患者张某，女，60岁。低热多日，伴头晕眼 花，身倦乏力，心悸不宁，面白少华，唇甲色 淡，舌质淡，脉细弱。脾虚失健，纳差腹胀者，可加

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SQL Error: select id,body,options from ***_enewstiku where sourceid='32503' and id < 2582177 and id<>'2582177' order by id desc limit 5 SQL Error: select id,body,options from ***_enewstiku where sourceid='32503' and id > 2582177 and id<>'2582177' order by id asc limit 5