Inquiry is a method to ask patients and their families to know the existing symptoms and medical history, and to provide basis for syndrome differentiation.
Zhang Jingyue, a physician in the Ming Dynasty, thought that consultation was "the key to diagnosis and treatment, and the first step in clinical practice". After reading the evidence obtained from four clinics, most of them came from consultation, which showed that this statement was true. The scope of consultation is very wide. All the ten questions listed in the Book of Pure Moon are for discussion, and the rest are not mentioned.
General consulting projects include:
Including name, sex, age, native place, birthplace, nationality, marriage, mailing address, telephone number, work unit, occupation, date of admission, date of recording, medical history presenter and reliability, etc. The complainant of medical history is not himself, and the relationship with the patient should be indicated.
When recording the age, you should fill in the specific age, and you can't replace it with "son" or "cheng" because the age itself has diagnostic reference significance. In order to avoid being too blunt at the beginning of consultation, some general items such as occupation and marriage history can be interspersed in personal history.