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风湿痹证分型辨治六例浅析

谢柳青,葛凌

JOURNAL OF PRACTICAL TRADITIONAL CHINESE INTERNAL MEDICINE（2004）

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Abstract
行痹 [案一]李某某,女,47岁.2003年2月6日就诊.患者肢体关节疼痛3年余,每因寒湿加重,关节疼痛游走不定.刻下症:躯肢关节酸胀疼痛,游走不定,傍晚时逐渐加重,苔白质淡,舌边见齿痕,脉细.查血沉、抗"O"、类风湿因子、心电图等均正常.中医诊断:风重型关节痛.治宜祛风通络止痛.方用防风汤加味:防风、杏仁、麻黄、炙甘草、寄生、红枣、秦艽各10g,桂枝、茯苓、当归、制附片、威灵仙各15g,葛根20g.初诊5剂关节疼痛基本缓和.二诊:守上方5剂其症消失.2月28日左肩外侧肿痛,伴腰酸疼痛引及两侧臀部,中药改三痹汤加减10剂,随访两月无关节疼痛.
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