患者腹部积块明显，质地较硬，固定不移，刺痛，形体消瘦，纳谷减少，面色晦暗黧黑，舌质紫，脉细涩。治疗应首选

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SQL Error: select id,body,options from ***_enewstiku where sourceid='28492' and id < 2326472 and id<>'2326472' order by id desc limit 5 SQL Error: select id,body,options from ***_enewstiku where sourceid='28492' and id > 2326472 and id<>'2326472' order by id asc limit 5