1病例报告患者男,24岁。自诉5年前与他人争吵后感觉双手发僵、发抖,遇热或活动后稍缓解,以后逐渐出现双足及四肢僵硬,自觉四肢力量较以前减弱,无明显肌痛、麻木,当地医院考虑为“癔症”,未治疗。5年来上述症状有逐渐加重趋势,当地医院仍考虑为功能性疾病,给予地西泮及激素类药 1 case report patient male, 24 years old. Self-prosecution 5 years ago after quarrel with other people feel his hands stiff, trembling, heat or activity after a slight relief, and later gradually appear feet and limbs stiffness, conscious limb strength weaker than before, no obvious myalgia, numbness, the local hospital considered Hysteria, untreated. Over the past five years the above symptoms have gradually increased the trend, the local hospital is still considered as a functional disease, given diazepam and hormone drugs