一点英语

English Step by Step

No. 141

Traditional Chinese medicine

For chest impediment disease with panting, coughing, and spitting, pain in the chest and back, shortness of breath, a sunken and slow cun pulse, and a small, tight and rapid guan pulse, Gua Lou Xie Bai Bai Jiu Tang (Trichosanthes, Long-Stamen Onion, and White Wine Decoction) governs.

胸痹之病，喘息咳唾，胸背痛，短气，寸口脉沉而迟，关上小紧数，栝蒌薤白白酒汤主之。

Medical Story Show

（2-6）

That's a night terror.

那是夜惊的症状

We did a C. T.

我们做了 CT 透视

M. R.I., C.B.C.

核磁共振 全部血细胞计数

CHEM7 and chest Xray.

血液电解质测试 还有胸部 X 光透视

All the tests came back normal.

所有这些测试结果显示正常

There's nothing to explain his symptoms.

无法解释他的症状

Okay, but let's pretend there's something and go from there.

好吧 那咱们只能假设出问题了

Who sees something on this M.R.I.?

谁能看出核磁共振图像上有什么异常之处

No lesions in the white matter. No structural abnormalities.

白质没有损伤 也没有结构异常

No spaceoccupying tumors.

没有无压迫性肿块

He's 16, so he should have an absolutely pristine brain.

他才 16 岁 大脑未发育完全

The smallest thing is abnormal.

最小的异常都有问题

Meningeal enhancement.

脑膜增生

My bet is viral meningitis. Excellent.

我认为是病毒性脑膜炎 很好

Do you see what he did there?

你们看见人家怎么做的了吗

Took a small clue that there's a neurological problem

根据一点证明是神经问题的小线索

and wasn't afraid to run with it.

进行大胆地猜想

There's no evidence of meningitis on that M.R.I.

核磁共振没有显示脑膜炎的症状

No, there's not. He's completely wrong.

没错 是没有 他完全说错了

Then what clue are you talking about?

那你说的线索是哪个

He knew that I saw something on the M.R.I.

他知道我从核磁共振上看出了些问题

so he figured there must be something there and took a guess.

所以他觉得一定是有问题 于是就猜了猜

Clever, but also pathetic. So what did you find?

聪明 反被聪明误 那你发现了什么

Take a close look at the corpus callosum.

仔细看看胼胝体

Looks okay. Are we all looking at the same thing?

没问题啊 咱们看的是同一个东西吗

Two hundred million interhemispheric nerve fibers.

两亿个脑半球之间的神经元

The George Washington Bridge between the left and right side of the brain.

连接左右脑的华盛顿桥

It's subtle.

很精巧的

There's some bowing. There.

胼胝体有些弯曲 就在那

An upward arch. Are you guessing?

向上拱起 你是猜的吗

Yes.

是

Too bad. You're right. He probably just moved.

很遗憾 猜对了 他可能只是动了一下

Nobody stays perfectly still for the entire M.R.I.

整个核磁共振检查中没人能保持完全静止

Yeah. Probably got restless and shifted

对 估计他躺得不耐烦了然后把自己

one hemisphere of his brain to a more comfortable position.

一侧的脑半球移到了个更舒服的位置

Something is pushing on it.

有东西压住了胼胝体

If there was bowing, could be a tumor.

如果有弯曲的话 可能是肿瘤

Do you see a tumor on this M.R.I.?

你在核磁共振上看见肿瘤了吗

No, but I don't see any bowing either.

没有 可我也没看见弯曲

There's no tumor. Just a blockage causing pressure

没有肿瘤 只是阻塞导致颅内压力

causing symptoms.

然后出现症状

Today, night terrors. Tomorrow, he's bleeding out of his eyes.

今天是夜惊 明天就是眼睛出血

——From《House M.D》

重点词汇（Vocabulary）

1. spaceoccupying adj. 占用空间的

2. pristine [ˈprɪstiːn] adj. 未开发的

3. meningeal enhancement 脑膜增生

4. viral [ˈvaɪrəl] adj. 病毒性的

5. meningitis [ˌmenɪnˈdʒaɪtɪs] n. 脑膜炎

6. pathetic [pəˈθetɪk] adj. 不成功的

7. corpus callosum 胼胝体

8. interhemispheric adj.（大脑）两半球间的

9. bowing [ˈboʊɪŋ] adj. 弯曲的

10. impediment [ɪmˈpedɪmənt] n.妨碍;阻碍;障碍;口吃;结巴

11. panting [ˈpæntɪŋ] v.气喘;喘息

12. coughing [ˈkɔːfɪŋ]n.咳嗽

v.咳嗽;(从喉咙或肺中)咳出

13.spitting [ˈspɪtɪŋ] v.吐，唾(唾沫、食物等);啐唾沫(常表示愤怒或鄙视);怒斥

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