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24 Cards in this Set

  • Front
  • Back
The purpose of interrogation is to collect the data for diagnosis which could not be obtained by other methods.
The ____ and the ____ can only be known from patient’s description.
self feeling; disease history
Things to pay attention about the interrogation method for diagnosis. (4)
1) Selecting a suitable environment before questioning
2) The doctor should ask the patient directly.
3) The questioning method determines the accuracy of data.
4) The doctor should be serious and patient, and be good at thinking,listening, and arousing patients.
What General data and life style info you need to know from your patient?
(1) General data
Name, age, sex, occupation, birth place, nationality, address, marriage status, home phone and cell phone, email.
(2) Life style
1) Diet
2) Mental state
3) Living style
What is Chief complaint?
The symptoms that the patient feels the most obviously and painfully and the main cause for visiting a doctor.When recording chief complaint, the onset time should be recorded.
Symptoms related to Chill/Cold and Fever? (4)
Chill and Fever
Chill w/ Fever
Fever w/o Chill
Alternate Chill and Fever
Chill and Fever
Gives definition of and the related syndromes.
A. Chill and fever
The patient has a sensation of chill and a high temperature at same time.
Caused by exterior.
a. More chill than fever—wind cold.
b. More fever than chill—wind heat.
c. Fever with aversion to wind—wind cold.
Chill w/ Fever
Gives definition of and the related syndromes.
Aversion to cold can be relieved by clothes and warming—deficiency cold.
Aversion to cold can not be relieved by clothes and warming—exterior.
Fever w/o Chill
Gives definition of and the related syndromes.
Fever without chill—interior heat
High fever—excess heat.
Tidal fever—
Tidal fever due to Yin, damp warmdeficiency,Tidal fever of Yangming,
Low grade fever—yin deficiency or infant heat stroke.
Alternate Chill and Fever
Gives definition of and the related syndromes.
Alternate chill and fever--half half Irregularly—Shaoyang syndrome.
Regularly—Malaria.
Sydromes related to No sweating and Sweating.
No sweating—cold attack (exterior excess cold, or exterior excess)
Sweating—wind attack (exterior deficiency cold, or exterior deficiency), heat, yang deficiency, qi deficiency, yin deficiency.
Physiological sweating can due to ____(4)
pungent food, excise, emotional change, too much clothes.
Abnormality on sweating character
Spontaneous sweating, Night sweating, Profuse sweating, fighting sweating, Dying sweating, Yellow sweating.
Spontaneous sweating
Give Definition and Clinic meaning.
Definition: The sweating occurs in sleep and stops on awaking.
Clinic meaning:
Yin deficiency.
Night sweating
Give Definition and Clinic meaning.
Definition: The sweating occurs in sleep and stops on awaking.
Clinic meaning:
Yin deficiency.
Fighting sweating
Give Definition and Clinic meaning.
Definition: The patient shivers suddenly and then sweats all over the body.
Clinic meaning: Turning point.
After sweating, if fever decreases, breath is smooth, pulse is weak but even—a good sign of recovering.
After sweating, if the body becomes cold and the pulse is extremely rapid or extinguishing—genuine qi exhausted.
Dying sweating
Give Definition and Clinic meaning.
Definition: The sweating is constant and profuse.
Clinic meaning:
Yang depletion—profuse, cold
sweating like pearls
Yin depletion—profuse, hot sweating like oil.
Yellow sweating
Give Definition and Clinic meaning.
Definition: The perspiration is yellow.
Clinic meaning: Damp heat.
Profuse sweating
Give Definition and Clinic meaning.
Definition: It is a condition of too much perspiration on skin.
Clinic meaning: Excess heat.
Yang collapse.
Abnormality on sweating location
Hemihydrosis, Head sweating, Chest sweating, Sweating in the palm and sole , Genital sweating
Hemihydrosis
Give definition and Clinic meaning.
Hemihydrosis—perspiration in half of the body
Clinic meaning: Wind phlegm or wind dampness obstructs the meridian.
Head sweating
Give definition and Clinic meaning.
Clinic meaning: heat in upper jiao, damp heat in middle jiao, heat in
blood chamber, and upwards floating
of deficient yang.
Chest sweating
Give definition and Clinic meaning.
Chest sweating—over strain of heart.
Sweating in the palm and sole
Give definition and Clinic meaning.
The little sweating—normal.
Profuse sweating—yin deficiency and
yang hyperactivity or stagnated
heat in the spleen and stomach.
Genital sweating
Give definition and Clinic meaning.
damp heat in lower jiao or kidney yang deficiency.