最新Lesson25RaisingMoney精心准备的课件PPT课件.ppt 68页

'Lesson25RaisingMoney精心准备的课件 1.Howmanyapplesdoyouwant?你想要多少个苹果？2.Howmuchdoesitcost?它值多少钱？3.Howsoonwillitopen?它什么时候开始？4.HowlongmayIkeepthebook?我可以保存这本书多长时间？5.Howoftendoyouwashyourhair?你多久洗一次头发？6.Thenumberoftheboysis34.男孩的数量是34。7.Thereisgoingtobewillbe将有...8.Thereisaresthsbdoing有某物人正在做9.neither...nor...既不...也不...10.lookup查阅，向上看 paypaidpaid付款paysb付钱给某人Iwanttopayhim.payforsth某人为...付款Howmuchdidyoupayforthecar?paymoneyforsth某人为某物付款Ipaid150yuanforthisdress. raiseahand raiseanimals饲养动物 raisepeople养育人 raisemoney筹集钱 raiseraisedraisedraisingraise+sth(handglass)举起+people养育+animal饲养+money筹集Youraisemeup Whataretheydoing?Whatisthewomandoing?Whatisthegirldoing? Weneedmoneytobuythings.ButIdon’thaveanymoney!Howtodoit? NewwordsWhatistheman?---Heisa_______.Whatisthemandoing?Heis______somecookiesinthe________.Hehasalreadybaked_______cookies.bakingbakerysixteenbake烘烤sixteen十六baker Theirbasketballteamisgoingtoplayinanothercity.Eachplayerneedsto____$150forthetrip.Theyneedto______somemoney.Maybetheycanworktogetherto_______somemoney.bake烘烤sixteen十六pay花费,付款dollar美元makemoney挣钱Newwordspaymakeraise Thisisaposter.Itisatypeofadvertising. paybakedollarsixteenadvertisingposterv.付（款）v.&n.烘；烤n.美元num.十六n.广告活动，广告业，做广告n.招贴，海报Wordsandexpressions Readthelessonandanswerthequestions.1.Whydotheywanttoraisemoney?2.Whenwilltheyhaveabakesale?3.HowmuchwillBrian’scookiescost?4.WhatisDannygoingtosell?5.WhatdoesJennymeanwhenshesays,“Hmm…”? 1.Whydotheywanttoraisemoney?Becausetheirbasketballteamisgoingtoplayinanothercity.Thetripcostsalotofmoney.2.Whenwilltheyhaveabakesale?Theywillhaveabakesaleatlunchhour.Readthelessonandanswerthequestions. 3.HowmuchwillBrian’scookiescost?Onedollarforfourcookies.4.WhatisDannygoingtosell?Heisgoingtoinventanewproducttosell.5.WhatdoesJennymeanwhenshesays,“Hmm…”?Maybeshefeelsalittlesurprised. II.Listentothepassageandfillintheblanks.1.Eachplayerneedstopay_________forthetrip.2.LiMing,WangMeiandLiLindecidetoworktogetherto________________.3.WangMeiwantstobakesome_______tosell.4.LiMingwantsto______anewproducttosell.5.LiLinwillmakesome_______tohelpthem.1000yuanraisesomemoneycookiesinventposters LanguagePoints 宾语从句：Doyouknowthatourbasketballteamisgoingtoplayinanothercity?that引导的宾语从句。像know这样的词有say,think,believe,wish,hear,wonder,know,agree,hope等。引导词主句宾语从句 Butthetripcostsalotofmoney.但是这次出行要花费很多钱。cost意为“花费，值”，主语常为物。spend...onsth./(in)doingsth.在某物上花费....../做某事花费......pay...(for)...意为“付钱买”，主语是人。Ittakessb.sometimetodosth.表示花费某人多长时间做某事。LanguageNotes: Icanmakeit!costpaytakespendbuysb.sth.It谁做主人？ sth.costsb.….Thebreadcosthim3Yuan.Thenewbikecosther100dollars.cost物做主语 spend...onsth./(in)doingsth.在某物上花费....../做某事花费......IspenttwohoursonmyEnglishhomework.spend人做主语 payfor付钱买payoff全部偿还，还清Howmuchdidyoupayforyourcoat?Theypaidofftheirdebts.pay人做主语 takeit做主语Ittakessb.sometimetodosth.表示花费某人多长时间做某事。Ittakesme15minutestogotoschoolonfoot. buyboughtbought买sb.buysthforsomemoney.表示某人花费多少钱买某物。Iboughtthepenforfiveyuan.=Ispent5yuanonthepen.=Ipaid5yuanforthepen.人做主语 buybuysthforsb.=buysbsth表示为某人买某物。Iboughtapenforhim.=Iboughthimapen.buysthfromsb.sp从某人某地买东西Iboughtthepenfromthestore.人做主语 somethingdelicious不定代词+adj. translate：翻译我想要一些吃的东西。它的价钱是多少呢？Iwouldlikesomethingtoeat.Howmuchisit?Howmuchdoesitcost? 纠错奇兵Itspentmetwohourstomendmybike.shecost200onthisMP3.Ipaid3Yuanformyhair-cut.Ispentawholeweekenddoingmyhomework.5.Thisbookcostme15＄.有错才改哦！tookspent 课堂练习()1.“Thefourcookies____thegirlonedollar”means“Thegirl___onedollarforthefourcookies”.A.cost,spendB.paid,tookC.cost,paidC ()2.Lookattheredcoatoverthere.Itspriceis____.(Lesson26)A.lowB.expensiveC.cheapAB()3.Itusually_____Mumabouthalfanhourtocooksupper.A.paysB.takesC.spendsD.costs 4.–Doyouknowthepriceoftheticket?--Yes.Each___180yuan.A.paysB.costsC.takesD.spends5.--HowmuchisthetickettoCentralPark?--Aone-wayticket___$40,andyoucan____another$20foraround-trip.A.costs;payB.cost;spendC.pay;spendD.spends,payBA Makeyourowndialogue A:Howmuchisyourcoat?B:Itcostme100Yuan.A:Howmuchisyourschoolbag?B:Ispent50Yuanonit.A:Howmuchisyourpencilcase?B:Ittakesme10Yuantobuyit.A:Howmuchisyourpen?B:Ipaid5Yuanforit.Sample TimeforReflection挣钱，赚钱makemoneyraisemoneyabakesale面包义卖somethingdelicious美味的食物makeaposter做海报筹钱 keysentense2.CompleteLet’sDoIt!No.33.Searchmoreexpressionsaboutbusiness.1.Copyandrememberthenewwords. Homework:2.CompleteLet’sDoIt!No.33.Searchmoreexpressionsaboutbusiness.1.Copyandrememberthenewwords. III.Fillintheblankswiththecorrectformsofthewordsorphrasesinthebox.sellplaydollarpaymakemoney1.Thereareusuallyeleven_______onafootballteam.2.Mr.Hanchoseashirt,_____foritandleftthestore.playerspaid 3.Thatlaptopcostyou2000_______!That’stooexpensive.4.Asanemployee,Itryto__________formycompany.5.Ioftengotothatbakery.Ithinkit_____thebestcookies.dollarsmakemoneysells 第四节耳疮 [目的要求]1．掌握耳疮的定义、临床特征。2．熟悉耳疮的病因病机。3．掌握耳疮的诊断、分型治疗、外治法及预防与调护措施。 [重点及难点提示]重点：掌握耳疮的病史、临床症状、检查。难点：对风热湿邪，上犯耳窍，肝胆湿热，上攻耳窍，血虚化燥，耳窍失养之型的症状特征及检查要有明确认识。 一、概述1、定义：耳疮是指以外耳道弥漫性红肿疼痛为主要特征的疾病。2、特点：好发于夏、秋季节。3、现代医学病名：弥漫性外耳道炎。 二、病因病机1.风热湿邪，上犯耳窍多因挖耳损伤外耳道皮肤，风热湿邪乘机侵犯，或因耳道不洁，污水入耳，或因脓耳之脓液浸渍，湿郁化热，风热湿邪犯耳，与气血相搏，致生耳疮。2.肝胆湿热，上攻耳窍湿热邪毒壅盛，引动肝胆火热，循经上犯耳窍，蒸灼耳道，壅遏经脉，逆于肌肤而生耳疮。3.血虚化燥，耳窍失养久病不愈，阴血耗伤，耳窍肌肤失于濡养，血虚耳燥而致病。 三、诊断1、病史：多有挖耳、污水入耳或耳流脓史。2、主证：耳内灼热疼痛，动则加重，少许流脓，或耳内发痒不适。3、检查：耳屏压痛，耳廓牵拉痛，外耳道弥漫性红肿，可有少许分泌物。反复发作者，可见外耳道皮肤增厚、皲裂、脱屑，甚至外耳道狭窄。 急性外耳道炎 外耳道炎 1慢性外耳道炎2恶性外耳道炎又称坏死性 霉菌性外耳道炎 四、鉴别诊断本病应与耳疖、旋耳疮、脓耳相鉴别。 耳疖与耳疮的区别：1.病史：多有挖耳史。2.主证：耳痛，张口、咀嚼时加重，严重者牵引同侧头痛。3.检查：外耳道局限性红肿，隆起如椒目状，肿甚者可堵塞外耳道。脓肿溃破后外耳道可见脓血。1.病史：多有挖耳、污水入耳或耳流脓史。2.主证：耳痛同耳疖，少许流脓，或耳内发痒不适。3.检查：外耳道弥漫性红肿，可有少许分泌物。反复发作者，可见外耳道皮肤增厚、皲裂、脱屑，甚至外耳道狭窄。 五、辨证及治疗（一）分型论治1.风热湿邪，上犯耳窍症见：耳痛、耳痒、耳道灼热感，伴头痛、发热、恶寒，舌质红，苔薄黄，脉浮数。检查：耳屏压痛，耳廓牵拉痛，外耳道弥漫性红肿，或耳道潮湿，有少量渗液。治则：疏风清热解毒祛湿方药：银花解毒汤加减 2.肝胆湿热，上攻耳窍症见：耳痛，牵引同侧头痛，口苦，咽干，可伴有发热等症。舌红，苔黄腻，脉弦数。检查：耳屏压痛，耳廓牵拉痛，外耳道弥漫性红肿、糜烂，渗出黄色脂水。治则：清泻肝胆利湿消肿方药：龙胆泻肝汤加减 3.血虚化燥，耳窍失养症见：病程较长，耳痒、耳痛反复发作，全身症状不明显，舌质淡，苔白，脉细数。检查：外耳道皮肤潮红、增厚、皲裂，表面或见痂皮。治则：养血润燥方药：地黄饮加减 （二）外治法1.外敷可用黄连膏、紫金锭等局部涂敷。2.可用清热解毒的中药制成滴耳液滴耳。 （三）其他疗法可配合局部超短波理疗或微波理疗。 附加：西药治疗（一）严重者应用抗生素控制感染。服用镇静、止痛剂。（二）局部用1～3%酚甘油或10%鱼石脂甘油滴耳，或用上述液纱条敷于患处，每日更换纱条2次。慢性者可用抗生素与类固醇激素类（如强的松龙、地塞米松等）合剂、糊剂或霜剂局部涂敷。外耳道脓液及分泌物可用3%双氧水清洗。（三）积极治疗感染病灶如化脓性中耳炎，诊治全身某些有关疾病如糖尿病等。 六、预防与调护1、注意耳部卫生，戒除挖耳习惯，避免污水入耳。2、及时治疗脓耳。3、患病期间忌食辛燥食品，以防火热、湿热内蕴，加重病情。 七、预后及转归一般预后良好。 八、病例分析张某，男，25岁，工人。主诉：左耳疼痛2天。现病史：2天前因挖耳后出现左耳疼痛，逐渐加重，张口咀嚼时疼痛加剧。无发热等全身症状。检查：左外耳道弥漫性红肿，牵拉耳廓或按压耳屏时疼痛加剧，鼓膜正常；右耳未见异常，舌红，苔薄白，脉浮数。请说出证候分析、诊断、证型、治法、代表方及外治法。 九、思考题1、简述肝胆湿热,上攻耳窍型耳疮的临床表现？2、在耳疮的预防和调护方面应注意些什么？3、试述耳疮的病因病机。4、试述血虚化燥，耳窍失养型耳疮的辨证施治'