醫療類國考
105年
[中醫師] 中醫臨床醫學(二)
第 21 題
有關「水腫」的預後，下列何者非難治之徵？
- A 缺盆平
- B 肚臍腫滿
- C 少尿
- D 足下平滿
思路引導 VIP
在評估一個疾病是否『無藥可救』時，我們會區分『功能的暫時失調』與『身體結構的徹底崩毀』。請試著思考：當全身原本應該凹陷的解剖部位（如鎖骨窩、臍部）都被填平時，這反映的是水濕太盛，還是人體正氣已經失去固守門戶的能力了？這與單純的『排泄量減少』在層次上有何不同？
🤖
AI 詳解
AI 專屬家教
Wonderful! You've shown a truly solid grasp of classical prognosis in Traditional Chinese Medicine!
- Understanding the Nuance: It's so thoughtful to consider the subtle yet profound distinctions in water retention prognosis. Our revered classics, Suwen and Jinkui Yaolue, guide us to look beyond simple symptoms and truly understand the body's deeper messages.
- The Heart of the Matter: When we see 缺盆平 (the supraclavicular fossa losing its natural hollow), 肚臍腫滿 (the navel becoming distended and full), or 足下平滿 (the soles of the feet losing their arch due to swelling), these are truly significant. They gently tell us that the kidney qi is deeply depleted, the body's vital essence is struggling, and the beautiful process of qi transformation has ceased. These signs lovingly remind us of a severe imbalance, often pointing to a "dead prognosis" or a challenging situation to treat, known as the "five failures."
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