascular 腦血管意外 Vascular 血管的 adj. Brainstem 腦干 Cerebellum 小腦 encephalon 腦 encephalopathy 腦病·Chief complaint: Right-sided arm and leg weak for one day。主訴:右側(cè)肢體乏力一天·speak vaguely, right mouth droop右側(cè)口角下垂,言語不清·Ph
28、ysical examination : revealed right extremity muscle strength is 3 degree, right Babinskis sign (+). 體檢右側(cè)肢體肌力3級,巴氏征陽性。·History : hypertension,diabetes, and hyperlipidemia病史:高血壓,糖尿病dabi:ts,高脂血癥haiplipidi:mi,·How to identify stroke? 如何鑒別中風(fēng)1、Ask the individual to smile. 請病人微笑2、Ask him or her
29、to raise both arms. 請他(她)抬手3、Ask the person to speak a simple sentence. 請他(她)說一個簡單句子·the person has a problem with any of these functions·Cerebral infarction inf:kn 腦缺血Cerebral hemorrhage hemrd 腦出血·ischemic stroke 缺血性中風(fēng)(缺血性的):blood vessel that supplies blood to the brain is blocked by
30、 a blood clotbrain tissue tisju:is ischemic 血管堵塞腦組織缺血· Stroke hemorrhagic 出血性中風(fēng)(出血的):blood vessel in part of the brain becomes weak and bursts open, causing blood to leak into the brain-bleeding 血管破裂,血液外漏·A clot may break off from another place in the blood vessels of the brain, or some ot
31、her part of the body, and travel up to the brain to block a smaller artery:tri動脈. This is called an embolism emblizm栓子。Artery 動脈 vessles血管 clot 栓子 block 堵塞Embolic 栓塞的 Embolism栓塞 Thrombus血栓 n. thrombotic 血栓形成的 adj. hemorrhagic 出血的 hemorrhage 腦出血· abrupt onset/sudden onset發(fā)生of symptoms, which var
32、y from person to person depending on which part of the brain or eye is starved of blood。突然發(fā)作,癥狀取決于腦缺血的部位。·they may occur on and off for the first day or two, or get worse gradually 病情穩(wěn)定于發(fā)病的第一二天或逐漸加重。·A numb nm 麻木的or weak feeling in the face Faciolplegia feiiupli:di面癱 / hemiplegiahemipli:di
33、偏癱 / paralysisprælss 癱瘓aphasiafe 失語癥 dysphasiadisfeii 言語障礙癥 dizziness dzns頭昏眼花 dysphagiadisfeidi 吞咽困難 unconsciousness 意識不清 ·spatial and perceptual difficultybilatteral ignore 空間和感知覺障礙單側(cè)忽略·Apraxia præksi: Unable to control muscles, movements is uncoordinatednku:dineitid and “jerky
34、” dki。失用:不能控制肌肉活動,不協(xié)調(diào)或笨拙·a slow and cautious behaviour 行動緩慢 k:s 小心的·hypalgesia、hyperalgesia、analgesia痛覺減退、痛覺過敏或無痛·reflexes反射 dementia 癡呆 depression 抑郁·A CT scan of the brain is often done soon after symptoms of a stroke begin. 盡快做 CT·can reveal which blood vessel is blocked
35、or bleeding·Attention to diet, which should be varied, but low in saturated 浸透的sætreitid fat, alcohol, and salt, and high in fibre, fruit and vegetables. 飲食控制,低鹽,低脂,高纖維素和蔬菜水果·Avoidance of smoking - this is absolutely essential. 避免吸煙·Stress management - stress in life is unavoidab
36、le but can be reduced by various strategies including exercise, changing attitudes to work, meditation思考and relaxation. 壓力調(diào)節(jié),改變工作、生活態(tài)度,放松。 strætidi策略·1. Fire and heat of lung, stomach, and liver meridians rise to scorch the nose.肺經(jīng)熱甚,胃火熾盛,肝火上擾,上灼于鼻·2.Yin deficiency causes hyperactive
37、fire, scorch nasal blood vessels.陰虛火旺,上灼鼻絡(luò)·3.Qi deficiency of spleen fail to keep blood circulating within blood vessels.氣不攝血,血溢脈外·1.Syndrome of excessive heat of lung meridian 肺經(jīng)熱盛證Dispelling dspel驅(qū)散 wind and clearing away heat,cooling blood to check bleeding.Prescription:Sangju Decoction
38、 in combination with Xiebai Powder。疏風(fēng)清熱,涼血止血。 桑菊飲合瀉白散加減·2.Syndrome of excessive fire of the stomach。 胃火熾盛證Purging p:d the stomach fire,cooling blood to check抑制bleeding.Prescription:Xijiao Dihuang Decoction dikkn湯 modified。清胃瀉火,涼血止血。犀角地黃湯加減·3.Syndrome of liver fire stirring the upper 肝火上擾證C
39、learing away heat from the liver and purging fire,cooling blood to stop bleeding.Prescription:Longdan Xiegan Decoction modified 清肝瀉火,涼血止血。 龍膽瀉肝湯加減·4.Syndrome of yin deficiency of the liver and kidney 肝腎陰虛證Nourishing nri 滋養(yǎng)the liver and kidney,descending fire to check bleeding.Prescription:Zhibai Dihuang Pill modified 滋養(yǎng)肝腎,降火止血。知柏地黃丸加減·5.Syndrome of qi deficiency of the spleen 脾氣虛弱證Strengthening the kidney and invigorating qi,keeping b
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