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例1、患者女、46岁。因四肢关节肿痛4年,双侧指、膝关节僵硬变形活动障碍2年入院。体检:T36.8℃,心肺(—),肝脾未触及。血象:Hb7.1g％,WBC5400/mm~3,N53％,L47％,ESR120mm/h,类风湿因子阳性。入院后给雷公藤每日15g煎服,治疗一个月,关节肿痛显著好转,但因惡心、呕吐等胃肠反应而停药,经检查血象正常。半个月后因关节肿痛复发,继续第二疗程治疗34天,仍发热38℃,血
Example 1, female patient, 46 years old. 4 years due to joint swelling and pain in the limbs, both sides of the fingers, knee stiffness movement disorders 2 years admitted. Physical examination: T36.8 ℃, cardiopulmonary (-), liver and spleen not touched. Blood: Hb7.1g%, WBC5400 / mm ~ 3, N53%, L47%, ESR120mm / h, rheumatoid factor positive. After admission to Tripterygium 15g daily decoction, treatment for one month, joint swelling and pain significantly improved, but due to nausea, vomiting and other gastrointestinal reactions and withdrawal, after checking the blood is normal. Half a month after the recurrence of joint swelling and pain, to continue the second course of treatment for 34 days, still fever 38 ℃, blood