患者，女，66岁。近半年来出现纳呆，食后胃 脘不舒，乏力倦怠，面色萎黄，大便稀溏，舌 淡苔薄白，脉弱少力。病久治不愈，出现腰背酸痛，尿多，畏寒肢 冷，五更泄泻，舌淡胖，苔白，脉沉迟。治 疗时同时选何方为宜

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