例1:于某,男,29岁。于1986年5月3日入院。自诉于2年前,原因不明,右外踝处,起一红斑块,且有破溃,以后逐渐扩散,延及双腿双足,伴双小腿以下剧烈疼痛,曾在甘肃各大医院住院或门诊治疗,诊断未明,尝用激素、消炎痛等治疗未效,遂去北京求治。于1986年4月3日在北京协和医院切除病损组织作病理检查。病理诊断为巨细胞性动脉炎,后来我院求治。就诊时,感双下肢疼痛,夜间加剧,常不成寐。双下肢及足部多个红斑结节,谈处发热,双足发凉。件口干、口苦、小便黄赤渚症,舌质淡红、苔薄黄,脉弦滑。下肢检查:双侧足背动脉搏动均减弱。双小腿双足背共有14个直径为0.5～3厘米大小形状不同的结节,色红,基底硬,压之痛剧。各类 Example 1: Yu Mou, male, 29 years old. Admitted to hospital on May 3, 1986. After two years of prosecution, the cause was unknown. He developed a red plaque at the right lateral malleolus, and he had ulceration. Later, he gradually spread and extended his legs and feet, accompanied by severe pain below his lower legs. He had been hospitalized in major hospitals in Gansu or Outpatient treatment, diagnosis is unclear, treatment with hormones, indomethacin, etc. is not effective, and he went to Beijing for treatment. On April 3, 1986, lesion tissue was removed from Peking Union Medical College Hospital for pathological examination. The pathological diagnosis was giant cell arteritis, which was later treated by our hospital. At the time of the visit, she felt pain in both lower extremities and was aggravated at night. Multiple erythema nodules on both lower extremities and feet, fever at the site, and cool feet. Pieces of dry mouth, bitter taste, urine yellow erythema, pale tongue, thin yellow coating, slippery pulse. Lower extremity examination: bilateral dorsal foot arterial pulse are reduced. There are a total of 14 nodules with different diameters and shapes of 0.5 to 3 cm in size. The color is red, the basement is hard, and the pressure is painful. Various types