Ask for cold and heat, and find out if you are sick in time.
The generation of cold and heat mainly depends on the nature of pathogenic factors and the rise and fall of yin and yang of the body, which is the expression of the struggle between good and evil.
The common clinical symptoms of cold and heat are: cold is not hot, but heat is not cold, aversion to cold and fever, and cold and heat exchange.
But cold is not hot: if you feel cold without fever, it belongs to deficiency cold syndrome.
But the heat is not cold: if you have a fever, you don't feel cold or afraid of heat, which is the internal heat syndrome.
If high fever is accompanied by thirst, cold drinks, sweating and constipation, it is called excess heat. If you have a low fever in the afternoon, accompanied by fever in your hands and feet, sweating at night, and redness in your cheeks, it is internal deficiency heat.
Aversion to cold and fever: If you are consciously afraid of cold, your body temperature will rise, indicating that exogenous pathogens have invaded the muscle surface.
Cold and heat exchange: cold and heat appear alternately. When summer and winter come and go regularly, malaria occurs; Irregular exchange of cold and heat, accompanied by swelling pain on both sides and bitter taste, is a hepatobiliary disease.
Ask about sweating and see the actual situation of the disease.
Sweating is related to the rise and fall of yang and the profit and loss of body fluid.
No sweat: If you have fever, aversion to cold, headache and no sweat, this is the exterior syndrome.
Sweating: If exogenous wind pathogen, fever, fear of wind sweating, it is superficial deficiency.
Spontaneous sweating: If you sweat with a little activity during the day, it is often accompanied by fatigue, shortness of breath, chills and yang deficiency, mostly caused by internal injuries.
Night sweats: refers to sweating after falling asleep at night, accompanied by fever, red cheekbones, upset mouth and other symptoms, which are caused by internal heat due to yin deficiency, mostly internal injuries.
Ask about the pain and find the location of the disease.
It is true that some people compare "treating a headache and treating a foot pain" to mechanical reproduction.
In most cases, headaches are not necessarily caused by head problems, but may be caused by other parts of the body.
Similarly, foot pain, except trauma, is not necessarily the foot itself.
Asking about headache is mainly to ask about the location, nature and degree of pain, so as to observe the condition.
Headache: sudden headache with persistent pain, accompanied by chills and fever, mostly exogenous syndrome.
Headache is intermittent, with swelling and pain, aggravated after fatigue, or accompanied by dizziness, mostly due to internal injuries and asthenia.
Chest pain: chest pain caused by lung heat is mostly on one side, with fever and cough, yellow and thick phlegm;
Chest pain before chest pain, there is a heavy feeling or tingling in the heart area, with repeated attacks, accompanied by palpitations and shortness of breath.
The pain of hepatobiliary diseases is manifested as swelling, pain and discomfort on both sides.
Stomach pain is characterized by fullness and pain in the epigastric cavity, accompanied by belching and acid vomiting.
"Can't sleep" or "can't sleep" should be asked clearly.
There is a saying that "I can't sleep before I am 30, and I can't sleep after I am 30".
This shows that people of different ages sleep differently.
For Chinese medicine practitioners, seeing a doctor will definitely ask "Can't sleep or wake up?"
Being unable to sleep belongs to "insomnia" and being unable to wake up belongs to "lethargy". There is a great difference between them in pathology.
1, insomnia
It is difficult to fall asleep or wake up easily during sleep, difficult to fall asleep or wake up easily after waking up, or stay up all night, mostly due to insufficient yin and blood and loss of support.
Often accompanied by palpitations, dreaminess, tinnitus, hot flashes and other symptoms. Insomnia caused by excessive food accumulation is often accompanied by symptoms such as redness, shortness of breath, thirst and stomach discomfort.
Step 2 doze off
I am sleepy and often fall asleep involuntarily.
If the elderly are weak, most of them belong to heart and kidney yang deficiency;
Obesity is often accompanied by excessive phlegm, which is caused by spleen deficiency and excessive dampness, and Qing Yang does not rise.
Have the cheek to ask two questions.
In the diagnosis of traditional Chinese medicine, it is very important to know the character, color, smell, time, quantity and frequency of defecation, as well as the feeling of defecation and urination. Don't be embarrassed in the face of such a problem.
1, abnormal defecation
It is difficult and inconvenient to defecate for many days, which is called constipation. Excess heat impairs body fluid, yin cold is cold, qi stagnation is qi, and qi deficiency is weak.
The stool is shapeless or watery, and then there is diarrhea. Dilute stool does not form diarrhea, mostly because the spleen loses health. Abdominal pain diarrhea diarrhea at dawn, mostly kidney yang deficiency. Abdominal pain and diarrhea, the pain after diarrhea is relieved to eat diarrhea.
2. Abnormal fecal quality
When defecating, * * * feels burning and falling, which is spleen deficiency and qi stagnation. Discomfort in defecation is liver depression. If the stool is yellow and sticky, it is mostly damp and hot in the large intestine.
Abdominal pain and distress, sometimes diarrhea, mostly caused by damp-heat blocking collaterals and intestinal qi stagnation, are symptoms of dysentery. Stool can't be controlled, which is mostly caused by kidney-yang deficiency and failure.
3. Abnormal urine volume
Increased urine output is deficiency cold. Decreased urine volume is caused by excessive heat, excessive sweating, damage to body fluids, or vomiting and diarrhea.
4. Abnormal urine frequency
The frequency of urination is increased and the time is short, mostly damp and hot. Frequent urination and frequent urination at night after a long illness belong to kidney-yang deficiency.
Poor urination and dripping are generally caused by damp heat or blood stasis and sand blockage, which is a real disease. If it is due to deficiency of kidney yang, it is deficiency.
Tips: The above article introduces you to the question of asking about the patient's condition, so as to achieve the purpose of timely treatment and alleviating the patient's pain.