医学英语口语对话中英对照

医生与病人对话1P:Goodmorning,doctor.D:Goodmorning,pleasesitdown.Whatseemstobethematter?P:IthinkImighthavecaughtacold.D:Howlonghaveyoubeensick?P:Fortwodays.D:Whatsymptomsdoyouhave?P:IhavearunnynoseandIacheallover.D:Whatwasthedischargelike?P:Watery.D:Isitthesametoday?P:No,itisyellowandthickertoday.D:Doyouhaveafever?P:Ihaven'ttakenmytemperatureyet,butIfeelfeverish.D:Letmetakeyourtemperature.Itwilltake10minutes....Yes,youdohaveafever.Wereyouexposedtocoldtemperatures?P:Yes,thedaybeforeyesterdaywhenIwenttowork,theweatherwaswarmsoIdidn'twearextraclothes.Intheeveningthetemperaturedroppeddownrapidly.OnthewayhomeIfeltverycold.AfterarrivinghomeIbegantosneeze.WhenIgotoutofbedthenextmorningmynosewasstuffyandrunning.D:Doyouhaveacough?P:Ijuststartedcoughingtoday.D:Doyouhavephlegm?P:Yes,butnotmuch.D:Whatcolorisit?P:Paleyellow.参考译文病人：早上好，医生。医生：早上好。请坐。您那里不舒服？病人：我想我感冒了。医生：您病了多久了？病人：2天。医生：您有什么症状吗？病人：我流鼻涕，而且觉得全身疼痛。医生：鼻涕怎么样的？病人：水样的。医生：今天也一样吗?病人：不，今天是黄色的，而且变稠了。医生：有没有发热啊？病人：我没有测过体温，但是我自己觉得发烧了。医生：让我先帮您测体温。大概需要十分钟。......是的，您确实是发热。您怕冷吗？病人：是的。前天我去上班的时候天气还挺暖和的，当时我就没有多穿衣服。但晚上温度下降得很快，当我回家的时候我觉得很冷。回家后，我就开始打喷嚏了。第二天早上起床的时候我就觉得鼻塞流涕了。医生：您有没有咳嗽啊？病人：今天刚开始。医生：您有痰吗？病人：有，但不多。医生：什么颜色的？病人：浅黄色的。医生与病人对话2D:Isiteasytocoughup?P:Notvery.Ihavetouseefforttocoughitup.Thephlegmisalittlesticky.D:Haveyoubeensweating?P:Isweatedalittleaftertakingsomemedicineforfeverlastnight.D:Areyouthirsty?P:Yes,Ifeellikedrinkingcoolwater.D:Doyouhaveasorethroat?P:Yes,Ido.D:Iwanttolookatyourthroat.Pleaseopenyourmouth.D:Doyoufeelanyotherdiscomfort?P:IfeelsoreeverywhereandIfeelverytiredtoo.D:Pleasestickoutyourtongueandletmehavealook.Youhavearedtonguewiththinandyellowcoating,whichindicateswindandheatinthesuperficialarea.Pleaseputyourhandhereandletmefeelyourpulse....Thepulseissuperficialandrapid.P:Whatdoesasuperficialandrapidpulsemean?D:AsuperficialpulsemeanstheattackofpathogenstotheexteriorlayerofthebodywhichiscalledexteriorsyndromeinTraditionalChinesemedicine,whilearapidpulseindicatesheat.P:WhatisthediagnosisofChinesemedicineforme?D:Itisacommoncold.Accordingtothesymptoms,themanifestationofthetongueandpulse,youhavegotacommonwind-heattypecold.医生：容易咯出来吗？病人：不是太容易。我需要用力才能咯出。这痰有点粘稠。医生：您有出汗吗？病人：昨晚吃了退烧药后出了一点。医生：觉得口渴吗？病人：是的，我比较想喝冷水。病人：是的，医生：我想要看看您的喉咙，请张开口。医生：您还觉得哪里不舒服吗？病人：我觉得全身疼痛，而且觉得非常累。医生：请伸出舌头让我看看。他的是舌红苔薄黄，提示着风热袭表。医生：请把手放到这里，我给您把把脉。脉是浮数的。病人：脉浮数意味着什么？医生：浮脉代表着邪袭体表，在中医里这也叫表证，而数脉提示的是有热。病人：中医诊断是什么？医生：根据症状、舌脉的表现，这属于感冒，风热型。医生与病人对话3P:Canyouexplainitmoreindetail?D:Pathogenicwindheatoftenattacksthebodythroughthenoseandmouth.Thelungisinvolvedfirst.Pathogenicwindofyangnatureischaracterizedbyupwardandoutwarddispersion.Whenafightgoesonbetweenthepathogenicwindheatandthebodyresistance,fever,slightaversiontowindandsweatingresult.Whenthepathogenicwindheatattacksthehead,symptomslikepainanddistendingsensationoccurinhead.P:That'sinteresting.D:Whenthelungfailstodisperseanddescend,aten-year-oldpatienthasacoughwithyellow,thicksputum.Whenthepathogenicwindheatstiflestheairpassage,thepatientexperiencingacongestedsorethroatwiththirst.Thin,whiteoryellowishtonguecoating,andsuperficialrapidpulsearethesignsshowingthelungandthedefensivesystembeingattackedbythepathogenicwindheat.P:Isee.I'dliketobetreatedwithTraditionalChinesemedicine.ThatiswhyIcamehere.Whatkindoftreatmentwillyougivetome?D:IsuggesttheprescriptionYinQiaoSanforyou.Itisatypicalformulafortreatingwindheattypeofcommoncold.Wemaymodifyitbyaddingsomemoreherbstorelievethesorethroatandtherunnynose.Iwillgiveyoufourdoses.Everydaytakeone.Everydosebringstoaboilanddrainofftheliquid.Addcoldwaterandbringittoaboilthesecondtime.Drinktheliquidfrombothtimes.Doyouunderstand?病人：你能详细解释一下吗？医生：风热之邪常会通过口鼻侵犯机体，而肺先受之。属于阳的风邪就具有向上、向外升散的特性。当风热之邪与机体正气相互搏斗，就会导致发热、恶风以及汗出。当风热之邪侵袭头部，就会有头痛、头胀等症状的出现。病人：听起来很有趣。医生：如肺失宣降，就会出现咳嗽，咯黄稠痰。当风热之邪使气道失于通畅，就会出现咽喉充血，疼痛以及口渴。苔薄白或薄黄，浮数脉都是肺卫被风热之邪侵袭的表现。病人：我想以中药治疗。这就是我来这的原因。你们将会予我什么治疗呢？医生：我建议用银翘散。那是一条典型的用以治疗风热型感冒的方。我们可以在此基础上加一些用于缓解咽痛和流涕症状的草药。我将会给您开四剂药。每天一剂。猛火煎药，然后倒出药汁。然后再加冷水复煎一次。把两次煮的药都喝完，明白吗？医生与病人对话4P:Yes,Ido.D:Also,I'llnowgiveyouacupuncturetreatmentonthepointsofthelung,largeintestineandbladdermeridians,usingthereducingmethod.Thiswillbeveryeffectiveinrelievingyourheadacheandrunnynose.P:Willitbepainful?D:No,justlikeamosquitobite.Afterthatwemayapplycuppingtoyourupperback.(Afterthetreatment)P:Oh,Ifeelmuchbetteraftertheacupuncturetreatment.Myheadachehasgoneandthesorethroathaslessened.Thankyou.D:Afterreturninghomebecarefultorestanddrinkmorehotwater.Thisisyourprescription.GototheChinesemedicinepharmacyandfillyourprescription.P:Ok.Thankyouverymuch,doctor.D:Youarewelcome.病人：知道了。医生：我们能否给他用针灸治疗来缓解症状？我会用泻法在你的肺经、大肠经和膀胱经上的穴位上用针。这对于缓解你头痛和流涕的症状是很有效的。病人：针灸会很痛吗？医生：不会，就像蚊子咬，然后我们可以在他上背部拔火罐。治疗后病人：我觉得治疗后舒服多了。我的头不痛了，而且咽痛也缓解很多了，感觉好多了。谢谢。医生：回家后要注意休息，还要喝多点热水。这是您的处方，您可以到中药店抓药。病人：好的，谢谢，再见。医生与病人对话5D:Goodmorning,whatseemstobetheproblemtoday,Mr.Chen?P:Well,I'vehadnocturiaforsixmonthsandIstartedlosingweightfourmonthsago.D:Anyotherproblems?Haveyounoticedanychangesinyoururine?P:Yes,it'sdarker,reddish.Iwonderifitcouldbeblood.D:Haveyounoticedanythingelse?P:Yes.I'vefeltsickseveraltimesinthemorningandI'veno