Upload zhongyi.json
Browse files- zhongyi.json +380 -2
zhongyi.json
CHANGED
@@ -1,5 +1,383 @@
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"instruction": "请解释中医中的水肿是什么?",
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"input": "",
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"output": "在中医学中,水肿被称为“水气病”或“肿”,是由于多种原因导致体内水液代谢失调,潴留在体内,导致面部、四肢、腹部等部位出现浮肿的现象。",
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@@ -1132,4 +1510,4 @@
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"system": "",
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"history": []
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}
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-
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[
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{
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"instruction": "解释肾系病证的基本理论。",
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"input": "",
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"output": "肾系病证的基本理论包括肾藏精、主水、影响生长发育和生殖等方面。肾功能减退可能导致遗精、早泄、阳痿、不育等症状。",
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"system": "",
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"history": []
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},
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{
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"instruction": "描述水肿的中医病因理论。",
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"input": "",
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"output": "中医认为水肿主要是由于肾中精气的蒸腾气化失调,导致水液运化障碍。此外,肾与膀胱相表里,如果气化失调,就会影响水道的通利,进而导致淋证、水肿等。",
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"system": "",
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"history": []
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},
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{
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"instruction": "解释何为肾阳虚。",
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"input": "",
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"output": "肾阳虚指的是肾阳的功能减弱,不能温煦全身,主要表现为畏寒、手脚冷、腰膝酸软、性功能低下等。",
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"system": "",
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"history": []
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},
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{
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"instruction": "讨论肾系病证与其他脏腑关系。",
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"input": "",
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"output": "肾与其他脏腑关系密切,如肾阴亏可影响肝的功能,导致眩晕;肾阳虚可导致脾的运化功能下降,影响消化吸收。",
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"system": "",
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"history": []
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},
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{
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"instruction": "解释肾虚肝旺的表现和治疗。",
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"input": "",
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33 |
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"output": "肾虚肝旺表现为头昏头痛、心慌腿软、肢啁等症状,治疗应加鳖甲、牡蛎、杜仲、桑寄生、菊花、夏枯草等药物。",
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"system": "",
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"history": []
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},
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{
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"instruction": "详述瘀水互结的证机概要及治疗方案。",
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"input": "",
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"output": "瘀水互结证涉及水停湿阻、气滞血瘀、三焦气化不利等情况,治疗应使用桃红四物汤合五苓散加减,活血化瘀、通阳行水。",
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"system": "",
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"history": []
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},
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{
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"instruction": "解释关格病证的病因和治疗原则。",
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"input": "",
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47 |
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"output": "关格是由于脾肾虚衰,气化不利,浊邪壅塞三焦导致的。治疗应用温补与泻下同用的原则,可以使用吴茱萸散。",
|
48 |
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"system": "",
|
49 |
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"history": []
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50 |
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},
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{
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"instruction": "阐述湿热下注证的表现和相应的治疗方案。",
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"input": "",
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"output": "湿热下注证表现为遗精时作、小溲黄赤、热涩不畅等。治疗应采用程氏萆薢分清饮加减方案,旨在清化湿热和通利湿浊。",
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"system": "",
|
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"history": []
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},
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58 |
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{
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"instruction": "描述君相火旺证的特征及其治疗策略。",
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"input": "",
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"output": "君相火旺证特征有少寐多梦、梦遗、心中烦热等,治疗以清心泄肝为主,可使用黄连清心饮加减。",
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"system": "",
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"history": []
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},
|
65 |
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{
|
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"instruction": "描述瘀水互结的治疗原则。",
|
67 |
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"input": "",
|
68 |
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"output": "瘀水互结的治疗原则包括活血祛瘀、化气行水。可以使用桃红四物汤合五苓散加减,以达到通阳行水、活血化瘀的目的。",
|
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"system": "",
|
70 |
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"history": []
|
71 |
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},
|
72 |
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{
|
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"instruction": "讨论肾虚肝旺的表现和治疗。",
|
74 |
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"input": "",
|
75 |
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"output": "肾虚肝旺表现为头昏头痛、心慌腿软、肢啁等症状。治疗应加鳖甲、牡蛎、杜仲、桑寄生、菊花、夏枯草等药物。",
|
76 |
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"system": "",
|
77 |
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"history": []
|
78 |
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},
|
79 |
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{
|
80 |
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"instruction": "解释肾阳衰微的病因和治疗策略。",
|
81 |
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"input": "",
|
82 |
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"output": "肾阳衰微主要由于脾肾阳虚,水寒内聚造成。治疗策略应包括温肾助阳、化气行水,使用济生肾气丸合真武汤加减,以温补肾阳,利水消肿。",
|
83 |
+
"system": "",
|
84 |
+
"history": []
|
85 |
+
},
|
86 |
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{
|
87 |
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"instruction": "阐述膏淋证的特征及其治疗方法。",
|
88 |
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"input": "",
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89 |
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"output": "膏淋证特征为小便混浊如米泔水,伴有疼痛,治疗应清热利湿、分清泄浊,使用程氏萆薢分清饮加减。",
|
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"system": "",
|
91 |
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"history": []
|
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},
|
93 |
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{
|
94 |
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"instruction": "讨论湿热下注证的表现和治疗方案。",
|
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"input": "",
|
96 |
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"output": "湿热下注证表现为遗精、小溲黄赤、热涩不畅等。治疗应采用清热利湿的方法,如程氏萆薢分清饮加减。",
|
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"system": "",
|
98 |
+
"history": []
|
99 |
+
},
|
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+
{
|
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"instruction": "描述瘀水互结的治疗原则。",
|
102 |
+
"input": "",
|
103 |
+
"output": "瘀水互结的治疗原则包括活血祛瘀、化气行水。可以使用桃红四物汤合五苓散加减,以达到通阳行水、活血化瘀的目的。",
|
104 |
+
"system": "",
|
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+
"history": []
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+
},
|
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+
{
|
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"instruction": "讨论肾虚肝旺的表现和治疗。",
|
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"input": "",
|
110 |
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"output": "肾虚肝旺表现为头昏头痛、心慌腿软、肢啁等症状。治疗应加鳖甲、牡蛎、杜仲、桑寄生、菊花、夏枯草等药物。",
|
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"system": "",
|
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"history": []
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},
|
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{
|
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"instruction": "解释肾阳衰微的病因和治疗策略。",
|
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"input": "",
|
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"output": "肾阳衰微主要由于脾肾阳虚,水寒内聚造成。治疗��略应包括温肾助阳、化气行水,使用济生肾气丸合真武汤加减,以温补肾阳,利水消肿。",
|
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"system": "",
|
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"history": []
|
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},
|
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{
|
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"instruction": "阐述膏淋证的特征及其治疗方法。",
|
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"input": "",
|
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"output": "膏淋证特征为小便混浊如米泔水,伴有疼痛,治疗应清热利湿、分清泄浊,使用程氏萆薢分清饮加减。",
|
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"system": "",
|
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"history": []
|
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},
|
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{
|
129 |
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"instruction": "讨论湿热下注证的表现和治疗方案。",
|
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"input": "",
|
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"output": "湿热下注证表现为遗精、小溲黄赤、热涩不畅等。治疗应采用清热利湿的方法,如程氏萆薢分清饮加减。",
|
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"system": "",
|
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"history": []
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},
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{
|
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"instruction": "描述脾肾阳虚所致的水肿表现和治疗方案。",
|
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"input": "",
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"output": "脾肾阳虚所致的水肿表现为身体浮肿、尤其是下肢,面色苍白、四肢冷、小便不利。治疗方案应包括温补脾肾、化气行水,如使用济生肾气丸合真武汤加减。",
|
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"system": "",
|
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"history": []
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},
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{
|
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"instruction": "解释关格病证的病因、病机以及治疗方法。",
|
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"input": "",
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"output": "关格病证通常是由于脾肾虚衰、气化不利、浊邪壅塞三焦造成的,表现为小便不通和呕吐。治疗方法应结合温补与泻下,如吴茱萸散,以及注意开通大小便,如大黄、芒硝等药物。",
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"system": "",
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"history": []
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},
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{
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"instruction": "讨论肾虚不藏的治疗原则。",
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"input": "",
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"output": "肾虚不藏的治疗原则包括滋阴温肾、调补心脾、固涩精关。实证以清泄为主,虚证宜用补涩为要,针对不同病情进行相应的调理。",
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"system": "",
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"history": []
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},
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{
|
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"instruction": "解析湿热下注证的症状及其治疗方案。",
|
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"input": "",
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"output": "湿热下注证的症状包括遗精时作、小溲黄赤、热涩不畅等。治疗方案应采用清热利湿的策略,如程氏萆薢分清饮加减,以清化湿热、通利湿浊。",
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"system": "",
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"history": []
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},
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{
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"instruction": "讨论肾虚肝旺的治疗方法。",
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"input": "",
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"output": "肾虚肝旺的治疗应采取滋肾抑肝的策略,常用的药物包括鳖甲、牡蛎、杜仲等,以平衡肾肝之间的功能。",
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"system": "",
|
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"history": []
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},
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{
|
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"instruction": "详述肾阳虚衰导致的癃闭症状和治疗方法。",
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"input": "",
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"output": "肾阳虚衰导致的癃闭症状包括小便不畅或点滴不通、面色苍白、四肢冷、腰膝酸软。治疗应采用温补肾阳和利水通淋的方法,如使用济生肾气丸或真武汤加减,同时配合附子、肉桂等温阳药物。",
|
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"system": "",
|
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"history": []
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},
|
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{
|
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"instruction": "解释湿热下注证的症状和中医治疗策略。",
|
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"input": "",
|
180 |
+
"output": "湿热下注证表现为遗精、小便黄赤、热涩不畅、口苦。中医治疗策略为清热利湿,使用程氏萆薢分清饮加减,配合萆薢、黄柏等药物清化湿热,保证精室清净。",
|
181 |
+
"system": "",
|
182 |
+
"history": []
|
183 |
+
},
|
184 |
+
{
|
185 |
+
"instruction": "讨论肾虚不藏的治疗原则。",
|
186 |
+
"input": "",
|
187 |
+
"output": "肾虚不藏的治疗原则侧重于滋补肾阴或肾阳,针对不同的阴阳虚损情况,选择合适的补益药物。如阴虚则滋养肾阴,使用六味地黄丸;阳虚则温补肾阳,使用济生肾气丸。",
|
188 |
+
"system": "",
|
189 |
+
"history": []
|
190 |
+
},
|
191 |
+
{
|
192 |
+
"instruction": "描述肾阴亏耗的症状及相应治疗方案。",
|
193 |
+
"input": "",
|
194 |
+
"output": "肾阴亏耗症状包括小便量少、口咽干燥、腰膝酸软、烦躁不安等。治疗方案为滋补肾阴、育阴利水,可使用六味地黄丸加猪苓汤,以养阴清热、利水消肿。",
|
195 |
+
"system": "",
|
196 |
+
"history": []
|
197 |
+
},
|
198 |
+
{
|
199 |
+
"instruction": "解释湿热壅盛证的治疗方法。",
|
200 |
+
"input": "",
|
201 |
+
"output": "湿热壅盛证治疗应清泄肺热、通利水道。使用清肺饮加减,结合黄芩、桑白皮等药物清肺泄热,以及车前子、茯苓、泽泻等利尿药物以利水道。",
|
202 |
+
"system": "",
|
203 |
+
"history": []
|
204 |
+
},
|
205 |
+
{
|
206 |
+
"instruction": "讨论肾虚导致的水肿和治疗方案。",
|
207 |
+
"input": "",
|
208 |
+
"output": "肾虚导致的水肿表现为面部、四肢、甚至全身浮肿,小便不畅。治疗应侧重于温补肾阳、利水通淋,使用济生肾气丸合真武汤加减,以及附子、肉桂等温阳利水的药物。",
|
209 |
+
"system": "",
|
210 |
+
"history": []
|
211 |
+
},
|
212 |
+
{
|
213 |
+
"instruction": "解释关格病证的临床特征及治疗策略。",
|
214 |
+
"input": "",
|
215 |
+
"output": "关格病证表现为小便不通与呕吐,属于严重的危重病证。治疗应采取温补与泻下同用的策略,常用吴茱萸散以及温补肾阳、通利水道的药物,如大黄、芒硝、桑白皮等。",
|
216 |
+
"system": "",
|
217 |
+
"history": []
|
218 |
+
},
|
219 |
+
{
|
220 |
+
"instruction": "讨论湿热下注证的治疗原则。",
|
221 |
+
"input": "",
|
222 |
+
"output": "湿热下注证治疗原则为清热利湿,内蕴湿热下扰精室。使用程氏萆薢分清饮加减,结合萆薢、黄柏、茯苓等清热利湿药物,以及利尿通淋的药物如车前子、猪苓。",
|
223 |
+
"system": "",
|
224 |
+
"history": []
|
225 |
+
},
|
226 |
+
{
|
227 |
+
"instruction": "解释君相火旺证的症状及治疗方法。",
|
228 |
+
"input": "",
|
229 |
+
"output": "君相火旺证表现为少寐多梦、心中烦热、头晕目眩。治疗应清心泄肝,使用黄连清心饮加减,配合黄连、山栀清心火以及养心安神的药物如生地、枣仁。",
|
230 |
+
"system": "",
|
231 |
+
"history": []
|
232 |
+
},
|
233 |
+
{
|
234 |
+
"instruction": "讨论肺热壅盛证的临床表现及治疗方案。",
|
235 |
+
"input": "",
|
236 |
+
"output": "肺热壅盛证表现为呼吸急促、咽干、小便不畅。治疗应清泄肺热、通利水道,使用清肺饮加减,结合黄芩、桑白皮等清肺药物,以及利尿药物如茯苓、泽泻。",
|
237 |
+
"system": "",
|
238 |
+
"history": []
|
239 |
+
},
|
240 |
+
{
|
241 |
+
"instruction": "讨论肾虚导致的水肿和治疗方案。",
|
242 |
+
"input": "",
|
243 |
+
"output": "肾虚导致的水肿表现为面部、四肢、甚至全身浮肿,小便不畅。治疗应侧重于温补肾阳、利水通淋,使用济生肾气丸合真武汤加减,以及附子、肉桂等温阳利水的药物。",
|
244 |
+
"system": "",
|
245 |
+
"history": []
|
246 |
+
},
|
247 |
+
{
|
248 |
+
"instruction": "解释关格病证的临床特征及治疗策略。",
|
249 |
+
"input": "",
|
250 |
+
"output": "关格病证表现为小便不通与呕吐,属于严重的危重病证。治疗应采取温补与泻下同用的策略,常用吴茱萸散以及温补肾阳、通利水道的药物,如大黄、芒硝、桑白皮等。",
|
251 |
+
"system": "",
|
252 |
+
"history": []
|
253 |
+
},
|
254 |
+
{
|
255 |
+
"instruction": "讨论湿热下注证的治疗原则。",
|
256 |
+
"input": "",
|
257 |
+
"output": "湿热下注证治疗原则为清热利湿,内蕴湿热下扰精室。使用程氏萆薢分清饮加减,结合萆薢、黄柏、茯苓等清热利湿药物,以及利尿通淋的药物如车前子、猪苓。",
|
258 |
+
"system": "",
|
259 |
+
"history": []
|
260 |
+
},
|
261 |
+
{
|
262 |
+
"instruction": "解释君相火旺证的症状及治疗方法。",
|
263 |
+
"input": "",
|
264 |
+
"output": "君相火旺证表现为少寐多梦、心中烦热、头晕目眩。治疗应清心泄肝,使用黄连清心饮加减,配合黄连、山栀清心火以及养心安神的药物如生地、枣仁。",
|
265 |
+
"system": "",
|
266 |
+
"history": []
|
267 |
+
},
|
268 |
+
{
|
269 |
+
"instruction": "讨论肺热壅盛证的临床表现及治疗方案。",
|
270 |
+
"input": "",
|
271 |
+
"output": "肺热壅盛证表现为呼吸急促、咽干、小便不畅。治疗应清泄肺热、通利水道,使用清肺饮加减,结合黄芩、桑白皮等清肺药物,以及利尿药物如茯苓、泽泻。",
|
272 |
+
"system": "",
|
273 |
+
"history": []
|
274 |
+
},
|
275 |
+
{
|
276 |
+
"instruction": "描述肾阳衰微证的症状和治疗方法。",
|
277 |
+
"input": "",
|
278 |
+
"output": "肾阳衰微证表现为水肿、面色苍白、四肢冷、腰膝酸软、尿量减少。治疗应采用温肾助阳、化气行水的方法,使用济生肾气丸合真武汤加减,配合附子、肉桂等药物。",
|
279 |
+
"system": "",
|
280 |
+
"history": []
|
281 |
+
},
|
282 |
+
{
|
283 |
+
"instruction": "解释湿热下注证的病机和治疗方案。",
|
284 |
+
"input": "",
|
285 |
+
"output": "湿热下注证由湿热内蕴下扰精室导致,表现为遗精、尿黄、热涩不畅。治疗应采用清热利湿的方法,如程氏萆薢分清饮加减,配合萆薢、黄柏、茯苓等药物。",
|
286 |
+
"system": "",
|
287 |
+
"history": []
|
288 |
+
},
|
289 |
+
{
|
290 |
+
"instruction": "详述膏淋的症状及其治疗方案。",
|
291 |
+
"input": "",
|
292 |
+
"output": "膏淋表现为小便混浊如脂,疼痛不畅。治疗应采取清热利湿、分清泄浊的策略,使用程氏萆薢分清饮加减,结合萆薢、黄柏、茯苓等药物。",
|
293 |
+
"system": "",
|
294 |
+
"history": []
|
295 |
+
},
|
296 |
+
{
|
297 |
+
"instruction": "解释肾虚肝旺的治疗原则。",
|
298 |
+
"input": "",
|
299 |
+
"output": "肾虚肝旺应该使用补肾抑肝的治疗原则,加入药物如鳖甲、牡蛎、杜仲等,以调和肾肝之间的功能失衡。",
|
300 |
+
"system": "",
|
301 |
+
"history": []
|
302 |
+
},
|
303 |
+
{
|
304 |
+
"instruction": "描述瘀水互结证的临床特征及治疗策略。",
|
305 |
+
"input": "",
|
306 |
+
"output": "瘀水互结证表现为持续的水肿和瘀血,治疗应该使用活血祛瘀、化气行水的方法,如桃红四物汤合五苓散加减。",
|
307 |
+
"system": "",
|
308 |
+
"history": []
|
309 |
+
},
|
310 |
+
{
|
311 |
+
"instruction": "描述肾阳虚引起的水肿症状及治疗方法。",
|
312 |
+
"input": "",
|
313 |
+
"output": "肾阳虚引起的水肿表现为面部及下肢浮肿,尤其是早晨更为明显,手脚冰冷,腰膝酸软,尿量减少。治疗应采用温肾利水的方法,如济生肾气丸和真武汤加减,常用药物包括附子、肉桂以温补肾阳,以及茯苓、泽泻利水通淋。",
|
314 |
+
"system": "",
|
315 |
+
"history": []
|
316 |
+
},
|
317 |
+
{
|
318 |
+
"instruction": "讨论湿热下注证的表现和治疗策略。",
|
319 |
+
"input": "",
|
320 |
+
"output": "湿热下注证表现为遗精时作、小溲黄赤、热涩不畅等症状。治疗策略为清热利湿,常用程氏萆薢分清饮加减,利用萆薢、黄柏等药物清化湿热,并使用茯苓、车前子等药物以利湿并促进尿液排出。",
|
321 |
+
"system": "",
|
322 |
+
"history": []
|
323 |
+
},
|
324 |
+
{
|
325 |
+
"instruction": "解释肾虚肝旺证的症状及其治疗方案。",
|
326 |
+
"input": "",
|
327 |
+
"output": "肾虚肝旺证表现为头昏头痛、心慌腿软、肢啁等症状。治疗应以补肾平肝为主,常用药物包括鳖甲、牡蛎以抑制肝阳,杜仲、桑寄生以滋养肾阴,及菊花、夏枯草以清热平肝。",
|
328 |
+
"system": "",
|
329 |
+
"history": []
|
330 |
+
},
|
331 |
+
{
|
332 |
+
"instruction": "阐述肺热壅盛证的表现及治疗方法。",
|
333 |
+
"input": "",
|
334 |
+
"output": "肺热壅盛证表现为咳嗽、咽干、口渴、小便短赤、舌红苔黄。治疗原则为清泄肺热、通利水道,常用清肺饮加减,主要药物有黄芩、桑白皮以清肺热,以及麦冬、芦根等以润肺生津。",
|
335 |
+
"system": "",
|
336 |
+
"history": []
|
337 |
+
},
|
338 |
+
{
|
339 |
+
"instruction": "描述肾虚不藏的治疗原则。",
|
340 |
+
"input": "",
|
341 |
+
"output": "肾虚不藏的治疗原则主要包括滋阴温肾和固涩精关。应根据病人具体症状选用适当方药,如肾阴虚者可用知柏地黄丸加减,肾阳虚者则使用鹿茸补涩丸加减。",
|
342 |
+
"system": "",
|
343 |
+
"history": []
|
344 |
+
},
|
345 |
+
{
|
346 |
+
"instruction": "描述肾阴亏虚的表现和治疗方法。",
|
347 |
+
"input": "",
|
348 |
+
"output": "肾阴亏虚表现为五心烦热、夜间盗汗、口干咽燥、腰膝酸软。治疗应采用滋阴降火的方法,常用药物包括知柏地黄丸加减,以及熟地黄、山茱萸、枸杞子等滋养肾阴的药物。",
|
349 |
+
"system": "",
|
350 |
+
"history": []
|
351 |
+
},
|
352 |
+
{
|
353 |
+
"instruction": "阐述肾阳虚的治疗原则和药物选择。",
|
354 |
+
"input": "",
|
355 |
+
"output": "肾阳虚的治疗原则是温补肾阳、助火回元。常用药物包括济生肾气丸加减,以及附子、肉桂、巴戟天、仙灵脾等温阳助火的药物。",
|
356 |
+
"system": "",
|
357 |
+
"history": []
|
358 |
+
},
|
359 |
+
{
|
360 |
+
"instruction": "解释湿热下注证的病机及治疗方案。",
|
361 |
+
"input": "",
|
362 |
+
"output": "湿热下注证由湿热内蕴下扰精室所致,表现为遗精、小便黄赤、热涩不畅等。治疗应采用清热利湿的方案,使用程氏萆薢分清饮加减,配合萆薢、黄柏、茯苓、车前子等药物。",
|
363 |
+
"system": "",
|
364 |
+
"history": []
|
365 |
+
},
|
366 |
+
{
|
367 |
+
"instruction": "描述瘀水互结证的治疗方法。",
|
368 |
+
"input": "",
|
369 |
+
"output": "瘀水互结证表现为持续水肿和瘀血,治疗应使用活血祛瘀、化气行水的方法,如桃红四物汤合五苓散加减。",
|
370 |
+
"system": "",
|
371 |
+
"history": []
|
372 |
+
},
|
373 |
+
{
|
374 |
+
"instruction": "讨论肺热壅盛证的表现和治疗策略。",
|
375 |
+
"input": "",
|
376 |
+
"output": "肺热壅盛证表现为呼吸急促、咽干、小便不畅等。治疗应清泄肺热、通利水道,使用清肺饮加减,结合黄芩、桑白皮等清泄肺热的药物,以及利尿药物如茯苓、泽泻。",
|
377 |
+
"system": "",
|
378 |
+
"history": []
|
379 |
+
},
|
380 |
+
{
|
381 |
"instruction": "请解释中医中的水肿是什么?",
|
382 |
"input": "",
|
383 |
"output": "在中医学中,水肿被称为“水气病”或“肿”,是由于多种原因导致体内水液代谢失调,潴留在体内,导致面部、四肢、腹部等部位出现浮肿的现象。",
|
|
|
1510 |
"system": "",
|
1511 |
"history": []
|
1512 |
}
|
1513 |
+
]
|