例 1,男 ,15岁 ,因左侧下颌部阵发性疼痛 3天就诊。每天痛 3～ 5次 ,每次约 4～ 8分钟。在外院诊断三叉神经痛 ,服药无效。全身检查一般情况可 ,皮肤粘膜无出血性斑点 ,心肺听诊正常 ,胸骨压痛 ,肝脾不大。左侧肘关节痛 ,活动受限。口腔科检查下颌部无肿胀压痛 ,未扪及扳机点 , Example 1, male, 15 years old, was diagnosed with paroxysmal pain in the left lower jaw for 3 days. Pain 3 to 5 times a day, each about 4 to 8 minutes. Trigeminal neuralgia diagnosed in the hospital, medication is invalid. General examination can be systemic, skin and mucous membrane without hemorrhagic spots, cardiopulmonary auscultation normal, chest tenderness, small spleen and liver. Left elbow pain, limited activity. Stomatology check without swelling of the jaw tenderness, no palpable trigger point,