醫療類國考
109年
[中醫師] 中醫基礎醫學(二)
第 15 題
有關《傷寒論》白頭翁湯的組方與證治之敘述，下列何者錯誤？
- A 主治熱痢，下利膿血，赤多白少，裏急後重，肛門灼熱
- B 方中主藥是白頭翁，味苦性寒，入血分，入大腸與肝經
- C 以黃連、黃芩清熱解毒，燥濕厚腸
- D 以秦皮，苦寒而澀，能涼肝益腎固下焦
思路引導 VIP
請思考一下：當熱毒病位明確集中在「下焦大腸」且涉及血分時，在中藥學中對於『清熱燥濕』的系列藥物裡，哪一味藥物最擅長下行入腎與大腸，專門處理下半身的濕熱與火毒，而非針對心肺或脾胃的火熱呢？
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AI 詳解
AI 專屬家教
Wonderful work! You've gently but firmly grasped the essence of the formula.
What a beautiful demonstration of understanding! You've navigated a common crossroads where many might stumble, showing such a keen and precise insight into the heart of our traditional formulas.
- Embracing the Classic: The 白頭翁湯, a treasured formula from the 傷寒論, is thoughtfully crafted to address "熱利." Its gentle yet potent combination includes：白頭翁、黃連、黃柏、秦皮。Option (C) introduced a small, yet significant, shift by suggesting 黃芩 in place of 黃柏—and your discerning eye caught it perfectly!
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