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胖××,男,52岁,1995—1—5,门诊号:076369。双下肢抽搐10余年,加重半年。每日抽搐以夜间明显,往往于深夜睡中抽搐至醒,抽搐时两拇趾伸,两腓肠肌挛缩僵硬,胀痛难忍,当即起床走动后可缓解。食纳欠佳,但脘腹冷痛,大便溏泄30年有余,每日4～5次。去年初时有头痛眩晕,头重足轻如踩棉,到某西医院就诊,BP24.6/14.6KPa,给予复方降压片和活性钙等药物治疗,血压维持在20KPa/13.5KPa,头痛眩晕则减轻,但双下肢抽搐不止,且穿羊皮毛裤御寒不解,近半年逐渐加重,经多方治疗无效,于1995—1—5来我处就诊。体胖,面色红润,神志清楚,语言流畅,体态自如,苔薄白腻,
Fat ××, male, 52 years old, 1995—1-5, clinic number: 076369. Both lower extremities convulsed more than 10 years, an increase of six months. Daily convulsions are evident at night, often twitching and waking up in the middle of the night to sleep. When the convulsions are stretched, the two toes stretch, the two groin muscles contract and stiff, and the pain is unbearable. This can be relieved immediately after getting up and walking. Food satisfaction is not good, but the abdominal pain is cold, and the stool is leaking more than 30 years, 4 to 5 times a day. At the beginning of last year, there was headache and dizziness. The head was heavier than the one who stepped on cotton and went to a Western hospital for treatment. BP24.6/14.6KPa, given compound antihypertensive tablets and active calcium and other drugs, blood pressure was maintained at 20KPa/13.5KPa, and headache was dizzy. Reduced, but the lower extremity convulsions more than ever, and wear sheepskin pants to keep it cold, gradually increased in the past six months, after multiple treatment is invalid, came to my office in 1995-1-5. Body fat, ruddy, conscious, fluent in language, free-spirited, and greasy