symptoms + period
• 5.History of disease
1)The cause of disease
onset—circumstance,time,symptoms,sudden or not,cause or predisposing cause , development and treatment
• 2.Life style and process(Diet, mental activity,regular daily life)
• 3. Family history and anamnesis • 4.Chief complaint
The symptoms the patient feels the most obvious and painfully and the main cause for visiting a doctor.
Character of pain
• Excess: sudden onset, severe and, incessant aggravated by pressing
中医诊断学第一章
conception
• To know the onset ,development,treatment,present symptoms and other information of disease by questioning patient or accompanying people
2)Present symptoms • 明代医学家张景岳《十问歌》： • 一问寒热二问汗，三问头身四问便， • 五问饮食六问胸，七聋八渴俱当辨， • 九问旧病十问因，再兼服药参机变， • 妇女尤必问经期，迟速闭崩皆可见， • 再添片语告儿科，天花麻疹全占验。
• Cold and fever Aversion to cold Intolerance of cold
• Sweating Normal sweating Abnormal sweating
Abnormality of sweating character
• A.spontaneous sweating • B.Night sweating • C.profuse sweating heat or cold • D.yellow sweating damp-heat • E.fighting sweating • F.dying sweating
be good at thinking and arousing patients
Hale Waihona Puke Content of interrogation
• 1.General data: name ,sex occupation,birth place,nationality, address, marriage state,24-solar terms of disease onset, visit data ,admission data Examples:hepatic echinococcosis(包虫病)(pastoral area), rheumatism(风湿病),postpartum disease(产后病)
Abnormality on sweating location
• A.hemihidrosis(半身汗) • B.head sweating • C.Chest sweating • D.sweating in the palm and sole • E.genital sweating
Pain
• A. Chill and fever a.more chill than fever b.more fever than chill c.fever with aversion to cold
• B.the chill and fever seprately a.fever without chill sthenic fever,tidal fever,low grade fever b.intolerance of cold without fever
• C.Alternate chill and fever a.shaoyang syndrome b.malaria
sweating
• The action of yang puts on yin makes the sweating.
• No sweating wind-cold in the exterior yin insufficiency
• Internal classic • Treatise on cold attack • Thousand worthy prescriptions for emergence
purpose
• To know the hobby , custom of patient • Onset development of disease • Judge the cause and nature of disease
• Data from all diagnostic methods should be taken into comprehensive consideration in order to avoid mistake in diagnosis
Method of interrogation
• Suitable environment • Ask the patient directly • Questioning method in emergency • The doctor should be serious and patient, and
• Mechanism of pain:
Stagnation or stasis Innutrition of body
pain
• Classification of pain
A. Character of pain
B. Location of Pain
• To distinguish: heat cold excess deficiency