[病例199] 患者55岁,女,初诊于1979年9月14日。病历:数年前一到梅雨期和秋季全身关节痛。但只有疼痛而没有发红、强直,不是风湿病。疼痛时全身怠倦感,肩和背发胀而有头痛、眩晕。经精密检查也没有异常而被认为是神经性的紧张。脉细、弱、血压110/80,稍消瘦、贫血。现主要是肩背发硬、该部肌肉发胀疼 [Case 199] The patient was 55 years old and she was newly diagnosed on September 14, 1979. Medical records: Joint pain in the plum rain and fall years ago. But only pain without redness, stiffness, is not rheumatism. Painful body pain, shoulder and back swelling and headache, dizziness. It is considered to be neurotic tension after an examination without any abnormalities. Pulses, weak, blood pressure 110/80, slightly thin, anemia. The main problem is that the shoulders are stiff and the muscles in the department