患者，女性，39岁。胃脘疼痛数年余，胃痛隐 隐，绵绵不体，喜温喜按，空腹痛甚，得食则 缓，劳累或受凉后发作或加重，泛吐清水，神 疲纳呆，四肢倦怠，手足不温，大便溏薄，舌 淡苔白，脉虚弱或迟缓。其辨证为

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