[color=#0000FF][color=#008B8B][color=#00008B]Diagnostics of TCM
陈云慧
Provincial TCM Hospital
Teaching Hospital
Affiliated Hospital
AAA Hospital
整体审察
Examination of entirety
辨病与辩证相结合
Combination of disease differentiation and syndrome differentiation
诊法和参
Synthetic use of all diagnostic methods
诊断方法
Diagnostic Methods
望诊
Inspection
闻诊
Listening and Olfaction
问诊
Inquiry
切诊
Pulse-taking and palpation
望神
Inspection of spirit
得神
To have spirit /existence of spirit
少神
Lack of spirit / insufficiency of spirit
失神
Loss of spirit / depletion of
假神
False spirit
神乱
Mental derangement
忘面色
Inspection of complexion
red / white / pale / yellow etc.
望形体
Inspection of body
Strong / weak / Obesity / emaciation / deformity
望姿态
Inspection of posture
望舌Inspection of Tongue
舌体 tongue body 舌苔 tongue coating / tongue fur
薄苔 thin coating
厚苔thick coating
白苔white coating
黄苔yellow coating
润苔moist coating
燥苔dry coating
燥裂苔dry fissured coating
滑苔slippery coating
剥苔exfoliative coating
有根苔rooted coating
无根苔rootless coating
舌下脉络 sublingual vein
淡白舌pale tongue
紫舌purple tongue
绛舌deep-red tongue
胖大舌enlarged tongue
瘦薄舌thin tongue
齿痕舌teeth-marked tongue
点刺舌spotted tongue
芒刺舌prickled tongue
镜面舌mirror tongue
地图舌geographic tongue
舌有瘀癍 tongue with ecchymosis
苍老舌rough tongue
娇嫩舌tender tongue
胖大舌 bulgy
肿胀舌 swollen
瘦薄舌 thin and emaciated
裂纹舌 fissured
芒刺舌 pricky
强硬舌 stiff
颤动舌 shivering
歪斜舌 deviated
痿软舌 flaccid
短缩舌 shrunk
吐弄舌 protruding and wagging
Inquiry 问诊
恶寒发热Aversion to cold and fever
但寒不热Cold without fever
但热不寒Fever without cold
high fever / tidal fever / mild fever
寒热往来Alternate cold and fever
无汗Anhidrosis
自汗Spontaneous sweating
盗汗Night sweating
多汗Profuse sweating
战汗 Sweating following shivering
头汗Head sweating
半身汗Hemihidrosis
手足心汗Sweating over palms and soles
头痛：headache
胸痛：chest ~
胁痛： hypochondriac~
脘痛：epigastric~
腹痛： abdominal~
腰痛：lumbago
背痛： backache
四肢痛：pain of the limbs
周身疼痛：general pain
足跟痛 heel ~
胀痛： distending~
刺痛：stabbing~
冷痛：cold~
灼痛：burning~
绞痛：Colic ~
掣痛：pulling~（dragging）
隐痛：dull~
放射痛：radiating~
酸痛：aching
走窜痛：wandering ~（migrating）
固定痛：fixed
重痛：heavy
空痛：Vacuous（empty）
失眠Insomnia
多梦Dreaminess
嗜睡Somnolence
口不渴，但欲饮No thirst but desire for drinking of water
口渴饮水Thirst with desire to drink water
食欲减退Reduced appetite
厌食Anorexia
多食Polyphagia
饥不欲食Hunger without desire to eat
口淡、口苦、口甜、口中泛酸、口中酸馊、口咸、口粘腻
Bland /bitter /sweet/sour/sour and putrid/ salty/sticky and greasy taste in the mouth
便秘Constipation
泄泻Diarrhea
尿频frequent urination
尿急urgent urination
尿痛painful urination
遗/夜尿enuresis/nocturia
排尿困难dysuria/difficult urination
头晕Vertigo
耳鸣 Tinnitus
耳聋、重听Deafness and diplacusis
目眩Dizziness
目痒Ocular itching
目痛Ocular pain
目昏、雀目、复视Blurred vision, night blindness and diplopia
舌痛、舌麻 Pain and numbness of the tongue
胸闷 chest oppression
心悸、惊悸、怔忡 palpitation
胁胀 hypochondriac distension
脘痞 epigastric distress
腹胀 abdominal distension
肠鸣 borborygmus
背冷Cold sensation in the back
腰酸Aching loins
身重Heaviness of the body
四肢麻木Numbness of the four limbs
Inquiry of symptoms in andropathy 问男科
阳痿Impotence
遗精Seminal emission
早泄Immature ejaculation
Inquiry of symptoms in gynecology 问经带
月经Menstruation
白带Leukorrhea
Menstrual cycle/ amount of / color and texture/ profuse and sudden uterine bleeding/ amenorrhea/ dysmenorrheal
Inquiry of symptoms in pediatrics 问儿科
小儿五迟Five kinds of infantile retardation
小儿五软Five kinds of infantile flaccidity
Pulse-taking and Palpation
Normal pulse
Neither floating nor sunken, neither fast nor slow, sensible with moderate pressure, usually beating4-5 times in a cycle of breath (about 60-90 times per minute ), gentle in sensation, powerful in rebounding, moderate in size, regular in beating and varying with physical activities and environment changes.
Abnormal Pulse
浮脉：floating/superficial~
滑脉：slippery~
沉脉：sunken~
弦脉：wiry~
迟脉：slow~
数脉：rapid~
洪脉：surging (flooding)~
濡脉：soggy~
紧脉：tense/tight~
弱脉：weak~
细脉：thready /thin~
动脉：throbbing~
虚脉：empty/feeble~
实脉：full (replete)~
涩脉：choppy (astringent)~
结脉：knotted (bound) ~
代脉 regularly interrupted pulse
促脉： rapid irregularly interrupted pulse
革脉：drum-skin pulse
芤脉： scallion-stalk pulse （hollow)
长脉：long pulse
短脉：short pulse
Differentiation of Syndrome
八纲辩证Syndrome differentiation with eight principles
表证External syndrome
里证Internal syndrome
寒证Cold syndrome
热证Heat syndrome
虚证Asthenia syndrome
实证Sthenia syndrome
阴证Yin syndrome
阳证Yang syndrome
半表半里证half-exterior and half-interior pattern
风寒表实证wind-cold and exterior-excess pattern
风寒束肺证pattern of wind-cold fettering of lung
风热犯表证pattern of wind-heat invading exterior
表里俱热证pattern of both exterior and interior heat
表虚里实证~ exterior deficiency and interior excess
寒热错杂证pattern of cold-heat complex
外寒里热证pattern of external cold and internal heat
上寒下热证pattern of upper cold and lower heat
真寒假热证pattern of true cold and false heat
虚实夹杂证pattern of deficiency-excess complex
上盛下虚证pattern of upper excess and lower deficiency
真虚假实证pattern of true deficiency and false excess
阴虚内热证pattern of yin deficiency with internal heat
阴虚火旺证pattern of yin deficiency with effulgent fire
阴虚阳亢证~with yang hyperactivity
阴虚津亏证~with fluid inadequacy
阴虚水停证~with water retention
阳虚水泛证~yang deficiency with water diffusion
阳虚痰凝证~with phlegm coagulation
阳虚寒凝证~with congealing cold
阴盛格阳证~exuberant yin with repelled yang
阳损及阴证~yang impairment with yin involved
戴阳证floating yang patter
亡阴证yin exhaustion pattern
表里同病 Simultaneous
表里出入 transmission
寒热错杂 mixture of
寒热转化 inter-transformation of
寒热真假 false and true manifestations of
虚实夹杂 mixture
虚实转化 transformation
虚实真假 false and true manifestation of
表寒证 external cold syndrome
表热证 heat
表虚证 deficiency
表实证 excess
里实寒证 internal sthenic cold
里虚寒证 internal asthenia cold
里实热证 internal sthenic heat
里虚热证 internal asthenia heat
气血津液辩证Syndrome differentiation of qi, blood and body fluid
气虚证Qi deficiency syndrome
气陷证Qi sinking syndrome
气滞证Qi stagnation syndrome
气逆证Qi reversion syndrome
血虚证Blood deficiency syndrome
血瘀证Blood stasis syndrome
血寒证Blood cold syndrome
血热证Blood heat syndrome
气血两虚证 asthenia of both qi and blood
气虚失血证 hemorrhagia due to qi asthenia
气随血脱证 depletion of qi with bleeding
气虚血瘀证 qi asthenia and blood stasis
气滞血瘀证 qi stagnation and blood stasis
津液不足证 insufficiency of body fluid
痰证 phlegm
水饮停聚证 fluid-retention
水肿 edema
脏腑辩证Syndrome differentiation of viscera
心气虚证Asthenia of heart qi
心阳虚证Heart yang deficiency syndrome
心阳暴脱证Sudden loss of heart yang syndrome
心血虚证Heart blood asthenia syndrome
心阴虚证Heart yin asthenia syndrome
心脉痹阻证Heart vessels obstruction syndrome
心火亢盛证Exuberance of heart fire syndrome
痰迷心窍证Mind confusion by phlegm
痰火扰心证Disturbance of the haeart by phlegmatic fire
肺气虚证Pulmonary qi asthenia syndrome
肺阳虚证Lung yin asthenia syndrome
风寒束肺证Syndrome of wind cold encumbering lung
风热犯肺证Wind heat invading lung syndrome
燥邪犯肺证Syndrome of dryness attacking lung
热邪蕴肺证Syndrome of accumulation of pathogenic heat in lung
痰湿阴肺证Syndrome of phlegmatic dampness retention in lung
风水搏肺证Syndrome of confliction of wind and fluid in lung
脾气虚证Syndrome of asthenia of splenic qi
脾阳虚证Syndrome of asthenia of splenic yang
脾气下陷证Syndrome of sinking of splenic qi
脾不统血证Syndrome of failure(dysfunction) of the spleen to govern blood
寒湿困脾证Syndrome of cold damp heat encumbering the spleen
湿热蕴脾证Syndrome of damp heat encumbering the spleen
肝血虚证Asthenia syndrome of liver blood
肝阴虚证Syndrome of liver yin asthenia
肝气郁结证Syndrome of liver qi stagnation
肝火上炎证Syndrome of liver fire hyperactivity
肝阳上亢Syndrome of liver yang hyperactivity
肝风内动证Syndrome of endogenous liver wind
寒凝肝脉证Syndrome of cold stagnation in the liver meridian
肾阳虚证Syndrome of kidney yang asthenia
肾虚水泛证Syndrome of edmema due to kindney asthenia
肾阴虚证Syndrome of kidney yin asthenia
肾精不足证Syndrome of kidney essence insufficiency
肾气不固证Syndrome of kidney qi weakness
肾不纳气证Syndrome of kidney failing to receive qi
胃寒证Syndrome of stomach cold
胃热证Syndrome of stomach heat
食滞胃脘证Syndrome of food retention in the stomach
胃阴虚证Syndrome of asthenic stomach yin
胆郁痰扰证Syndrome of gallbladder stagnation and phlegm disturbance
小肠实热证Sthenic heat syndrome of small intestine
大肠液亏证Syndrome of large intestinal fluid consumption
大肠湿热证Syndrome of large intestinal damp-heat
膀胱湿热证Syndrome of damp heat in the bladder
心肺气虚证Asthenia syndrome of heart and lung qi
心脾两虚证Asthenia syndrome of heart and spleen
心肾阳虚证Asthenia syndrome of heart and kidney yang
心肾不交证Syndrome of disharmony between the heart and kidney
肺脾气虚证Syndrome of lung and spleen qi asthenia
脾肾阳虚证Syndrome of spleen and kidney yang asthenia
肝肾阴虚证Syndrome of kidney and liver yin asthenia
肝火犯肺证Syndrome of liver fire invading lung
肝脾不调证Syndrome of imbalance between liver and spleen
肝胃不和证Syndrome of incoordination between liver and stomach
肝胆湿热证Syndrome of damp-heat in liver and gallbladder
Chief Complaint （C.C.）
Present Illness/History of Present Illness（P.L.）
Past History（P.H.）
Family History （F.H.）
Personal History
Marital and Fertile History
Allergies
Physical Examination（P.E.）
Laboratory Data/Studies/Diagnosis or Laboratories
Diagnosis
Differential Diagnosis
Treatment
Discharge Instructions/Recommendations
Case
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