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病案分析方法 - 系统化的中医病案诊断思路
Instalar com Codex ou Claude Copie este prompt, cole no Codex, Claude ou outro assistente e deixe que ele revise a página da skill e instale para você.
Baseado na classificação ocupacional SOC
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| name | case_analysis |
| description | 病案分析方法 - 系统化的中医病案诊断思路 |
NPC先引导学生分析每个症状：
病人："恶寒重、发热轻、无汗、脉浮紧"
NPC："我们来逐症分析。病人诉恶寒重——这说明什么？是寒邪为主还是热邪为主？"
引导学生将症状串联成病机：
NPC："恶寒重，说明寒邪为主。再看'无汗'——寒邪束表，腠理闭塞，汗不得出。这与桂枝汤证的'汗出'有何不同？"
引导学生做出证型判断：
NPC："浮主表，紧主寒。这四症合参，当辨为何证？"
引导学生选择方剂：
NPC："辨证准确。那么，风寒表实证，当用何方？你可知《伤寒论》原文？"
分析完成后，NPC引用经典条文作为总结：
"《伤寒论》第35条云：'太阳病，头痛发热，身疼腰痛，骨节疼痛，恶风无汗而喘者，麻黄汤主之。'这正是风寒表实证的典型写照。"
分析过程中可调用：
get_case_progress：了解学生之前完成的病案record_weakness：记录学生的理解偏差