患者黄××,男,55岁,干部。患者主诉近1个月来右上磨牙反复疼痛,并牵扯至同侧耳颞部、胸部及上下肢;当牙痛加重时牵扯痛加剧,牙痛缓解或停止时牵扯痛则减轻和消失。患者曾到内科求治,经抗风湿治疗无效,严重影响工作,食欲明显减退。追问病史,1年来有多次牙痛史,仅引起同侧头痛,不影响同侧肢体,无三叉神经疼痛史,无风湿病史。 Patient Huang × ×, male, 55 years old, cadre. Patients complained of pain in the right upper molars in the past month or so and involved in the same side of ear and ear, chest and upper and lower extremities; increased pain when toothache aggravated; pain relief and disappearance after toothache relief or halt. Patients have to seek medical treatment, the treatment of rheumatoid invalid, seriously affecting the work, appetite decreased significantly. Asked history, history of toothache in many years, only cause ipsilateral headache, does not affect the ipsilateral limbs, no trigeminal nerve pain history, no history of rheumatism.