中医诊断学理论(英文版)Interrogation课件.ppt

1、中医诊断学理论（英文版）Interrogation中医诊断学理论（英文版）Interrogationconception To know the onset ,development,treatment,present symptoms and other information of disease by questioning patient or accompanying people Internal classic Treatise on cold attack Thousand worthy prescriptions for emergence中医诊断学理论（英文版）Interr

2、ogationpurpose 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中医诊断学理论（英文版）InterrogationMethod of interrogation Suitable en

3、vironment Ask the patient directly Questioning method in emergency The 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 interrogation 1.General data: name ,sex occupation,birth place,nationality, address, marriage state,24-solar t

4、erms of disease 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）Interrogation 3. Family history and anamnesis 4.Chief complaint The symptoms th

5、e patient feels 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）Interrogation 5.History of disease 1)The cause of disease onsetcircumstance,time,symptoms,sudden or not,cause or predisposing cause , development and treatment 2)Present symptoms中医诊断

6、学理论（英文版）Interrogation Cold and fever Aversion to cold Intolerance of cold A. Chill and fever a.more chill than fever b.more fever than chill c.fever with aversion to cold中医诊断学理论（英文版）Interrogation B.the chill and fever seprately a.fever without chill sthenic fever,tidal fever,low grade fever b.intole

7、rance of cold without fever C.Alternate chill and fever a.shaoyang syndrome b.malaria中医诊断学理论（英文版）Interrogationsweating The action of yang puts on yin makes the sweating. No sweating wind-cold in the exterior yin insufficiency Sweating Normal sweating Abnormal sweating中医诊断学理论（英文版）InterrogationAbnorma

8、lity 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中医诊断学理论（英文版）InterrogationAbnormality on sweating location A.hemihidrosis(半身汗) B.head sweating C.Chest sweating D.sweating in the palm and

9、 sole E.genital sweating中医诊断学理论（英文版）InterrogationPain Mechanism of pain: Stagnation or stasis Innutrition of body Classification of pain A. Character of pain B. Location of Pain To distinguish: heat cold excess deficiencypain中医诊断学理论（英文版）InterrogationCharacter of pain Excess: sudden onset, severe and

10、, incessant aggravated by pressing Causes: exogenous evils, qi stagnation,blood stasis, phlegm retention ,parasitosis or food retention Deficiency: occurs gradually , dull, paroxysmal, relieved by pressing中医诊断学理论（英文版）Interrogation A. Distending pain-qi stagnation B. Stabbing pain-blood stasis C. Col

11、ic pain(绞痛)-solid evils obstruction D. Retraction pain(掣痛)malnutrition of tendons E. Scorching pain(灼痛)fire evils F. Cold pain-yang deficiency , cold attack G. Hollow paindeficiency of essence or blood H. Dull pain(钝痛)deficiency of pain中医诊断学理论（英文版）InterrogationLocation of pain A. Headache excess def

12、iciency 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）Interrogationappendix Dizziness or vertigo: No phlegm no vertigo No deficiency no vertigo Excess-phlegm dampness Deficiency - qi and blood, Ascendant

13、 hyperactivity of liver yang , kidney essence中医诊断学理论（英文版）Interrogation B. General aching(pantalgia) wind-cold, wind-dampness pestilential toxin Insufficiency and disharmony of qi and blood C. Chest pain lungphlegm-dampness, heat, abscess, yin deficiency heartqi deficiency and blood stasis, qi stagna

14、tion 中医诊断学理论（英文版）Interrogation D. Hypochondriac pain blazing of liver fire shaoyang syndrome blood stasis from sprain or falling down damp-heat suspending fluid retention中医诊断学理论（英文版）Interrogation E. stomachache stomach cold or heat liver qi stagnation blood stasis spleen yang deficiency spleen yin d

15、eficiency 中医诊断学理论（英文版）Interrogation F. abdominal pain cold heat excess deficiency yangming fu syndrome deficient cold of spleen blood stasis in lower jiao cold attack liver meridian parasitosis intestinal abcess 中医诊断学理论（英文版）Interrogation G. lumbago kidney yin or yang deficiency blood stasis cold att

16、ack H. 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(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 drinking a. No thirst(口不渴) b. Thirst with profuse

17、 drinking and urine(伴多汗) consumptive thirst disease lung stomach heat, kidney yin deficiency c. Thirst but little drinking(少饮) yin deficiencydamp-heatfluid-retention blood stasis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 body a. Poor appet

18、ite(食欲差) spleen deficiency/dampness/qi stagnation/food injury/pregnancy b.over eating but still feeling hungry(多食易饥) stomach fire/strong stomach and weak spleen c.Hunger without appetite (饥不欲食) stomach yin deficiency 中医诊断学理论（英文版）Interrogation d.food addiction(偏嗜) parasitosis/pregnancy/ Symptoms reli

19、eved after food taking-deficiency Symptoms aggravated after food taking-excess (食后痛减,食后加重) Food drunk(食醉)-spleen deficiency To know the developing tendency of disease中医诊断学理论（英文版）InterrogationC.Taste in the mouth Morbid taste in the mouth(口味异常) Tastelessness(口淡) deficiency of spleen and stomach Sweet

20、 taste(口甜)-damp-heat in middle jiao Sour taste(口酸)heat accumulation in liver and stomach Bitter taste(口苦)gallbladder heat syndrome Salty taste(口咸)kidney disease中医诊断学理论（英文版）Interrogation5.Defecation and urination二便 Defecation is related to large intestine/lung /spleen/liver/kidney Urination is relate

21、d to bladder/kidney/lung/liver To 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 intestine extremely dry stoolblood or body fluid deficiency loose bowel-deficient cold in spleen hard stool first

22、 &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）Interrogation b.Frequency of defecation(大便次数) constipation(便秘): excessive heat /cold accumulation/ yin or qi blood

23、 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）Interrogation c.color of stool(便色): dark yellow stagnated heat in intestine black- far blood red -near blood red and white-dampness in large intestine grayish white-jaundance of damp heat中医诊

24、断学理论（英文版）Interrogation d. 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 and kidney中医诊断学理论（英文版）InterrogationUrination(小便) Related to body fluid/lung/spleen/kidney 4-6 times a d

25、ay 1500-2000 ml a day Reflect 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 yin deficiency Scanty urine(少尿):heat /sweating/vomiting /Diarrhea / deficiency b. frequency of urin

26、ation 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）Interrogation c. color of urine(尿色) normal-light yellow and tranparent yellow-heat, dampheat(jaundice 黄疸) clear-deficiency cold red-collateral impairment Feeling of ur

27、ination 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.sleep Normal -hiding of yang and flourish of yin (阳潜阴盛则寐) a. Insomnia(失眠) 1. Disharmony between the heart and kidney (心肾不交) 2. Deficiency of heart and spleen(心脾两虚) 3. Gallbladder stagnation and phlegm d

28、isturbing ( 胆郁痰扰) 4. Food retention(食积)中医诊断学理论（英文版）Interrogation b. 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 pericardium(热入心包)中医诊断学理论（英文版）Interrogation7 . Women disease A. menstruation( 月经) 5-7 12-2007.03.12

29、 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 menstruation b.Dysmenorrhea(痛经) 前 中 后 c.Amenorrhea and scanty menses(闭经) congenital (先天的) postnatal(后天的) Metrorrha

30、gia 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. pregnancy(怀孕) Morning sickness(恶阻) Perturbation of fetus(胎动不安) Leakage of fetus(漏胎) Pr

31、egnant 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 children The condition after birth(出生后情况) Vaccination /infectious disease(免疫和传染病) The special causes of children disease (小儿特殊情况)中医诊断学理论（英文版）Interrogation What 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