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1、中医诊断学理论（英文版）Interrogation中医诊断学理论（英文版）InterrogationconceptionTo know the onset ,development,treatment,present symptoms and other information of disease by questioning patient or accompanying peopleInternal classic Treatise on cold attackThousand worthy prescriptions for emergence中医诊断学理论（英文版）Interroga
2、tionpurposeTo know the hobby , custom of patientOnset development of diseaseJudge the cause and nature of diseaseData from all diagnostic methods should be taken into comprehensive consideration in order to avoid mistake in diagnosis中医诊断学理论（英文版）InterrogationMethod of interrogationSuitable environmen
3、tAsk the patient directly Questioning method in emergencyThe doctor should be serious and patient, and be good at thinking and arousing patients中医诊断学理论（英文版）InterrogationContent of interrogation1.General data: name ,sex occupation,birth place,nationality, address, marriage state,24-solar terms of dis
4、ease onset, visit data ,admission data Examples:hepatic echinococcosis(包虫病)(pastoral area), rheumatism(风湿病),postpartum disease(产后病)2.Life style and process(Diet, mental activity,regular daily life)中医诊断学理论（英文版）Interrogation3. Family history and anamnesis4.Chief complaint The symptoms the patient feel
5、s the most obvious and painfully and the main cause for visiting a doctor. symptoms + period中医诊断学理论（英文版）Interrogation5.History of disease 1)The cause of disease onsetcircumstance,time,symptoms,sudden or not,cause or predisposing cause , development and treatment 2)Present symptoms明代医学家张景岳十问歌：明代医学家张景
6、岳十问歌：一问寒热二问汗，三问头身四问便，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，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，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，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。再添片语告儿科，天花麻疹全占验。 中医诊断学理论（英文版）InterrogationCold and fever Aversion to cold Intolerance of coldA. Chill and fever a.more chill than fever b.more fever th
7、an chill c.fever with aversion to cold中医诊断学理论（英文版）InterrogationB.the chill and fever seprately a.fever without chill sthenic fever,tidal fever,low grade fever b.intolerance of cold without feverC.Alternate chill and fever a.shaoyang syndrome b.malaria中医诊断学理论（英文版）InterrogationsweatingThe action of ya
8、ng puts on yin makes the sweating.No sweating wind-cold in the exterior yin insufficiencySweating Normal sweating Abnormal sweating中医诊断学理论（英文版）InterrogationAbnormality of sweating characterA.spontaneous sweatingB.Night sweatingC.profuse sweating heat or coldD.yellow sweating damp-heatE.fighting swea
9、tingF.dying sweating中医诊断学理论（英文版）InterrogationAbnormality on sweating locationA.hemihidrosis(半身汗)B.head sweatingC.Chest sweatingD.sweating in the palm and soleE.genital sweating中医诊断学理论（英文版）InterrogationPainMechanism of pain: Stagnation or stasis Innutrition of bodyClassification of pain A. Character
10、of pain B. Location of PainTo distinguish: heat cold excess deficiencypain中医诊断学理论（英文版）InterrogationCharacter of painExcess: sudden onset, severe and, incessant aggravated by pressing Causes: exogenous evils, qi stagnation,blood stasis, phlegm retention ,parasitosis or food retentionDeficiency: occur
11、s gradually , dull, paroxysmal, relieved by pressing中医诊断学理论（英文版）InterrogationA. Distending pain-qi stagnationB. Stabbing pain-blood stasisC. Colic pain(绞痛)-solid evils obstructionD. Retraction pain(掣痛)malnutrition of tendonsE. Scorching pain(灼痛)fire evilsF. Cold pain-yang deficiency , cold attackG.
12、Hollow paindeficiency of essence or bloodH. Dull pain(钝痛)deficiency of pain中医诊断学理论（英文版）InterrogationLocation of painA. Headache excess deficiency Occiput radiating to nape -taiyang meridian forehead- yangming meridian bilateral sides -shaoyang meridian vertex - jueyin meridian中医诊断学理论（英文版）Interrogati
13、onappendixDizziness or vertigo: No phlegm no vertigo No deficiency no vertigo Excess-phlegm dampness Deficiency - qi and blood, Ascendant hyperactivity of liver yang , kidney essence中医诊断学理论（英文版）InterrogationB. General aching(pantalgia) wind-cold, wind-dampness pestilential toxin Insufficiency and di
14、sharmony of qi and bloodC. Chest pain lungphlegm-dampness, heat, abscess, yin deficiency heartqi deficiency and blood stasis, qi stagnation 中医诊断学理论（英文版）InterrogationD. Hypochondriac pain blazing of liver fire shaoyang syndrome blood stasis from sprain or falling down damp-heat suspending fluid reten
15、tion中医诊断学理论（英文版）InterrogationE. stomachache stomach cold or heat liver qi stagnation blood stasis spleen yang deficiency spleen yin deficiency 中医诊断学理论（英文版）InterrogationF. abdominal pain cold heat excess deficiency yangming fu syndrome deficient cold of spleen blood stasis in lower jiao cold attack l
16、iver meridian parasitosis intestinal abcess 中医诊断学理论（英文版）InterrogationG. lumbago kidney yin or yang deficiency blood stasis cold attackH. Pain of limbs(joints) wind, heat ,cold ,dampness 中医诊断学理论（英文版）Interrogation4.Diet and taste in mouth(饮食与 口味)A. Thirst and drinking(口渴与引水)B. Appetite and food intake
17、(食欲与进食)C. Abnormal taste in mouth(异常口味)中医诊断学理论（英文版）InterrogationA. Thirst and drinkinga. No thirst(口不渴)b. Thirst with profuse drinking and urine(伴多汗) consumptive thirst disease lung stomach heat, kidney yin deficiencyc. Thirst but little drinking(少饮) yin deficiencydamp-heatfluid-retention blood stas
18、is中医诊断学理论（英文版）InterrogationB.Appetite and food intake食欲与进食To distinguish the yin or yang constitution of bodya. Poor appetite(食欲差) spleen deficiency/dampness/qi stagnation/food injury/pregnancyb.over eating but still feeling hungry(多食易饥) stomach fire/strong stomach and weak spleenc.Hunger without ap
19、petite (饥不欲食) stomach yin deficiency 中医诊断学理论（英文版）Interrogationd.food addiction(偏嗜) parasitosis/pregnancy/Symptoms relieved after food taking-deficiencySymptoms aggravated after food taking-excess (食后痛减,食后加重)Food drunk(食醉)-spleen deficiencyTo know the developing tendency of disease中医诊断学理论（英文版）Interro
20、gationC.Taste in the mouthMorbid taste in the mouth(口味异常)Tastelessness(口淡) deficiency of spleen and stomachSweet taste(口甜)-damp-heat in middle jiaoSour taste(口酸)heat accumulation in liver and stomachBitter taste(口苦)gallbladder heat syndromeSalty taste(口咸)kidney disease中医诊断学理论（英文版）Interrogation5.Defe
21、cation and urination二便Defecation is related to large intestine/lung /spleen/liver/kidneyUrination is related to bladder/kidney/lung/liverTo know the nature of disease and the funtion of viscera中医诊断学理论（英文版）InterrogationA. defecation(大便)a.stool form(便形): dry stool and dark color-heat in large intestin
22、e extremely dry stoolblood or body fluid deficiency loose bowel-deficient cold in spleen hard stool first &loose then-dampness / deficiency alternate dry and loose-stagnation of liver qi undigested food in stool-kidney yang deficiency food retention/ damp-heat in large intestine中医诊断学理论（英文版）Interroga
23、tionb.Frequency of defecation(大便次数) constipation(便秘): excessive heat /cold accumulation/ yin or qi blood deficiency diarrhea(腹泻): spleen deficiency/declining of life gate / fire/food retention/damp-heat中医诊断学理论（英文版）Interrogationc.color of stool(便色): dark yellow stagnated heat in intestine black- far
24、blood red -near blood red and white-dampness in large intestine grayish white-jaundance of damp heat中医诊断学理论（英文版）Interrogationd. feeling of defecation(便感) hot and burning sensation-damp heat unsmooth defecation-liver qi stagnation tenesmus(里急后重)dampheat fecal incontinence(大便失禁)-deficiency of spleen a
25、nd kidney中医诊断学理论（英文版）InterrogationUrination(小便)Related to body fluid/lung/spleen/kidney4-6 times a day1500-2000 ml a dayReflect the condition of body fluid/viscera中医诊断学理论（英文版）InterrogationUrination(小便)a.amount of urine( 尿量) Excessive urine(多尿): kidney yang deficiency consumptive thirst(消渴) kidney yi
26、n deficiency Scanty urine(少尿):heat /sweating/vomiting /Diarrhea / deficiency b. frequency of urination Frequent urination(尿频) kidney yang deficiency damp heat in lower jiao dysuria and anuria(癃闭): excess and deficiency中医诊断学理论（英文版）Interrogationc. color of urine(尿色) normal-light yellow and tranparent
27、yellow-heat, dampheat(jaundice 黄疸) clear-deficiency cold red-collateral impairmentFeeling of urination urethral pain(尿痛) enuresis(遗尿) dripping (淋沥不尽) incontinence(失禁)中医诊断学理论（英文版）Interrogation6.sleepNormal -hiding of yang and flourish of yin (阳潜阴盛则寐)a. Insomnia(失眠) 1. Disharmony between the heart and
28、 kidney (心肾不交) 2. Deficiency of heart and spleen(心脾两虚) 3. Gallbladder stagnation and phlegm disturbing ( 胆郁痰扰) 4. Food retention(食积)中医诊断学理论（英文版）Interrogationb. Sleepiness(嗜睡) 1. damp-phlegm encumbering in spleen (痰湿困脾) 2.spleen qi deficiency (脾气虚)食醉 3.deficiency of heart and kidney 4. heat in perica
29、rdium(热入心包)中医诊断学理论（英文版）Interrogation7 . Women diseaseA. menstruation( 月经) 5-712-2007.03.12 24-30 B.vaginal discharge(白带)C. pregnancy(怀孕)D.symptoms after delivery(产后症状)中医诊断学理论（英文版）InterrogationA. menstruation( 月经)a.Irregular menstruation(月经不调) preceded menstruation delayed menstruationb.Dysmenorrhea(
30、痛经) 前 中 后c.Amenorrhea and scanty menses(闭经) congenital (先天的) postnatal(后天的)Metrorrhagia and metrostaxis(崩漏) 中医诊断学理论（英文版）InterrogationB.vaginal discharge(白带)Odorless white mucusnormal(正常)White vaginal discharge(色白)Yellow vaginal discharge(色黄)Red vaginal discharge(色红)中医诊断学理论（英文版）InterrogationC. pregna
31、ncy(怀孕)Morning sickness(恶阻)Perturbation of fetus(胎动不安)Leakage of fetus(漏胎)Pregnant edema(子肿)D.symptoms after delivery(产后症状)Lochiorrhea (产后恶漏)Postpartum fever( 产后发热)中医诊断学理论（英文版）Interrogation8.Disease in childrenThe condition after birth(出生后情况)Vaccination /infectious disease(免疫和传染病)The special causes
32、of children disease (小儿特殊情况)中医诊断学理论（英文版）InterrogationWhat is the aim of interrogation?symptoms中医诊断学理论（英文版）InterrogationTcm procedure of diagnosisEight principle Syndrome differentiationYin and yangExterior-interiorExcessive deficiencyCold -heatVisceral,Meridian,Three-jiaoWei-qi-ying-xueEtiological,Qi-blood andBody fluid 中医诊断学理论（英文版）Interrogation
