最新外研版六年级下册Module4-unit1-the-balloons-are-alying-away.原创、实用课件课件PPT.ppt 53页

'外研版六年级下册Module4-unit1-the-balloons-are-alying-away.原创、实用课件 No,heisn’t.Isthemanrunning?Review.Heisswimming.Yes,they’re.Arethegirlsdancing?Theyaredancing. Theyareplayingfootball.Theyareplayingbasketball.Whataretheydoing?Review.No,theyaren’t.Aretheboysdancing? Whatdoyoudoforyourfriend’sbirthday?haveabirthdaypartyeatbirthdaycakesendbirthdaypresents balloonWords.Therearesomeballoonsinthesky.Look,theballoonsareflyingaway.carryHecancarrythebox.Theboxissoheavy,shecan’tcarryit. onthephoneWords.Look,thegirlisonthephone.fallTheleavesarefalling. listenandchoose.1.Simon’smotherisat.A.ashopB.thesupermarketC.home2.She’sthings.A.sendingB.drawingC.buying3.Theyaregoingtohavea.A.birthdaypartyB.picnicC.SportsDay listenandanswer.4.CanSimon’smothercarrythethings?5.CanSimonhelpher?6.CanDaminghelpher?Yes,hecan.No,shecan’t.No,hecan’t. listenandtick.7.Damingtakesthecake.8.Theorangesareflyingaway.9.Theballoonsareflyingaway.10.Theyballoonssay”Happybirthday,Simon!”FTFTfallingDaming” 1.WhatisSimon’smumbuyingthingsfor?2.WhySimon’smumwantshelp?3.CanSimonhelphismum,why?4.WhocanhelpSimon’smum?5.Whatarehappeningthen(后来)?Readandanswer. 1.WhatisSimon’smumbuyingthingsfor?SheisbuyingthingsforDaming’sbirthdayparty.Let’scheck. 2.WhySimon’smumwantshelp?Becauseshecan’tcarryeverything.Let’scheck. 3.CanSimonhelphismum,why?No,hecan’t.Let’scheck.Becauseheisonthephone. 4.WhocanhelpSimon’smum?Damingcanhelpher.Let’scheck. 5.Whatarehappeningthen(后来)?Theorangesarefalling.Let’scheck.Theballoonsareflyingaway. Daming:Whereisyourmum?Simon:She’satthesupermarket.She’sbuyingthingsforyourbirthday.Daming:AmIgoingtohaveabirthdayparty?Simon:Yes,youare.Readandlearn为…买…Mum,canyoubuythisbookforme?举办生日聚会Damingwantstohaveabirthdayparty. Simon’smum:Whocanhelpme?Ican’tcarryeverything.Simon:Sorry,Ican’t.I’monthephone.Daming:Icanhelpyou.Icancarrythisbox.Simon’smum:Thankyou,Daming.ReadandlearnLater…谁能帮我？用来请求帮助所有的东西表示歉意Canyouhelpme?Sorry,Ican’t.打电话Ican’tfindmypen.Whocanhelpme? 要求帮助-Whocanhelpme?-Icanhelpyou./Sorry,Ican’t.-Canyouhelpme?-Ofcourse.提供帮助-CanIhelpyou?-WhatcanIdoforyou? Simon’smum:Becarful.That’sthecake.Ohdear!Theorangesarefalling.Daming:Simon,comeandhelpus!Simon’smum:Theballoonsareflyingaway.Simon:Butlookattheballoons.Theysay”Happybirthday,Daming.”Readandlearn掉落上面说/写着小心 Fillin.Daming’sbirthdayiscoming.Simon’smumisat.Sheishisbirthdayparty.Butsheeverything.SheasksSimonandDaming“?”Simonhelpher,becausehe.Damingcanhelpher.Buttheorangesandtheballoons.Andtheycansee“”ontheballoon.thesupermarketbuyingthingsforcan’tcarryWhocanhelpmecan’tisonthephonecarrythecakearefallingareflyingawayHappybirthday,Daming Listenandsay. Practise.A:Mybooksarefalling.Whocanhelpme?B:Sorry,Ican’t.C:Icanhelpyou.A:Mykiteisflyingaway……A:Myapplesarefalling……Now,actitout. 火眼金睛lookattheballoonsSorry,Ican’tIcan’t…WhocanhelpmeonthephoneIcan…can’tcarryeverythingOhdearhaveabirthdaypartycomeandhelpmeflyawaybuythingsfor…Becareful atthesupermarketbuythingsforyoucan’tcarryeverythingonthephoneflyawayhappybirthday拿不了所有的东西飞走了生日快乐为你买东西在超市打电话连一连 I’mbuyingapresentmyfather.A.toB.forC.on2.Ilike___andIlike,too.A.fruits;readingB.fruit;readC.fruit;reading3.Lookattheoranges!They.A.isfallingB.arefallingC.areflying选择。 4.Simoncanbuthecan’t.A.swims;flyB.swim;flyingC.swim;fly5.Simonoftentea.Look,heisnow.A.drinks;drinkB.drinks;drinkingC.drinking;drinking6.-Happybirthdaytoyou!–!A.HappybirthdayB.GoodideaC.Thankyou选择。 Theorangesarefalling.Sheisbuyingthingsforyourbirthday.连词成句。falling,the,oranges,are.is,for,she,your,buying,things,birthday. Whocanhelpme?Theballoonsareflyingaway.连词成句。can,who,me,help?are,away,the,flying,balloons. ReadballoonfallcarryhaveabirthdaypartyonthephoneBecarefulOhdear 第十四章大头瘟陕西中医学院温病学教研室 概述一、定义大头瘟是感受风热时毒而引起的一种以头面焮赤肿大为特征的急性外感热病。本病多发生于冬春二季，属于温毒的范围。 二、沿革1、关于病名首次将本病列专篇的为刘河间《素问病机气宜保命集》称本病为“大头病”。“大头天行”；“大头瘟”或“蝦蟆瘟”。“大头风”、“大头伤寒”。“大头温、虾蟆温”。2、关于病理：天行邪毒客于三阳之经 3、与西医学病名的关系与颜面丹毒、流行性腮腺炎等有相似之处，但不是典型的大头瘟。 病因病机一、病因发病1、病因：风热时毒2、发病条件：气候条件—温暖多风的春季或应寒反暖的冬季体内条件—人体正气不足 二、病理演变内侵风热时毒卫气同病肺毒壅肺胃胃邪入气分毒炽肺胃阴邪壅肠腑伤 病理特点：1.初起风热时毒外袭，伤及卫气2.继则毒邪蒸迫肺胃，攻窜头面3.后期多为肺胃阴伤，毒邪未净 诊断一、诊断依据1、发病季节：多发生于冬春季节。2、特殊的临床表现：起病急，初起憎寒发热，伴有头面焮赤肿痛。3、传变特点：以气分肺胃热毒蒸迫为主要病机变化，肺胃为主要病位，少有深入营血者，预后较好。 二、鉴别诊断1、与痄腮鉴别：痄腮大头瘟发病部位以耳垂为中心头面部均累及一侧或两侧症状特点局部肿胀高突头面漫肿欣红疼痛皮肤紧张而范围大不红范围小 2、与发颐鉴别：发颐大头瘟发病部位面颊，下颔角颜面，以阳明经为单侧多累及少阳经主，常累及三经症状特点红赤肿胀，疼痛不化脓或溃烂，开口困难，可化脓张口或咀嚼不受影响 3、与漆疮鉴别：漆疮大头瘟病因接触油漆生漆等感受风热时毒发病部位接触部位头面部，不累及他处证侯特点灼热发痒，不痛红肿疼痛无瘙痒，一般不发热。 辨证论治 一、辨治要点（一）辨证要点：1.辨清病变部位：阳明：先肿于鼻额，以至于面目甚肿；少阳：发于耳之上下前后并头目；太阳：若发于前额、头顶及脑后项下；三阳俱病：发于头、耳、目、鼻。 2.辨头面肿痛特性：肿胀处发硬，肌肤焮红灼热者，热毒较甚；肿胀伴疱疹糜烂者，则属热邪夹湿毒秽浊。3.辨病程：病在卫分：伴见恶寒发热者；病在气分：憎寒壮热，或但热不寒，烦躁口渴者；热入营血：见神昏谵语，肌肤有瘀斑。 （二）治则治法1、治则：疏风清热，解毒散结2、治法：邪偏卫表：宜疏风透邪为主，兼以解毒消肿；毒壅肺胃：宜清热解毒为主，兼以疏风消肿；3、治疗禁忌（1）初起忌辛温（2）宜轻清，忌苦降（3）清热慎苦寒 二、常见证型诊治邪犯肺卫毒壅肺胃毒炽肺胃，邪壅肠腑胃阴耗伤 （一）邪犯肺卫临床表现：恶寒发热，热势不甚，无汗或少汗，头痛，头面轻度红肿，全身痠楚，目赤，咽痛，口渴，舌苔薄黄，脉浮数。辨证要点：恶寒发热、热势不甚、头面红肿、苔薄黄、脉浮数。病机：风热时毒侵犯肺卫治法：疏风透表，宣肺利咽。方药：葱豉桔梗汤加味 （二）毒壅肺胃临床表现：热势益增，口渴引饮，烦躁不安，头面焮肿，咽喉疼痛加剧，舌赤苔黄，脉实数。辨证要点：壮热不寒、烦渴、头面焮肿、咽喉疼痛、舌赤苔黄、脉数病机：肺胃热毒，上攻头面。治法：清热解毒，疏风消肿。方药：普济消毒饮三黄二香散 （三）毒炽肺胃，邪壅肠腑临床表现：身热如焚，气粗而促，烦躁口渴，咽痛，目赤，头面及两耳上下前后焮赤肿痛，大便秘结，小便热赤短少，舌赤苔黄，脉数。辨证要点：热甚、气粗而促、烦渴、头面焮赤肿痛、便结、舌赤苔黄。病机：风热时毒壅盛于肺胃及肠腑治法：清透热毒，攻下泄热。方药：通圣消毒散，仍可外敷三黄二香散。 （四）胃阴耗伤临床表现：身热已退，头面焮肿消失，口渴欲饮，不欲食，咽干，目干涩，唇干红，舌干少津，无苔或少苔，脉细数。辨证要点：以热退、头面焮肿消失、不欲食、舌干少苔、脉细数为主症。病机：肺胃热毒已解，津液受伤治法：滋养胃阴。方药：七鲜育阴汤'