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英文版中医问诊单(晓辉 Damien 译)

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发表于 2015-10-12 17:25:03 | 显示全部楼层 |阅读模式
本帖最后由 周帅 于 2015-10-12 17:29 编辑

Formal Question list.

Age:

Male/Female:

Body Type (Overweight, average, underweight):

Face Colors (darkened, dim, greenish, pale):

The Main problem
What is the main presenting problem?
What are the foremost signs and symptoms?

Cold/Heat  
Do you have any feelings of hot or cold (fear of the cold, aversion to wind or heat)?
Do you present with a fever (temperature recorded)?

Sweating
Do you present with any sweating?
If you do present with sweating, it is a large sweat or little?
If you do present with sweating, is it over the whole body or particular parts of the body?
Do you present with aversion to wind after sweating?
Do you present with sweating with the feeling of cool?
Do you sweat on the initial part exercise (walk or run)?
Do you sweat while your having a meal or whilst eating hot food?
Do you sweat while sleeping at night?
Do you only sweat with a lot of physical activity?

Exterior Symptoms
Do you present with any discomfort on the head (Dizziness, headache)?
Please specify the position where you get the discomfort.
If you present with any dizziness, does it include any swirling or blackness?   
Do you present with giddiness?
Do you get any acne on the face, head or back?  
Does the acne appear red and inflamed? large or small?
Please specify the position on the face where you get the acne.
Does the acne present with puss?
Do you get any bleeding in the mouth when brushing the teeth?
Do you have any ear ringing (tinnitus)?  
Do you have any runny nose, nasal congestion or bleeding from the nose?
Do you feel any dryness in the nostrils?
Do you present with any bad breath/bitter taste, dryness in mouth/thirst or stickiness in mouth?
Do you have any aches or pains, like muscle pain, pain on the hands/feet/joints/shoulders/neck/back/waist/arms or legs?
Do you present with any sores on the skin (skin ulcer)?
Do you present with any type of skin allergy?  
Do you feel any numbness?
Does the patient present with cold hands or feet?
Does the patient present with any warmth in their palm and/or arches of their feet (uncomfortably hot)?
Do you have any heel pain, especially while walking?
Does the patient present with aching leg muscle and/or restless legs (discomfort wherever the legs are laid)?
Does the patient present with swelling on the lower limbs?  
Does the patient present with dry skin and/or peeling on lower limbs?
If the patient presents with swelling on lower limbs, when the doctor presses, does the sunken place recover immediately?  
Is the skin on the back of calf warm or cool or normal?
Does obvious socks marks remain on the ankles?

Bowel motions and urinating
How often are the bowel motions?
How many times a day?   
Is the stool look like bars? Similar to bananas into bars?
Is the stool soft?
Is the stool more watery or dry (more like sheep poo)?
Is the initial part of bowel motion more dry and tends to be more watery towards the end?
Does the stool stick to the sides of the toilet?
Do you present with any diarrhea?
What color is the stool (Tend to be more black, yellow or green)?
Do you get mucus on the stools?
Do you present with any loose stools after you consume fruit, milk products, raw, cold food or meat?

Do you urinate frequently or only a few times a day to rarely?
Do you urinate large or small amounts?
What color is the urine (dark or light)?
Do you urinate in the evenings (wake up at night)?
Do you feel any pain and discomfort while urinating, such as pain in the urethra?
Does the patient present with scanty urine?
Do you present with any problems while urinating? urgency, frequency, stuttering, dysuria, anuria, stranguri, straining or incontinence?

Symptoms on the front side of body
Do you present with any discomfort on the chest (heart position), for example, chest pain, shortness of breath, chest distress, chest congestion, heart-throb, palpitation, premature beat, or any other problems?
Do you present with any breast distending pain, breast induration, local swelling?
Do you present with any cough?
Is it a dry cough or with sputum?
If there is sputum, what color is it (yellow, white or clear)?
Do you suffer from a sore throat whilst coughing?
Do you feel unwell in the stomach (beneath the heart), like stomachache, bloating, belching, acid reflux, hiccup, feeling of burning inside?  Do you present with any nausea or vomiting?
Do you have discomfort in the abdominal or bloating?
Do you present with any growling in abdominal?
Do you feel any cold on the abdominal and/or have any aversion to wind?
Do you feel the need to cover the abdominal whilst sleeping (if not, do you feel unwell the next morning)?

Diet
Do you have a good appetite?
Do you you a small or large appitite?
What flavor do you prefer? Spicy, cold/raw food, or meat?
Do you desire large or small amounts of water?
Do you desire or have an aversion to water?
Do you desire cold or warm water?

Ear status
Do you suffer from any deafness or ringing in the ear?
Does the patient have good hearing and able to listen clearly?

Sleeping
Do you sleep well?
Is it easy to fall asleep?  
Is it common to wake up during night and then difficult to fall asleep again?
Do you dream a lot?
How is your memory?


Gynecology
How often do you have your period?
Is the period on time, early or late?
How many days do you have your period for?
Is the period heavy or light?
Do you have any pain with the period?
Is there any clotting with the period?
What color is the menstrual blood? More bright, dark or black?
Do you have any discharge when you ovulate?
What color is the discharge? Slight yellow, greenish, white, or transparent?
Is it sticky and/or thick, or watery?  ?
Do you present with any odor with the discharge?

Andrology
Do you present with impotence, erectile dysfunction, prospermia or nocturnal emission?
Do you present with any scrotal moisture and/or scrotal pruritus?

Observation
Body shape:
Face color:
Eyes (the color in the lower eyelids, take a photo for archive):
Eyelid swelling or not:
Tongue (take a photo for archive):
Skin (especially on the legs):

Palpation
Breast palpation (for women who presents with a breast problem):
Body parts if you think necessary:
Abdominal palpation (tell the patient to relax and press with fingers and hand):
Lower limbs and observe the skin if the patient suffers from swelling:
Hands (feel warm or cold):
Take pulse and record:

Special palpation for children
Touch the forehead to feel the temperature (warm, hot or cool):
Touch hands and feet to feel the temperature (warm or cold):
Whilst palpating the abdominal, does it feel soft or tight (empty like a drum)?
Take photos of tongue, the lower eyelids and tongue. Please note their colors:
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发表于 2015-10-12 19:40:52 | 显示全部楼层
晓辉姐{:a1_433:}
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发表于 2015-10-21 18:06:17 | 显示全部楼层
经方国际化
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发表于 2017-4-27 23:56:13 | 显示全部楼层
牛!!!!
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发表于 2018-8-10 08:12:10 | 显示全部楼层
师姐是大才女呀!
孙亮
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发表于 2019-3-23 09:40:56 | 显示全部楼层
学习了,谢谢
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