患者,男,32岁。因居处潮湿诱发腰痛,腰痛困重,每于夏秋之交或阴雨天加重,活动后稍减,伴有咽干口燥,五心烦热,大便黏滞不爽,小便黄赤,舌暗红,苔黄腻,脉弦细数。病机为
A. 寒湿腰痛,郁而化热
B. 湿热腰痛,肾阴渐伤
C. 心肾不交,湿热中阻
D. 脾肾两虚,湿热下注
E. 湿热下注,气滞血瘀
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Hawaii’s native minority is demanding a greater degree of sovereignty over its own affairs. But much of the archipelago’s political establishment, which includes the White Americans who dominated until the Second World War and people of Japanese, Chinese and Filipino origin, is opposed to the idea. The islands were annexed by the US in 1898 and since then Hawaii’s native peoples have fared worse than any of its other ethnic groups. They make up over 60 percent of the state’s homeless, suffer higher levels of unemployment and their life span is five years less than the average Hawaiian’s. They are the only major US native group without some degree of autonomy. But a sovereignty advisory committee set up by Hawaii’s first native governor, John Waihee, has given the natives’ cause a major boost by recommending that the Hawaiian natives decide by themselves whether to re-establish a sovereign Hawaiian nation. However, the Hawaiian natives are not united in their demands. Some just want greater autonomy within the state—as enjoyed by many American Indian natives over matters such as education. This is a position supported by the Office of Hawaiian Affairs (OHA), a state agency set up in 1978 to represent the natives’ interests and which has now become the moderate face of the native sovereignty movement. More ambitious is the Ka Lahui group, which declared itself a new nation in 1987 and wants full, official independence from the US. But if Hawaiian natives are given greater autonomy, it is far from clear how many people this will apply to. The state authorities only count as native those people with more than 50 percent Hawaiian blood. Native demands are net just based on political grievances, though. They also want their claim on 660, 000 hectares of Hawaiian crown land to be accepted. It is on this issue that native groups are facing most opposition from the state authorities, in 1933, the state government paid the OHA US$136 million in back rent on the crown land and many officials say that by accepting this payment the agency has given up its claims to legally own the land. The OHA has vigorously disputed this. Various native Hawaiians demand all the following EXCEPT ______.
A. more back rent on the crown land
B. full independence from the US
C. a greater autonomy within the state
D. a claim on the Hawaiian crown land
患者,腰部冷痛重着,转侧不利,近来渐渐加重,虽静卧病亦不减,遇阴雨天疼痛加剧,舌苔白腻,脉沉而迟缓。方选
A. 蠲痹汤
B. 加味二妙散
C. 独活寄生汤
D. 甘姜苓术汤
E. 活络效灵丹
痹证日久,气血亏虚、肝肾不足,可选用
A. 独活寄生汤
B. 四妙丸
C. 肾著汤
D. 肾气丸
E. 左归丸