许××,男性,29岁。患者于1977年2月起颈部疼痛,活动时加剧,颈部皮肤未见红肿,按“落枕”用针刺拔大罐等治疗月余无效。进一步检查,ESR60mm/h,胸透心肺正常,颈椎正侧位X线未发现骨质异常。即诊断“颈椎风湿性关节炎”,用中药按风湿治疗两月余、颈部疼痛仍无好转,同时右侧颈部皮肤出现一个蚕豆大结节性红斑,一周后自行消退。起 Xu × ×, male, 29 years old. Patients in February 1977 from the neck pain, aggravating activities, no swelling of the skin of the neck, press the “stiff neck” with acupuncture pull large pot and other treatment is invalid. Further examination, ESR60mm / h, chest X-ray normal heart, cervical X-ray was not found in the lateral abnormalities. The diagnosis of “cervical rheumatoid arthritis,” rheumatoid treatment with Chinese medicine more than two months, no improvement in neck pain, while the right side of the neck appears a broad bean nodular erythema, a week after their own subsided. Start