[病例146] 患者24岁,女,公司职员,初诊于1977年5月1日。病历:体格、营养没有问题。去年7月流产(怀孕3个月)。三年前起患便秘,大便4～5日1次,腹部胀闷。脸出粉刺,常有化脓。月经不调,月经痛剧烈,经各种治疗未好转,满脸都是粉刺,但额部和颊部最多,黑褐色,有数处脓疱。 [Case 146] The patient was 24 years old, female, and company staff. He was newly diagnosed on May 1, 1977. Medical records: Physical, nutritional, no problem. Abortion in July last year (3 months of pregnancy). Suffering from constipation three years ago, bowel movements 4 to 5 days, abdominal distension. Facial acne, often purulent. Irregular menstruation, severe menstrual pain, after a variety of treatment has not improved, his face is acne, but the forehead and cheeks most, dark brown, there are several pustules.