患者男,82岁,2014年9月10日因右侧额部疼痛2周到本院就诊。疼痛较剧烈,闪电样,每日5~20次,无鼻塞、脓涕及视物模糊,未予药物治疗。门诊查头颅MRI提示脑实质未见异常,以“三叉神经痛”收入住院。既往身体健康,无药物及食物过敏史。体检:T 36.5℃,HR 72次/min,P 72次/min,BP130/80 mmH g,体重70 kg,头面部未见疱疹及结痂,浅表淋巴结无肿大,双肺呼吸音清,律齐,腹平软,肝脾肋下未触及。神 Patient Male, 82 years old, September 10, 2014 Two days to our hospital due to right forehead pain. Pain more severe, lightning-like, 5 to 20 times daily, no stuffy nose, purulent nasal discharge and blurred vision, no medication. Out-patient examination of head MRI showed no abnormal parenchymal brain, with “trigeminal neuralgia” income hospitalization. Previously healthy, drug-free and food allergy history. Physical examination: T 36.5 ℃, HR 72 beats / min, P 72 beats / min, BP130 / 80 mmHg, weight 70 kg, no herpes and scab on the head and face, no superficial lymph nodes, Law Qi, abdominal soft, liver and spleen ribs untouched. God