患者男,70岁。因多关节肿痛30年,加重5个月余于2011年7月26日就诊。患者30余年前出现左侧膝关节肿痛,活动受限,无局部发红,否认发热、盗汗、肌肉酸痛、晨僵等。外院曾予抽取关节积液3次,每次量约40~50ml,具体性质不详,并局部制动。肿痛较前明显缓解,但活动受限未见明显改善,未进一步诊治。10年前出现右手第2、3掌指关节肿胀,活动受限,外院诊为“类风湿关节炎”。间断服用中药 Patient male, 70 years old. Due to multi-joint swelling and pain for 30 years, more than 5 months in July 26, 2011 treatment. Patients with left knee swelling and pain more than 30 years ago, limited mobility, no local redness, denied fever, night sweats, muscle soreness, morning stiffness and so on. Outside the hospital had to extract joint effusion 3 times, each about 40 ~ 50ml, the specific nature of unknown, and partial braking. Sore pain was significantly alleviated compared with the previous, but no significant improvement in activity restrictions, no further diagnosis and treatment. 10 years ago, the right hand second and second metacarpophalangeal joint swelling, limited mobility, outside the hospital diagnosis of “rheumatoid arthritis.” Intermittent taking traditional Chinese medicine