王某某,男,41岁。新化县石新乡农民。患者傍水而居。常操捕捞,少年时即染风湿病。此次因春分时节,农事繁忙而诱发,寒冷刺骨,两膝关节疼痛,左膝痛甚,继之日渐肿大,得溫则减,按之没指,不能屈伸,时拘挛,膝眼针之有清冷水液渗出,入夜痛甚,延三月余,大小腿肌肉萎缩,食欲不振,面色晦黯,神疲乏力,大便时溏,小便时清时黄。舌淡体胖、边有齿痕、苔白腻,脉沉迟。前医诊为风湿性关节炎,迭经防风汤、独活寄生汤、桂枝芍药知母汤及西药青霉素、风湿宁、当归针、安乃近、维生素、激素等中西药物治疗均罔效,遂求治于余。诊视后认为证属寒湿型痺症。因肾气不足,肾阳衰薄而寒湿凝聚于膝关节,经脉阻滞,气血不通所致。遵喻 Wang Mou, male, 41 years old. Xinhua County Shixin Township peasants. The patient was drowning. Frequent fishing, youth rheumatism. This time, due to the equinox season, the farmer was busy and irritated. The pain was sore and painful. The knees were sore and painful. The left knee was very painful. The next day he was getting swollen. The temperature was reduced, he had no finger, and he couldn’t bend, stretched, or knees. There is cold water leakage, night pain even more, delay more than three months, large and small leg muscles atrophy, loss of appetite, pale complexion, Shenpi fatigue, bowel movement, urine clear when the yellow. Tongue fat body fat, edge teeth marks, greasy moss, pulse Shen late. The former medical diagnosis was rheumatoid arthritis, which was effected by traditional Chinese medicine and western medicine, such as Zhifeng Decoction, Duhuo Parasitic Soup, Guizhi Shaoyao Zhimu Decoction and Western Medicine Penicillin, Fengshining, Angelica Needles, Analgin, Vitamins, and Hormones. Seek governance in Yu. After the consultation, it was considered that the card was cold and damp. Due to lack of kidney qi, the kidney yang is weak and the cold and wet condense in the knee joint, and the meridian block and blood circulation are blocked. Compliance