因为用逗号分隔了,表示前面的接续,所以在 backache 前面不用加定冠词.
而 and 后面表示不同的意思,所以要加定冠词.
举个例子：I've got a headache and a backache, runny nose. (这是个病句,但是可以让你更明白一些)
I have got a headache,backache and a runny nose
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