APPENDIX K · INTERNAL MEDICINE
腹痛
腹痛 · Fu Tong
Abdominal Pain
考纲内科别 · 内科考生手册 · Appendix K编号 K-002
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01症状 / Symptoms & signs
脐腹或全腹疼痛,辨寒热虚实、喜按拒按及大便变化
Pain around the navel or throughout the abdomen; assess cold/heat, deficiency/excess, response to pressure and bowel changes.
02病因病机 / Etiology & mechanism
寒邪凝滞、饮食积滞、肝郁乘脾或中阳不足,气机不通而痛
Cold congealing, food stagnation, Liver constraint affecting the Spleen, or middle-yang deficiency obstructs qi movement and causes pain.
03辨证分型 / Pattern differentiation
01
寒凝
Cold congealing
遇冷加重得温减
Worse with cold, relieved by warmth
02
食滞
Food stagnation
嗳腐吞酸、腹胀拒按
Foul belching, acid regurgitation, distension and dislike of pressure
04针灸配穴 / Acupuncture point selection
CV12中脘Zhongwan
ST25天枢Tianshu
ST36足三里Zusanli
SP6三阴交Sanyinjiao
以下为常见复习选穴示例,列出标准编码与中文穴名;应随实际证型、体质与禁忌加减,不是处方或唯一正确答案。
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