1、Dont use paper napkins.n.餐巾纸餐巾纸What can we do to help save the earth?We should take a bus or subway instead of driving.We can also ride a bike.president n.负责负责人;主席;总统人;主席;总统work n.(音乐、音乐、艺术艺术)作品作品metal n.金属金属reuseLook at the title and the pictures in 2b.Can you guess what the passage is about?2aReth
2、ink,Reuse,Recycle!Read the passage fast and answer the questions.Who is Amy Hayes?2.How many people are mentioned in the passage?Who are they?She is a most unusual woman in the UK.Three.They are Amy Hayes,Jessica and Wang Tao.Fast reading Names What materials did they use?What did they make?Amy Haye
3、swindows and doors of old buildings that have been pulled downan old boatrocksold glass bottles(n.瓶瓶子子)a houseRead the passage and complete the chart below.carful reading Names What materials did they use?What did they make?Jessica WongWang Taoold clothes;especially old jeansbagsiron(n.铁铁)and other
4、materials from old carsbeautiful art piecesRead paragraph 2 and finish the task.Amy Hayes lives in a house that she built herself out of rubbish.An old boat comes from old buildings rocks and old glass bottles Help save our planet Society old jeans beautiful bags JessicaHong KongRead paragraph 3 and
5、 answer the questions.Is Jessica Wong good at recycling?What does she do?2.Where does she sell her bags?3.What will she write in her book?Yes,she is.She uses old clothes that people dont wear anymore to make bags.In her shop and online.New ways to use old clothes.metal art work1.Not only can the art
6、 bring happiness to others,but it also shows that even cold,hard iron can be brought back to life with a little creativity.(翻译句子)翻译句子)艺术不但可以给人们带来艺术不但可以给人们带来快乐,而且也说明只需要快乐,而且也说明只需要一点创造力,即使是冰冷、一点创造力,即使是冰冷、坚硬的铁也可产生活力坚硬的铁也可产生活力。2.What does Wang Tao hope to set up?Why?A“metal art”theme park.Because he wan
7、ts to show people the importance of environmental protection.And the gate in front of her house is made of rocks and old glass bottles.Amy recently won a prize from the Help Save Our Planet Society.He is known for using iron and other materials.Not only can the art bring happiness to others,but it a
8、lso shows.重点句子分析重点句子分析重点语法分析重点语法分析1.Have you ever thought about how these things can be to good use?2.The more popular works can even be seen in art shops around the city.hard iron can be brought back to life with a little creativity.3.She lives in a house that she built herself out of rubbish.现在完成时
9、现在完成时被动语态被动语态定语从句定语从句本课中的中考考点:本课中的中考考点:be made of 与与be made from 区别区别2.win 与与beat 用法区别用法区别3.not only.but also 4.现在完成时,被动语态现在完成时,被动语态中考链接中考链接:1.(2014.东营)动词填空东营)动词填空“Ive just got home from the vineyyard and _(not have)supper yet.I _(wash)the clothes now.”2.(2014.淄博)淄博)The next Summer Olympics _in Braz
10、il in 2016.will B.will be held C.is held D.is holding 3.(易错题)易错题)-Have you finished your homework yet?-Yes.I _it twenty minutes ago.have finished B.finished C.will finish D.had finished (2014菏泽)菏泽)4.(2014.滨州)动词填空滨州)动词填空He has to do the hard work,but he _(pay)less.havent hadam washingBBis paid5.(2014
11、.东营)东营)When some Chinese women were dancing to loud music in a park in New York,the people _lived nearby called the police.A.who B.whom C.whose D.whichA小结:小结:Rethink,Reuse,RecycleAmys house that is made of rubbish Jessica who is good at recycling uses old clothes to make bags.Wang Tao uses iron and
12、materials from old cars to make art pieces 重庆医科大学附属第一医院重庆医科大学附属第一医院李荣亨李荣亨一、中医对风湿病的认识一、中医对风湿病的认识1.风湿病概念风湿病概念 中医将风、寒、湿等邪气所致病证称为风湿病;以疼痛为主要表现的病证称为痹证(或痹病)。前者为因,后者为果,故一般通称风湿病。可见中医风湿病的学术范畴与现代医学的风湿病概念相当。2.风湿病病因风湿病病因(1)内因)内因:气血阴阳虚损虚损 肝血不足筋脉拘挛、屈伸不利 肾精亏虚骨痛骨软、腰膝无力(2)外因)外因:风寒湿热经脉瘀阻经脉瘀阻 湿邪:肿胀重者着痹着痹 风邪:游走不定行痹行痹 寒邪
13、:疼痛发绀痛痹痛痹 热邪:灼热口渴热痹热痹二、风湿病的分型论治二、风湿病的分型论治类别治剂代表方药 物行痹行痹(风胜)祛风除湿通络止痛治风汤防风、当归、葛根、秦艽、羌活、桂枝、海风藤、豨签草、全虫痛痹痛痹(寒重)散寒止痛疏风通络乌头汤川草乌、麻黄、桂枝、白芍、黄芪、当归、细辛、千年健、茯苓类别治剂代表方药 物着痹着痹(湿盛)化湿祛风通络止痛薏苡仁汤薏苡仁、白术、茯苓、泽泻、陈皮、防己、羌活、五加皮、苍术、木瓜、防风热痹热痹(热重)清热除湿通络止痛白虎四妙汤苍术、黄柏、生石膏、知母、桑枝、薏芥仁、萆薢、川牛膝、赤芍、秦艽类别治剂代表方药 物气血两虚气血两虚益气养血祛风通络八珍汤黄芪桂枝五物汤黄芪
14、、当归、熟地、白芍、川芎、党参、白术、茯苓、桂枝、鸡血藤肝肾亏损肝肾亏损滋肾补肝祛风胜湿蠲痹汤 当归、牛膝、川断、杜仲、狗脊、姜黄、仙灵脾、鹿角胶、秦艽、独活、寄生、羌活、防风、细辛、白芍、黄芪脾肾阳虚脾肾阳虚温补脾肾 固真汤 附子、肉桂、人参、白术、山药、茯苓、枣皮、当归、熟地、杜仲类别治剂代表方药 物血瘀脉滞血瘀脉滞 活血化瘀通络止痛身痛逐瘀汤桃红、红花、川芎、归尾、威灵仙、黄芪、桂枝、羌活、独活、地龙痰湿阻滞痰湿阻滞 燥湿化痰活血通络二陈蠲痹汤陈皮、茯苓、法夏、羌活、独活、桂枝、秦艽、当归、川芎、海风藤、桑枝、乳香、木香、赤芍、丹参药名性味功能主治用量桑枝苦平祛风通络通利关节风湿诸痛手足
15、拘挛10-30丝瓜络甘平祛风通络行气活血风湿痹痛乳汁不通6-15老鹳草辛苦平祛风除湿舒筋活络风湿痹痛肢体麻木10-30乌稍蛇甘平祛风通络定惊止痉风湿顽痹痉挛抽搐6-15寻骨风苦平祛风除湿通络止痛风湿痹痛跌打损伤10-15三、常用祛风除湿中草药三、常用祛风除湿中草药药名性味功能主治用量桑寄生苦平祛风除湿滋补肝肾筋骨痹痛腰膝酸软10-30牛膝苦酸平强筋健骨活血祛瘀筋骨痹痛腰膝酸软6-15青风藤苦平祛风除湿利水渗湿风湿痹痛水肿脚气9-15路路通辛苦平祛风除湿通络止痛利湿下乳风湿痹痛跌打损伤乳汁不下6-10海桐皮苦平祛风除湿通络止痛风湿痹痛6-15药名性味功能主治用量络石藤苦微寒祛风通络凉血消肿风湿热
16、痹筋脉拘挛 6-15豨签草辛苦微寒祛风除湿通络止痛风湿痹痛中风偏瘫10-15秦艽辛苦微寒祛风除湿退虚热风湿疼痛骨蒸潮热6-15防已苦辛寒祛风除湿利湿止痛风湿痹痛水肿脚气6-12穿山龙苦微寒祛风除湿活血通络风湿热痹消肿止痛10-15雷公藤(断肠草)苦辛寒有大毒祛风除湿消肿止痛风湿顽痹顽癣皮疹10-12(带皮全根煎服)药名性味功能主治用量木瓜酸温舒筋活络祛风除湿风湿痹痛6-12伸筋草 苦辛温舒筋活络祛风除湿风湿痹痛6-15威灵仙辛温祛风除湿通络止痛风湿痹痛跌打损伤6-15松节苦温祛风燥湿通络止痛风湿痹痛筋骨作痛10-15药名性味功能主治用量千年健辛苦温祛风除湿强筋健骨止痛消肿风湿痹痛筋骨痿软拘挛麻
17、木5-15鹿衔草甘苦温祛风除湿强筋健骨温经止血风湿痹痛腰膝无力崩漏下血10-15鸡血藤苦甘微温舒筋活络补血行血风湿痹痛筋骨麻木10-15五加皮辛温祛风除湿强筋健骨利水消肿风寒湿痹腰膝酸软水肿麻木10-15狗脊苦甘温祛风除湿滋肾补肝筋骨痹痛腰膝酸软10-15药名性味功能主治用量独活辛苦温祛风除湿通痹止痛风寒湿痹风寒表证6-10海风藤辛苦微温祛风除湿通络止痛风湿痹痛筋脉拘挛6-15蚕砂甘辛温祛风除湿和胃化浊疏风止痒风湿痹痛湿浊内阻风疹骚痒5-15雪莲花辛甘苦温散寒除湿温肾壮阳风寒湿痹肾虚阳瘘3-20 大苞雪莲花(新疆雪连花,有毒)药名性味功能主治用量雪上一枝蒿(一支蒿)苦辛温(大毒,含乌头生物碱)
18、祛风除湿活血止痛风湿痹痛跌打伤痛癌肿疼痛30-50mg川乌苦辛热(大毒,含乌头生物碱)逐风散寒温经止痛风寒顽痹筋脉挛痛手足不仁制川乌3-9g,先煎2h草乌苦辛热功用与川乌同,毒性更强附子苦辛热功用与川乌同,毒性较小药名性味功能主治用量昆明山海棠(火把花)苦涩温(有剧毒,含雷公藤素等)祛风除湿续筋接骨祛瘀通络利水消肿跌打损伤风湿痹痛骨折筋伤顽痹水肿根9g全草30g蕲蛇(白花蛇)苦咸温(有毒,血液毒、神经毒)祛风除湿温经通络定惊止痉搜风止痒风湿顽痹肌肤麻木中风不遂惊风抽搐皮肤顽癣煎汤3-10g研末1-1.5g四、常用搜风剔邪、蠲痹通络虫类药四、常用搜风剔邪、蠲痹通络虫类药 邪气久羁、深入骨髓、气血
19、凝滞,以致用草木之品无效之时,往往选用具有较强钻透搜剔之功的虫类药,以达搜风剔邪、蠲痹通络之效。药名性味功能主治用量僵蚕咸辛平息风散结化痰定惊惊痫抽搐口眼歪斜煎汤3-10g研末1-1.5g全蝎辛平有毒息风止痉通络止痛痉挛抽搐风湿顽痹煎汤2-5g研末0.5-1g蜈蚣辛温有毒息风止痉通络止痛痉挛抽搐风湿顽痹煎服1-3g研末0.5-1g药名性味功能主治用量蜂房甘平(有小毒)祛风止痛功毒杀虫风湿顽痹疥癣疮毒3-6地龙咸寒通络止痛息风止痉风湿痹证痉挛抽搐5-15斑蝥虫辛热(有大毒)破血逐瘀散结消癥风湿痹痛痈疸恶疮入丸散0.03-0.06穿山甲咸微寒活血消癥通经下乳风湿痹痛乳汁不通3-10g研末1-1.5
20、g土鳖虫(蟅虫)咸寒(有小毒)破血逐瘀续筋接骨瘀血痹阻筋伤骨折3-10药名性味功能主治用量虻虫苦微寒(有小毒)破血逐瘀散结消肿瘀滞疼痛癥瘕积聚1-1.5研末0.3水蛭咸苦平(有小毒)破血逐瘀散结消癥瘀滞疼痛癥瘕积聚1.5-3研末0.3-0.5九香虫(蜣螂虫)咸温行气止痛温肾助阳经滞疼痛腰膝酸软5-10研末1.5-3五、常用风湿病中药的现代研究五、常用风湿病中药的现代研究作用药物机理抗炎木瓜、青风藤、秦艽、川乌、草乌、汉防已、刺五加、白花蛇、苡仁、怀牛膝、杜仲、雷公藤、昆明山海棠1)提高垂体肾上腺皮质功能2)降低毛血细管通透性3)扩张微血管,改善局部血液 循环4)提高吞噬细胞功能抗变态反应秦艽、
21、汉防己、细辛、桂枝、青风藤、蚕砂、雷公藤、昆明山海棠、地肤子、重楼1)抗过敏介质释放。2)抗组织胺、抗乙酰胆碱3)抑制补体活性4)抗过敏性休克 作用药物机理镇静杜仲、桑寄生、乌头、薏苡仁对大脑皮层有抑制作用镇痛独活、玄胡、汉防己、青风藤、乌头、细辛1)抑制痛觉中枢2)对末稍神经有麻醉作用改善循环乌头、汉防己、桂枝、细辛、络石藤、桑寄生、牛膝、杜仲扩张周围血管桂枝、桑枝、羌活、独活、秦艽、威灵仙、络石藤、乌头、千年健、白花蛇、牛膝、狗脊、续断、雷公藤、昆明山海棠有抗凝作用,降低血液粘滞度方名组 成功 效应 用防风汤防风、秦艽、寻骨风、追地风、当归、赤苓、羌活、桂枝、灵仙祛风除湿通络止痛风湿侵袭蠲
22、痹汤羌活、独活、桂枝、秦艽、当归、川芎、木香、乳香、附子、地龙、鹿茸、自然铜祛风除湿散寒止痛温肾壮阳寒湿浸淫肾阳虚衰方名组 成功 效应 用身痛逐瘀汤秦艽、香附、羌活、川芎、没药、地龙、五灵脂、桃仁、红花、地鳖虫、马钱子祛风除湿活血化瘀通络止痛风湿侵袭瘀血阻络左归丸熟地、山药、枸杞、枣皮、川牛膝、鹿角胶、龟板胶、菟丝子补肝益肾强筋健骨肝肾亏虚骨关节炎骨质疏松方名组 成功 效应 用三痹汤人参、黄芪、白术、当归、川芎、白芍、茯苓、甘草、桂心、防己、防风、乌头、细辛、生姜、大枣益气养血祛风除湿散寒止痛气血两虚寒湿凝滞手足拘挛独活寄生汤独活、秦艽、防风、桂枝、细辛、寄生、杜仲、淮牛膝、白芍、川芎、当归、
23、熟地、茯苓、人参、炙甘草祛风除湿益气养血强筋健骨风寒湿痹气血两虚肝肾不足方名组 成功 效应 用宣痹汤防己、杏仁、滑石、连翘、山栀、薏仁、半夏、晚蚕砂、赤小豆、姜黄、海桐皮清热除湿宣痹止痛湿热痹东垣羌活汤羌活、防风、柴胡、蒿苯、独活、茯苓、泽泻、猪苓、黄芪、炙草、陈皮、黄柏、黄连、苍术、升麻、川芎清热利湿宣痹通络湿热身痛眩晕麻木方名组 成功 效应 用四虫蠲痹疡全蝎、蜈蚣、地鳖虫、地龙、天麻、当归、柴胡、牛膝、苡仁、葛根、鹿衔草、熟地、白芍祛风蠲痹活血定痛坐骨神经痛坐痛宁制川乌、白芍、炙甘草、三棱、全蝎、白芥子、五灵脂、莪术、细辛、续断、狗脊、牛膝、徐长卿、蜈蚣温经散寒化瘀通络强筋健骨坐骨神经痛寒
24、凝经脉腰腿痛方名组 成功 效应 用祛瘀化痰汤白芥子、苍术、半夏、陈皮、丹参、红花、川芎、茯苓、白术、防己、牛膝化瘀软坚祛瘀活血骨关节炎痰瘀互结方名组 成功 效应 用人参再造丸白花蛇、藿香、母丁香、细辛、玄参、香附、地龙、熟地、檀香、三七、乳香、青皮、肉豆蔻、防风、首乌、川芎、姜黄、黄芪、甘草、桑寄生、茯苓、赤芍、黄连、大黄、葛根、麻黄、全蝎、附子、荜茇、龟板、沉香、生姜、僵蚕、琥珀、白术、天麻、肉桂、当归、白芷、草寇、没药、威灵仙、乌药、羌活、红参、神粬、橘红、血竭、天竺黄、朱砂、牛黄、冰片、麝香(53味)温阳补气滋阴养血祛风除湿舒筋活络风寒湿痹气阳不足阴血两虚经络闭阻方名组 成功 效应 用大
25、活洛丸红参、白术、当归、龟甲、乳香、没药、麝香、冰片、制草乌、防风、蕲蛇、乌梢蛇、天麻、全蝎、豆蔻、广藿香、人工牛黄、威仙等(48味)祛风止痛除湿豁痰舒舒活络风湿痹征中风偏瘫胸痹心痛万通筋骨片川乌、草乌、马线子、麻黄、桂枝、红参、乌梢蛇、牛膝、鹿茸、续断、细辛、刺五加等(25味)盖祛风散寒通络止痛风湿痹证腰腿痛关节痛小活络丸胆南星、川乌、草乌、地龙、乳香、没药湿经活络搜风除湿祛痰逐瘀风湿痹痛方名组 成功 效应 用腰息痛胶囊白芷、续断、防风、五加皮、杜仲、红花、三七、千年健、防己、海风藤、草乌等23味舒筋活络祛瘀止痛祛风除湿关节炎颈腰椎病坐骨神经痛尩痹冲剂生熟地各、附片、骨碎补、淫羊藿、独活、桂
26、枝、防风、蜈蚣、知母、皂角刺、羊胫骨、白芍、红花、灵仙、伸筋草、补骨脂等补肝益肾祛风除湿温经通络活血止痛风湿痹证肝肾两虚阳气不足方名组 成功 效应 用湿热痹冲剂防风、防己、地龙、萆薢、苍术、黄柏、苡仁、川牛膝、威灵仙、连翘、银花藤等清热除湿活血通络风湿痹证湿热阻络风湿马钱片马钱子、僵蚕、全蝎、麻黄、没药、乳香、苍术、牛膝、甘草祛风除湿活络止痛坐骨神经痛腰腿痛四藤片 海风藤、石南藤、忍冬藤、穿根藤祛风除湿通络止痛各种痹证方名组 成功 效应 用仙灵骨葆 淫羊藿、续断、补骨脂、地黄、丹参、知母补肝益肾强筋健骨骨质疏松骨关节炎壮骨关节丸狗脊、淫羊藿、独活、骨碎补、熟地黄、续断、补骨脂、桑寄生、鸡血藤、
27、木香、乳香、没药补肝益肾舒筋活络理气止痛骨关节炎腰肌劳损壮腰健肾丸狗脊、鸡血藤、黑老虎、金樱子、千斤拔、牛大力、桑寄生、女真子、菟丝子益肾壮腰祛风除湿养血通络风湿痹证肾亏外伤方名组 成功 效应 用抗骨增生丸熟地黄、肉苁蓉、狗脊、女真子、淫羊藿、鸡血藤、牛膝、骨碎补、莱菔子强筋健骨活血止痛骨关节炎骨刺增生追风透骨丸制川乌、制草乌、麻黄、细辛、桂枝、白芷、防风、当归、川芎、地龙、乳香、没药等24味祛风除湿通经活络散寒止痛风寒湿痹腰痹通胶囊三七、川芎、延胡索、白芍等活血化瘀祛风除湿行气止痛腰椎间盘突出方名组 成功 效应 用腰痛片杜仲、续断、狗脊、牛膝、补骨脂、土鳖虫、乳香、赤芍、当归、肉桂、泽泻、白
28、术强腰补肾活血止痛腰肌劳损肾虚腰痛腰腿痛丸人参、鹿茸、豹骨、马钱子、麻黄、羌活、独活、桂枝、乳香、没药、杜仲、千年健等共17味强筋健骨舒筋活血腰腿酸软肢体麻木狶莶风湿丸狶莶草、威灵仙、防己、桑寄生、桑枝、槐枝祛风除湿通络止痛风湿痹证方名组 成功 效应 用益肾蠲痹丸骨碎补、熟地黄、延胡索、寻骨风、当归、萆薢、仙灵脾、鹿衔草、肉苁蓉、蜂房、蜈蚣、蕲蛇、广地龙、甘草、鸡血藤、地鳖虫、僵蚕、九香虫、炮山甲、全蝎搜风剔邪蠲痹通络温阳补肾强筋健骨风湿顽痹 类风湿现代研究认为:本品有抗炎作用;镇痛作用;免疫调节;安全无毒。药物作用功效主治正清风痛宁(青藤碱)(中药青风藤提取)镇痛抗炎免疫抑制镇静祛风除湿活血通络利水消肿风寒湿痹类风湿慢性肾炎骨关节炎、强脊滑膜炎、LN帕夫林(白芍总苷)免疫调节抗炎镇痛缓急止痛免疫调整RA、病毒性肝炎慢性胃炎胃溃疡免疫性肝炎药物作用功效主治火把花根片(昆明山海棠,雷公藤甲素、山海棠素,温,大毒)免疫抑制抗炎镇痛抗 生 育(高效低毒)祛风除湿舒筋活络RA、SLE慢性肾炎强脊、甲炎脉管炎多形红斑雷公藤总苷片(断肠草)(寒、大毒)抗炎免疫抑制抗生育祛风除湿免疫抑制RA、AS、SLE干燥综合征SSC、肾病、支气管哮喘