江某,男,38岁,1980年8月10日初诊。头面肢体肌肉软弱无力3年,病重1个月。1977年8月开始,精神不振,颈项困倦,抬不起头。继而双睑下垂,眼难睁开。随后嘴唇关闭不灵,舌头活动受限,说话混浊不清,或不自主流涎、吞咽及呼吸不利,咀嚼困难,每餐常达一二小时之久,且难获一饱。病情严重时,咀嚼常致下颌下垂,全身疲乏,双臂垂倦,持物无力,双腿沉重,步屐难移。 Jiang Mou, male, 38 years old, was newly diagnosed on August 10, 1980. The head muscles are weak for 3 years and the disease is heavy for 1 month. In August 1977, she became mentally depressed and her neck was drowsy and could not lift her head. Then the eyes droop, eyes hard to open. Then the lips are closed, the tongue is limited, the speech is murky, or they do not flow freely, swallow and breathe unfavorably, and mastication is difficult. Each meal often lasts for one or two hours and it is hard to get full. When the condition is serious, chewing often causes sagging mandibles, tired body, drowsiness in arms, lack of holding power, heavy legs, and difficulty in moving.