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老年男性，大便艰涩，小便清长，面白，四末不温，腹中冷痛，舌淡苔白，脉沉迟，可选
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患者大便干或不干排出艰涩困难小便清长面色淡白或时作眩晕四肢不温腹中冷痛得热则减腰膝冷痛舌淡苔白脉沉迟
温阳通便
滋阴通便
养血润燥
顺气导滞
补气润肠
大便艰涩排出困难小便清长面色白四肢不温喜热怕冷腹中冷痛腰背酸冷舌淡苔白脉沉迟此便秘属
气虚便秘
阳虚便秘
气秘
热秘
血虚便秘
大便艰涩排出困难小便清长面色苍白四肢不温喜热怕冷腹中冷痛舌淡苔白脉沉迟此属
气秘
冷秘
热秘
虚秘
以上都不是
大便艰涩排出困难小便清长面色白四肢不温喜热怕冷腹中冷痛舌淡苔脉沉迟此属
气秘
冷秘
热秘
阳虚秘
以上都不是
大便艰涩排出困难小便清长面色恍白四肢不温喜热怕冷腹中冷痛舌淡苔白脉沉迟此属
气秘
冷秘
热秘
虚秘
以上都不是
患者王某男性69岁大便艰涩排出困难小便清长面色白四肢不温喜热怕冷腹中冷痛舌淡苔白脉沉迟其辨证分型是
气秘
冷秘
热秘
虚秘
实秘
大便艰涩排出困难小便清长面色觥白四肢不温喜热怕冷腹中冷痛舌淡苔白脉沉迟此属
气秘
冷秘
热秘
虚秘
以上都不是
患者大便艰涩排出困难小便清长面色白四肢不温喜热怕冷腹中冷痛舌淡苔白脉沉迟此便秘属
热秘
血虚
阳虚
气秘
实秘
李某老年男性大便艰涩排出困难小便清长面色白四肢不温喜热怕冷腹中冷痛腰膝冷痛舌淡苔白脉沉迟其治法应为
益气健脾
养血润肠
顺气导滞
健脾升阳
温阳通便
大便艰涩排出困难小便清长面色皓白四肢不温喜热怕冷腹巾冷痛舌淡苔白脉沉迟此属
气秘
冷秘
热秘
虚秘
以上都不是
患者王某男性69岁大便艰涩排出困难小便清长面色白四肢不温喜热怕冷腹中冷痛舌淡苔白脉沉迟此属
气秘
冷秘
热秘
虚秘
实秘
李某老年男性大便艰涩排出困难小便清长面色白四肢不温喜热怕冷腹中冷痛腰膝冷痛舌淡苔白脉沉迟其治法应为
益气健脾
养血润肠
顺气导滞
健脾升阳
温阳通便
患者便秘大便艰涩排出困难小便清长面色白四肢不温喜热怕冷腹中冷痛舌淡苔白脉沉迟证属
气虚
血虚
阳虚
气秘
实秘
患者王某男性69岁大便艰涩排出困难小便清长面色白四肢不温喜热怕冷腹中冷痛舌淡苔白脉沉迟此属
气秘
冷秘
热秘
虚秘
实秘
某男性患者69岁大便艰涩难下面色白四肢不温喜热畏冷腹中冷痛腰脊亦冷小便清长舌淡嫩苔白脉沉迟其治法是
益气通便
温阳通便
养血润燥
润肠通便
健脾温中
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TheSupremeCourt’’sdecisionsonphysician-assistedsuicidecarryimportantimplicationsforhowmedicineseekstorelievedyingpatientsofpainandsuffering. Althoughitruledthatthereisnoconstitutionalrighttophysician-assistedsuicidetheCourtineffectsupportedthemedicalprincipleofdoubleeffectacenturies-oldmoralprincipleholdingthatanactionhavingtwoeffects―agoodonethatisintendedandaharmfulonethatisforeseen―ispermissibleiftheactorintendsonlythegoodeffect. Doctorshaveusedthatprincipleinrecentyearstojustifyusinghighdosesofmorphinetocontrolterminallyiiipatients’’paineventhoughincreasingdosageswilleventuallykillthepatient. NancyDublerdirectorofMontefioreMedicalCentercontendsthattheprinciplewillshielddoctorswhountilnowhaveveryverystronglyinsistedthattheycouldnotgivepatientssufficientmedicationtocontroltheirpainifthatmighthastendeath. GeorgeAnnaschairofthehealthlawdepartmentatBostonUniversitymaintainsthataslongasadoctorprescribesadrugforalegitimatemedicalpurposethedoctorhasdonenothingillegalevenifthepatientusesthedrugtohastendeath.It’’slikesurgeryhesays.Wedon’’tcallthosedeathshomicidesbecausethedoctorsdidn’’tintendtokilltheirpatientsalthoughtheyriskedtheirdeath.Ifyou’’reaphysicianyoucanriskyourpatients’’suicideaslongasyoudon’’tintendtheirsuicide. Onanotherlevelmanyinthemedicalcommunityacknowledgethattheassisted-suicidedebatehasbeenfueledinpartbythedespairofpatientsforwhommodernmedicinehasprolongedthephysicalagonyofdying. JustthreeweeksbeforetheCourt’’srulingonphysician-assistedsuicidetheNationalAcademyofScienceNASreleasedatwo-volumereportApproachingDeath:ImprovingCareattheEndofLife.Itidentifiestheundertreatmentofpainandtheaggressiveuseofineffectualandforcedmedicalproceduresthatmayprolongandevendishonortheperiodofdyingasthetwinproblemsofend-of-lifecare. TheprofessionistakingstepstorequireyoungdoctorstotraininhospicestotestknowledgeofaggressivepainmanagementtherapiestodevelopaMedicarebillingcodeforhospital-basedcareandtodevelopnewstandardsforassessingandtreatingpainattheendoflife. Annassayslawyerscanplayakeyroleininsistingthatthesewell-meaningmedicalinitiativestranslateintobettercare.Largenumbersofphysiciansseemunconcernedwiththepaintheirpatientsareneedlesslyandpredictablysufferingtotheextentthatitconstitutessystematicpatientabuse.Hesaysmedicallicensingboardsmustmakeitclear..thatpainfuldeathsarepresumptivelyonesthatareincompetentlymanagedandshouldresultinlicensesuspension. Whichofthefollowingstatementsistrueaccordingtothetext
Atthestartofthe20thcenturyimmigrantlaborandinnovationhelpedturntheU.S.intoapowerfulmanufacturingnation.Todayforeign-bornengineersjamthecorridorsofSiliconValleyhelpingAmerica’’sinformation-technologyboom.Andasthe21stcenturydawnsyetanotherwaveofimmigrantswillonceagainhelptransformtheeconomy. 46DuringthenextdecadeexceptingachangeingovernmentpolicynearlyamillionimmigrantsareexpectedtoarriveintheU.S.everyyearmostofwhombothlegalandillegalwillcontinuetocomefromLatinAmericaandSoutheastAsiabuteveryforeignlandwillberepresented. Asdomesticbirthratesstagnateonlyforeign-bornworkerwillkeepthelaborpoolgrowing.By2006infactimmigrantswillaccountforhalfofallnewU.S.workers;overthenext30yearstheirsharewillriseto60%. 47EvenatcurrentlevelsofimmigrationaccordingtotheLaborDept.thenumberofpeopleavailabletoworkwillincreasebyamere0.8%peryearbetween1996and2006-halftherateofthepreviousdecade.WithoutimmigrantsaccordingtoanewstudytheU.S.workforcewouldactuallybegintoshrinkby2015. 48It’’snotallaboutsheernumbersofcourse:ToliftproductivityandspurgrowthimmigrantsmustprovidecreativityentrepreneurialenergyorsimpleinitiativethatAmericacouldn’’tfindotherwise.IfallyoudidwasbringinpeoplewhoareexactlythesameasthosewehaveheretherewouldbenoeconomicbenefitsaysRandCorp.economistJamesP.SmithYou’’djusthavemorepeople. Justascrucialthearrayofeducationandskillsimmigrantsbringcouldfitneatlywiththesupplyofjobsoverthenextdecade.AccordingtoLindaLevineattheCongressionalResearchService60%ofthejobscreatedthrough2005willrequiresomepost-secondaryeducation.Butsheaddslow-skilljobswillstillrepresentabouthalfoftotalemployment.49Yetimmigrantsalsoare50%morelikelythanAmericanstohaveagraduatedegreeandanunbelievable23%ofU.S.residentsholdingPhDsinscienceandengineeringareforeign-bornaccordingtotheNationalScienceFoundation. Indeedforeign-bornworkershaveshownanextraordinaryabilitytoassimilateandflourish.Certainlysomelessskilledworkerswillremainatthebottomeconomicrungalltheirlives.50Yetotherswillcatchupquicklyandwithinadecadeoftheirarrivalthewell-educatedwillgofrommakingbarelyhalfthatofnative-bornAmericansincomparableworktonearly90%accordingtoarecentstudy. Thatofcoursewillraiseimmigrants’’livingstandards.Moreimportantitwillhelpdriveinnovationandentrepreneurshipkeyenginesofthe21stCenturyEconomy.
Inthelasthalfofthenineteenthcenturycapitalandlabourwereenlargingandperfectingtheirrivalorganizationsonmodemlines.Manyanoldfirmwasreplacedbyalimitedliabilitycompanywithabureaucracyofsalariedmanagers.Thechangemetthetechnicalrequirementsofthenewagebyengagingalargeprofessionalelementandpreventedthedeclineinefficiencythatsocommonlyspoiledthefortunesoffamilyfirmsinthesecondandthirdgenerationaftertheenergeticfounders.Itwasmoreoverastepawayfromindividualinitiativetowardscollectivismandmunicipalandstate-ownedbusiness.Therailwaycompaniesthoughstillprivatebusinessmanagedforthebenefitofshareholderswereveryunlikeoldfamilybusiness.Atthesametimethegreatmunicipalitieswentintobusinesstosupplylightingtramsandotherservicestothetaxpayers. Thegrowthofthelimitedliabilitycompanyandmunicipalbusinesshadimportantconsequences.Suchlargeimpersonalmanipulationofcapitalandindustrygreatlyincreasedthenumbersandimportanceofshareholdersasaclassanelementinnationalliferepresentingirresponsiblewealthdetachedfromthelandandthedutiesofthelandowners;andalmostequallydetachedfromtheresponsiblemanagementofbusiness.AllthroughthenineteenthcenturyAmericaAfricaIndiaAustraliaandpartsofEuropewerebeingdevelopedbyBritishcapitalandBritishshareholderswerethusenrichedbytheworld’’smovementtowardsindustrialisation.TownslikeBournemouthandEastbournespranguptohouselargecomfortableclasseswhohadretiredontheirincomesandwhohadnorelationtotherestofthecommunityexceptthatofdrawingdividendsandoccasionallyattendingashareholders’’meetingtodictatetheirorderstothemanagement.OntheotherhandshareholdingmeantleisureandfreedomwhichwasusedbymanyofthelaterVictoriansforthehighestpurposeofagreatcivilization. Theshareholdersassuchhadnoknowledgeofthelivesthoughtsorneedsoftheworkmenemployedbythecompanyinwhichheheldsharesandhisinfluenceontherelationsofcapitalandlabourwasnotgood.Thepaidmanageractingforthecompanywasinmoredirectrelationwiththemenandtheirdemandsbutevenhehadseldomthatfamiliarpersonalknowledgeoftheworkmenwhichtheemployerhadoftenhadunderthemorepatriarchalsystemoftheoldfamilybusinessnowpassingaway.Indeedthemeresizeofoperationsandthenumbersofworkmeninvolvedrenderedsuchpersonalrelationsimpossible.Fortunatelyhowevertheincreasingpowerandorganizationofthetradeunionsatleastinallskilledtradesenabledtheworkmentomeetonequaltermsthemanagersofthecompanieswhoemployedthem.Thecrueldisciplineofthestrikeandlockouttaughtthetwopartiestorespecteachother’’sstrengthandunderstandthevalueoffairnegotiation. It’’strueoftheoldfamilyfirmsthat_________________.
Youwillbereceivingyourbachelor’’sdegreeinMarketingandarelookingforajob.Writealettertoanetworkcompanymanageraccordingtoyourfriend’’sadviceinwhichyoushouldstate 1thepersonofferingyouadvice 2yourstudyandexperienceand 3reasonsofyourinterestinthecompany. Youshouldwriteabout100wordsonANSWERSHEET2.Donotsignyournameattheendoftheletter.UseLiMinginstead.Youdonotneedtowritetheaddress10points.
以下哪项不是肝气犯胃之胃痛的主证
益胃汤组成中含
白前和前胡都具有的功效为
濡脉和弱脉的主要区别是
苏合香丸的功用是
治疗胃病取内关足三里这属于哪种配穴法
我国现存第一部治疗肺痨的专书是
治疗脾阳虚脾不统血的要药为
实的病机最根本的方面是
木火刑金属于
有关五行相乘下列哪个说法是正确的
脉在皮肤头定而尾摇似有似无为何脉
TheSupremeCourt’’sdecisionsonphysician-assistedsuicidecarryimportantimplicationsforhowmedicineseekstorelievedyingpatientsofpainandsuffering. Althoughitruledthatthereisnoconstitutionalrighttophysician-assistedsuicidetheCourtineffectsupportedthemedicalprincipleofdoubleeffectacenturies-oldmoralprincipleholdingthatanactionhavingtwoeffects―agoodonethatisintendedandaharmfulonethatisforeseen―ispermissibleiftheactorintendsonlythegoodeffect. Doctorshaveusedthatprincipleinrecentyearstojustifyusinghighdosesofmorphinetocontrolterminallyiiipatients’’paineventhoughincreasingdosageswilleventuallykillthepatient. NancyDublerdirectorofMontefioreMedicalCentercontendsthattheprinciplewillshielddoctorswhountilnowhaveveryverystronglyinsistedthattheycouldnotgivepatientssufficientmedicationtocontroltheirpainifthatmighthastendeath. GeorgeAnnaschairofthehealthlawdepartmentatBostonUniversitymaintainsthataslongasadoctorprescribesadrugforalegitimatemedicalpurposethedoctorhasdonenothingillegalevenifthepatientusesthedrugtohastendeath.It’’slikesurgeryhesays.Wedon’’tcallthosedeathshomicidesbecausethedoctorsdidn’’tintendtokilltheirpatientsalthoughtheyriskedtheirdeath.Ifyou’’reaphysicianyoucanriskyourpatients’’suicideaslongasyoudon’’tintendtheirsuicide. Onanotherlevelmanyinthemedicalcommunityacknowledgethattheassisted-suicidedebatehasbeenfueledinpartbythedespairofpatientsforwhommodernmedicinehasprolongedthephysicalagonyofdying. JustthreeweeksbeforetheCourt’’srulingonphysician-assistedsuicidetheNationalAcademyofScienceNASreleasedatwo-volumereportApproachingDeath:ImprovingCareattheEndofLife.Itidentifiestheundertreatmentofpainandtheaggressiveuseofineffectualandforcedmedicalproceduresthatmayprolongandevendishonortheperiodofdyingasthetwinproblemsofend-of-lifecare. TheprofessionistakingstepstorequireyoungdoctorstotraininhospicestotestknowledgeofaggressivepainmanagementtherapiestodevelopaMedicarebillingcodeforhospital-basedcareandtodevelopnewstandardsforassessingandtreatingpainattheendoflife. Annassayslawyerscanplayakeyroleininsistingthatthesewell-meaningmedicalinitiativestranslateintobettercare.Largenumbersofphysiciansseemunconcernedwiththepaintheirpatientsareneedlesslyandpredictablysufferingtotheextentthatitconstitutessystematicpatientabuse.Hesaysmedicallicensingboardsmustmakeitclear..thatpainfuldeathsarepresumptivelyonesthatareincompetentlymanagedandshouldresultinlicensesuspension. Whichofthefollowingbestdefinesthewordaggressiveline3paragraph7
灵枢经·本神两精相搏谓之
Inthelasthalfofthenineteenthcenturycapitalandlabourwereenlargingandperfectingtheirrivalorganizationsonmodemlines.Manyanoldfirmwasreplacedbyalimitedliabilitycompanywithabureaucracyofsalariedmanagers.Thechangemetthetechnicalrequirementsofthenewagebyengagingalargeprofessionalelementandpreventedthedeclineinefficiencythatsocommonlyspoiledthefortunesoffamilyfirmsinthesecondandthirdgenerationaftertheenergeticfounders.Itwasmoreoverastepawayfromindividualinitiativetowardscollectivismandmunicipalandstate-ownedbusiness.Therailwaycompaniesthoughstillprivatebusinessmanagedforthebenefitofshareholderswereveryunlikeoldfamilybusiness.Atthesametimethegreatmunicipalitieswentintobusinesstosupplylightingtramsandotherservicestothetaxpayers. Thegrowthofthelimitedliabilitycompanyandmunicipalbusinesshadimportantconsequences.Suchlargeimpersonalmanipulationofcapitalandindustrygreatlyincreasedthenumbersandimportanceofshareholdersasaclassanelementinnationalliferepresentingirresponsiblewealthdetachedfromthelandandthedutiesofthelandowners;andalmostequallydetachedfromtheresponsiblemanagementofbusiness.AllthroughthenineteenthcenturyAmericaAfricaIndiaAustraliaandpartsofEuropewerebeingdevelopedbyBritishcapitalandBritishshareholderswerethusenrichedbytheworld’’smovementtowardsindustrialisation.TownslikeBournemouthandEastbournespranguptohouselargecomfortableclasseswhohadretiredontheirincomesandwhohadnorelationtotherestofthecommunityexceptthatofdrawingdividendsandoccasionallyattendingashareholders’’meetingtodictatetheirorderstothemanagement.OntheotherhandshareholdingmeantleisureandfreedomwhichwasusedbymanyofthelaterVictoriansforthehighestpurposeofagreatcivilization. Theshareholdersassuchhadnoknowledgeofthelivesthoughtsorneedsoftheworkmenemployedbythecompanyinwhichheheldsharesandhisinfluenceontherelationsofcapitalandlabourwasnotgood.Thepaidmanageractingforthecompanywasinmoredirectrelationwiththemenandtheirdemandsbutevenhehadseldomthatfamiliarpersonalknowledgeoftheworkmenwhichtheemployerhadoftenhadunderthemorepatriarchalsystemoftheoldfamilybusinessnowpassingaway.Indeedthemeresizeofoperationsandthenumbersofworkmeninvolvedrenderedsuchpersonalrelationsimpossible.Fortunatelyhowevertheincreasingpowerandorganizationofthetradeunionsatleastinallskilledtradesenabledtheworkmentomeetonequaltermsthemanagersofthecompanieswhoemployedthem.Thecrueldisciplineofthestrikeandlockouttaughtthetwopartiestorespecteachother’’sstrengthandunderstandthevalueoffairnegotiation. AccordingtothepassageallofthefollowingaretrueEXCEPTthat_________________.
郁金能活血行气止痛治疗气滞血瘀痛证常配伍
男47岁失眠多梦惊悸怔忡心烦神乱舌红脉细数治宜选用
舌淡胖嫩而见黄滑润苔其主病为
灸疮化脓一般在灸后多少天
固冲汤中用量最大的药物是
鸡舌香是下列哪味药的别称
大出血后出现气短心悸冷汗淋漓四肢厥冷脉微欲绝可诊为
牡蛎散的组成是
治疗胃痛取中脘胃俞这屑于哪种配穴法
Atthestartofthe20thcenturyimmigrantlaborandinnovationhelpedturntheU.S.intoapowerfulmanufacturingnation.Todayforeign-bornengineersjamthecorridorsofSiliconValleyhelpingAmerica’’sinformation-technologyboom.Andasthe21stcenturydawnsyetanotherwaveofimmigrantswillonceagainhelptransformtheeconomy. 46DuringthenextdecadeexceptingachangeingovernmentpolicynearlyamillionimmigrantsareexpectedtoarriveintheU.S.everyyearmostofwhombothlegalandillegalwillcontinuetocomefromLatinAmericaandSoutheastAsiabuteveryforeignlandwillberepresented. Asdomesticbirthratesstagnateonlyforeign-bornworkerwillkeepthelaborpoolgrowing.By2006infactimmigrantswillaccountforhalfofallnewU.S.workers;overthenext30yearstheirsharewillriseto60%. 47EvenatcurrentlevelsofimmigrationaccordingtotheLaborDept.thenumberofpeopleavailabletoworkwillincreasebyamere0.8%peryearbetween1996and2006-halftherateofthepreviousdecade.WithoutimmigrantsaccordingtoanewstudytheU.S.workforcewouldactuallybegintoshrinkby2015. 48It’’snotallaboutsheernumbersofcourse:ToliftproductivityandspurgrowthimmigrantsmustprovidecreativityentrepreneurialenergyorsimpleinitiativethatAmericacouldn’’tfindotherwise.IfallyoudidwasbringinpeoplewhoareexactlythesameasthosewehaveheretherewouldbenoeconomicbenefitsaysRandCorp.economistJamesP.SmithYou’’djusthavemorepeople. Justascrucialthearrayofeducationandskillsimmigrantsbringcouldfitneatlywiththesupplyofjobsoverthenextdecade.AccordingtoLindaLevineattheCongressionalResearchService60%ofthejobscreatedthrough2005willrequiresomepost-secondaryeducation.Butsheaddslow-skilljobswillstillrepresentabouthalfoftotalemployment.49Yetimmigrantsalsoare50%morelikelythanAmericanstohaveagraduatedegreeandanunbelievable23%ofU.S.residentsholdingPhDsinscienceandengineeringareforeign-bornaccordingtotheNationalScienceFoundation. Indeedforeign-bornworkershaveshownanextraordinaryabilitytoassimilateandflourish.Certainlysomelessskilledworkerswillremainatthebottomeconomicrungalltheirlives.50Yetotherswillcatchupquicklyandwithinadecadeoftheirarrivalthewell-educatedwillgofrommakingbarelyhalfthatofnative-bornAmericansincomparableworktonearly90%accordingtoarecentstudy. Thatofcoursewillraiseimmigrants’’livingstandards.Moreimportantitwillhelpdriveinnovationandentrepreneurshipkeyenginesofthe21stCenturyEconomy.
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