患者 ,女 ,6 3岁 ,文盲 ,农民。因失眠、头痛、紧张、害怕、心悸、乏力一年。于 1999年 11月 2 8日诊断为焦虑症而入院。患者一年前出现睡眠差 ,胃纳少、乏力。曾作腹部ＣＴ检查 ,发现有轻度血吸虫性肝硬化 ,但肝功能正常。予以阿米替林 5 0ｍｇ/日 ,佳乐定 0 .8ｍｇ/日等药物 Patient, female, 6 3 years old, illiterate, farmer. Insomnia, headache, nervousness, fear, palpitation, fatigue for one year. He was diagnosed with anxiety on November 28, 1999 and was admitted to hospital. The patient had poor sleep a year ago, with less appetite and fatigue. He had a CT scan of the abdomen and found mild schistosomiasis cirrhosis but normal liver function. Amitriptyline 50 mg/day, Jiale Ding 0.8 mg/day and other drugs