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1、國(guó)醫(yī)之聲-中醫(yī)英語(yǔ)公開課中醫(yī)診斷口語(yǔ)Oral English In TCM Diagnosis靖猛醫(yī)生(新西蘭),國(guó)醫(yī)之聲微信公眾號(hào):voiceofcm ;國(guó)醫(yī)之聲荔枝FM:1312564,Four Diagnostic Methods,Inspection / LookingOlfaction / Auscultation (Smelling / Listening)Inquiry / askingPalpation

2、 + Pulse taking,國(guó)醫(yī)之聲微信公眾號(hào):voiceofcm ;國(guó)醫(yī)之聲荔枝FM:1312564,Asking,Chief complaintHistory of present illness General condition ( ten questions)Past medical historyPersonal life and social history Family history,國(guó)醫(yī)之聲微信公眾號(hào):

3、voiceofcm ;國(guó)醫(yī)之聲荔枝FM:1312564,Chief Complaint病人主訴,What bring you here today?How can I help you today?what are you complaining of?What's troubling you now?,國(guó)醫(yī)之聲微信公眾號(hào):voiceofcm ;國(guó)醫(yī)之聲荔枝FM:1312564,History of Present Il

4、lness 現(xiàn)病史,Sequence of the event Causes, onset, disease progress, andtreatment Can you tell me more about the back pain back to the beginning of the trouble?What do you think cause this pain?Have you had any treat

5、ment, if yes, how is the result of that?,國(guó)醫(yī)之聲微信公眾號(hào):voiceofcm ;國(guó)醫(yī)之聲荔枝FM:1312564,History of Present Illness,Symptoms analysis Location: where is it?How often do you feel this?Is this on and off or constant?Are there an

6、y accompanied symptoms?Are there any alleviated / aggravated factors,國(guó)醫(yī)之聲微信公眾號(hào):voiceofcm ;國(guó)醫(yī)之聲荔枝FM:1312564,General Questions – Cold/Fever,Aversion to cold 惡寒Fear of cold 畏寒High fever 高熱Tidal fever 潮熱Vexing heat in c

7、hest, palms and soles 五心煩熱Do you feel cold / hot? Where do you feel the cold / hot? ( for aversion to cold, patient reports to feel cold on the back, or general cold of whole body),國(guó)醫(yī)之聲微信公眾號(hào):voiceofcm ;國(guó)醫(yī)之聲荔枝FM:1312

8、564,General Questions –Sweating,Absent of sweating 無(wú)汗Sweating 有汗Spontaneous sweating 自汗Night sweating 盜汗Do you having sweating ? When do you have it?,國(guó)醫(yī)之聲微信公眾號(hào):voiceofcm ;國(guó)醫(yī)之聲荔枝FM:1312564,General Questions –

9、 Pain Quality,Distending pain 脹痛Stabbing pain 刺痛Burning pain 灼痛Dull pain 隱痛Radiating pain放射痛How would you describe the pain?,國(guó)醫(yī)之聲微信公眾號(hào):voiceofcm ;國(guó)醫(yī)之聲荔枝FM:1312564,General Questions – Other Symptoms,Dizzness 眩暈Tinn

10、itus 耳鳴Deafness 耳聾Chest oppression 胸悶 Palpitation 心悸 易混詞Palpation-觸診Hypochondriac distention 脅脹Ask closed question, e.g. do you feel dizzy?,國(guó)醫(yī)之聲微信公眾號(hào):voiceofcm ;國(guó)醫(yī)之聲荔枝FM:1312564,General Questions – Appetite &

11、Diet,Poor appetite 食欲不振Strong appetite 食欲旺盛Hunger without appetite 饑不欲食How is your appetite?,國(guó)醫(yī)之聲微信公眾號(hào):voiceofcm ;國(guó)醫(yī)之聲荔枝FM:1312564,General Questions – Defecation,Constipation 便秘Diarrhea 泄瀉Loose stool 便溏Undigested

12、food in stools 完谷不化How about your bowel movement?,國(guó)醫(yī)之聲微信公眾號(hào):voiceofcm ;國(guó)醫(yī)之聲荔枝FM:1312564,General Questions – Urination,Profuse urine 尿多Scanty urine 尿少Frequent urination 尿頻Night urination/nocturia 夜尿How about your u

13、rination?,國(guó)醫(yī)之聲微信公眾號(hào):voiceofcm ;國(guó)醫(yī)之聲荔枝FM:1312564,General Questions – Sleep,Ask for sleep time, sleep latency入睡潛伏期, sleep quality 睡眠質(zhì)量Insomnia 失眠Somnolence 嗜睡How about your sleep? How long will it take to fall asleep?

14、 How many hours do you sleep per night?,國(guó)醫(yī)之聲微信公眾號(hào):voiceofcm ;國(guó)醫(yī)之聲荔枝FM:1312564,General Questions – Period,Period cycle: early, delayed, irregular, Period volume, colour, and clots Tell me about your period, how about

15、your cycle, how about the color/ is there any clots?,國(guó)醫(yī)之聲微信公眾號(hào):voiceofcm ;國(guó)醫(yī)之聲荔枝FM:1312564,General Questions – Period 問經(jīng)期,Period cycle: early, delayed, irregular, Period volume, colour, and clots Tell me about your p

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