What Is a Diagnostic Set?
Judgment of people's mental and physical state from a medical perspective. Judgment of normal people's health status, working ability and a specific physiological process; the judicial department judges the blood relationship and the nature of the injury are also diagnoses. The most widely used diagnosis is to understand the disease, which is the prerequisite for treatment, prognosis and prevention.
- [zhn duàn]
- Chinese name
- diagnosis
- pinyin:
- zhn duàn
- Explanation
- Determine the patient's condition after examining the patient
- Including
- One is diagnosis, the other is broken
- Judgment of people's mental and physical state from a medical perspective. Judgment of normal people's health status, working ability and a specific physiological process; the judicial department judges blood relationship and the nature of the injury are also diagnoses. The most widely used diagnosis is to understand the disease, which is the prerequisite for treatment, prognosis and prevention.
- Word : diagnosis
- Pinyin : zhn duàn
- Basic explanation
- After examining the patient, determine the patient's condition and development.
- explain in detail
- According to the symptoms to identify what the patient is suffering from, there are two aspects: one is diagnosis, and the other is broken.
- There are roughly three classification methods: Classification according to the method of obtaining clinical data, including diagnosis of symptoms, physical examination, experimental diagnosis, ultrasound diagnosis,
- The diagnosis can be a solid disease or a physiological state, or it can be a syndrome. Sometimes it is a major symptom, sign or test result.
- A complete clinical diagnosis should include the cause,
- Whether the diagnosis is correct needs to be verified in clinical practice.
- The main points that are generally followed during diagnosis include: Analysis of local symptoms starts with anatomy, analysis of system symptoms
- resulting in
- Website diagnostics
Diagnosis
- Interrogation is to ask the patient or his guardian to understand the whole process of the onset and the medical history.
- * Inquiry in modern medicine mainly includes the following contents:
- (1) General conditions include name, gender, age, occupation, marriage, address, etc .;
- (2) The main symptoms and time of illness of the chief complainant are called the chief complaint. Through the main complaint, it is often possible to remind the patient of which system and what kind of disease the patient is suffering from.
- (3) The current medical history is the most important part of the consultation. The entire process from onset to consultation should be inquired, including the onset of the onset, how and when it starts, whether it is an emergency or a slow onset. The cause and cause of the onset are What are the symptoms and manifestations and what are their characteristics; the development process of the condition, such as whether the symptoms are progressive or intermittent, whether the nature has changed, whether the condition has deepened or reduced, what are the accompanying symptoms and relief methods; diagnosis and treatment after the onset Conditions, such as whether you have been to a doctor, how the diagnosis was performed, what treatments were used at that time, and what details were used, when and what drugs were used, how were they used, what were the doses, and how effective were they.
- (4), the past history mainly understands the past health status and the history of this disease.
- (5), life history mainly understands the patient's living environment and communication environment, how personal life habits and so on.
- (6) The family history mainly understands the health status of the patient's relatives, whether there is a genetic disease, whether there is a disease similar to the patient, and so on.
- * Motherland Medicine summarizes the inquiry about the general condition: "A question about cold and heat, a question about sweat, a question about diet, a question about four, a question about head, body, abdomen, chest, deafness, and thirst. Women need to ask for delivery. "
- (1) Ask about cold and fever: fever is heavy, fear of cold and light is exogenous wind and heat; light fever, fear of cold and weight is exogenous wind and cold; fever, not cold, thirst, constipation are real fever; chronic illness, low fever, chest hand, foot and heart fever (Five-heart fever) is fever of yin deficiency; cold and hot while cold and hot, may be malaria and so on.
- (2) Asking for sweat: Fever with sweat is a manifestation of deficiency; Fever without sweat (less sweat) is a manifestation of fever; Sweating frequently when awake is spontaneous sweating, which is a deficiency of qi and yang; sweating during sleep, sweating after waking up is night sweats For Yin deficiency.
- (3) Asking for diet: Decreased appetite is weak in the spleen and stomach; frequent hunger for food is a real fire in the stomach; alleviation of stomach pain after eating is a deficiency syndrome; evidence of aggravation of stomach pain after eating (with stagnation or qi stagnation); can eat After eating, abdominal distension is strong in the stomach and weak in the spleen;
- (4) The second question is to ask about the discharge of the patient's urine and feces, and the status of the feces.
- (5) Ask the head and body
- (6) Ask the chest and abdomen
- (7) Asking for menstruation (for women)
Diagnosis visit
- The following conditions are generally noticed when visiting the clinic:
- (1), the shape and position of the patient
- (2) The mental state of the patient
- (3) Patient's skin and mucous membranes
- (4) Patient's tongue
Diagnostic palpation
- Traditional Chinese medicine calls the examination methods of pressing, touching, touching, and pressing on a certain part of the patient's body with hands, which includes cutting the pulse and touching. The incision of the vein is the main content of the incision diagnosis. The method is that the doctor presses the three index fingers of the right index finger, middle finger and ring finger on the place where the radial artery of the patient's wrist beats, and the middle finger faces the radial styloid process. You can press the pulse of one hand before pressing the other. In traditional Chinese medicine, the pulse touched by the middle finger is called the Guan pulse, and the Guan pulse (the index finger) is called the inch pulse, and the Guan pulse (the ring finger) is the ulnar pulse. The change of pulse sign indicates the occurrence and development of the disease. Different pulses are responses to different lesions.
- According to the weight of touch:
- (1) Floating pulse: The pulse beat is very superficial, and it can be found with a touch of a finger. It is a floating pulse, which is mostly evidence. Such as floating and fast are mostly wind and heat, floating and weak are mostly typhoid fever.
- (2) Shen pulse: It is not obvious when you tap lightly, you can find the pulse of the pulse by pressing the weight. It is Shen pulse, which is mostly a card. Such as Shen Erli is mostly empirical, Shen Chi is mostly Li Han.
- By pulsating speed:
- (1) Late pulse: The normal pulse beats about 4 times per breath. If the pulse beats less than 3 times per breath, it is called delayed pulse. It is more common to find cold and pain in the heart and heart later, and the weakness and coldness is the deficiency syndrome.
- (2) Number pulse: "Number" means fast. If the patient has more than 4 pulses per breath in the quiet state, it is called counting pulses, which are mostly heat syndromes. If the floating number is surface heat, it is wind heat; the sinking number is li heat.
- By pulsating strength:
- (1) Hongmai (solid pulse): The pulse is strong and strong, which is a hot evidence.
- (2) Fine veins (virtual veins): The pulses are soft or thin like silk, and they are weak or weak when pressed, which is a false card. Shen Xi is an insufficiency.
- Divided in pulsating form:
- (1) Xuanmai: The pulse is tense and elastic, and it is mostly a liver or gallbladder disorder or seen in pain.
- (2) Slippery pulse: The pulse is smooth and fluent, which is more common in pregnancy and phlegm dampness syndrome.
Diagnosis
- Tap the body surface with your hands, and guess the internal conditions of the body based on the sound reverberation and the patient's response (pain, reflex). There are two types of direct diagnosis and indirect diagnosis.
Diagnostic auscultation
- Use your ears directly or indirectly (stethoscope) to listen to the patient's voice and the sound changes in the patient's body.
Diagnosis
- Use your nose to sniff the abnormal odors of the patient's breathing, mouth, secretions, and excreta for reference during diagnosis.
Diagnostic aid
- Including measuring height, weight, bust, body temperature and blood pressure, laboratory tests, special equipment inspections, etc.