List of high-quality authors
The general condition of the patient, including the patient's gender, age, physical condition, living environment, living habits, and mood.
1) Discussion of gender and age: There are significant differences between genders in human physiology and pathology, which have special significance in the composition of disease syndromes and have a significant impact on the evolution process of diseases. For example, women have unique physiological functions and psychological characteristics such as menstruation, pregnancy and childbirth, which makes them also pathologically present with some exclusive symptoms, such as irregular menstruation, lower belt, fetal restlessness, improper postpartum conditioning, etc., as well as some internal injuries and miscellaneous diseases related to psychological abnormalities. These conditions are rare or absent in men.
Age is also a factor that cannot be ignored in the process of human growth and development. People of different ages have their own characteristics in terms of physiology and pathology. For example, children are in the stage of growth and development, their body functions are not yet fully mature, their organs are delicate, their adaptability to the external environment is weak, and they are easily infected with external evils and cause various diseases. Due to the gradual decline of righteousness and the decline of physical functions, the elderly mostly suffer from chronic diseases, and their symptoms are complex and diverse, which is more difficult.
2) Discussion of physique: Physique, a comprehensive understanding of the human body in traditional Chinese medicine, covers the physical, physiological and pathological characteristics of the human body. It is a method of classifying human conditions in Chinese medicine, and its classification is based on the rise and fall of yin and yang. The classification of constitution is of great clinical significance for the diagnosis and clinical significance of traditional Chinese medicine.
For people with yang and yin deficiency constitution, due to the abundance of yang qi and the lack of yin fluid in the body, they are often sick and sick, and the symptoms are easy to heat up, showing the pathological characteristics of dryness and heat. People with this physique are prone to symptoms such as thirst, constipation, and irritability in their lives, and they need to be cleared away from heat and nourished yin.
For people with both yin and yang constitution, due to the balance of yin and yang in the body, they usually get less sick, and once they get sick, the disease is more serious, and it is more empirical. People with this physique are prone to fatigue, bloating, loss of appetite and other symptoms in their lives, and they need to be treated by regulating qi and blood.
Finally, for people with yin and yang deficiency constitution, due to the abundance of yin qi and the lack of yang qi in the body, they are often sick with cold and dampness, and their symptoms are easy to turn into cold or phlegm. People with this physique are prone to symptoms such as chills, tepid limbs, and edema in their lives, and they need to be warmed and dissipated by dissipating cold.
People with a deficiency constitution of yin and yang are usually ordinary and sickly, and the diseases are mostly deficient and the course of the disease is lingering. People with this constitution often need long-term conditioning and maintenance to maintain good health. When considering physical factors, in addition to examining the general physical condition, it is also necessary to pay special attention to whether there is a special constitution that is different from ordinary people. For example, the "Treatise on Typhoid Fever" describes the Lin family, the sores family, the family of the sick family, the blood loss family, etc., these are all special types of constitution encountered in clinical practice. People with these special constitutions, due to the particularity of their physical conditions, tend to have different manifestations and reactions when they are sick.
In addition, the patient's physique is not static, it can change due to factors such as lifestyle habits, internal and external environment, disease changes, and excessive drug properties. Therefore, in clinical practice, doctors need to pay attention to the patient's physical condition at all times, and timely discover and deal with various factors that may lead to physical transformation. Only in this way can we better formulate personalized diagnosis and treatment plans for patients and improve the best results.
3) Residential environment:
The living environment has a far-reaching and important impact on human life activities, and it is the basis for people's survival as the external environment for human survival. The geographical and climatic factors involved in the living environment have a non-negligible impact on the occurrence of disease syndrome. The geographical features and climatic conditions of the living environment are important factors affecting people's health. For example, in the East, people live in the land of fish and salt, close to the sea, and due to the influence of the environment, carbuncle ulcers have become a common disease in the region. Similarly, people living in the western region tend to live in high mountains, where the wind is abundant and the soil and water are strong, so the incidence of internal injuries and diseases is high. In the northern regions, the highlands and cold climate make the people of the region susceptible to visceral chills. In the south, due to the warm climate and heavy humidity, diseases such as spasms are more common. **People in the area are prone to diseases such as dysentery, syncope and cold and fever because of the heavy humidity of the ground level. The geographical and climatic characteristics of the five directions are different, so they are prone to disease in each place. Not only that, but the water and soil environment is also directly related to the occurrence of certain diseases. These diseases, which are confined to certain places, were called "local water and soil diseases" in ancient times, and are now called endemic diseases. Moreover, it has been recognized that the soil and water environment not only affects adults, but can also be passed on to children. In clinical practice, the physician must take into account the patient's living environment. For example, for patients with endemic diseases such as endemic goiter, endemic cretinism, endemic fluorosis, KBD, and Keshan disease, doctors must have a detailed understanding of the patient's living environment when diagnosing and **. In addition, for patients with altitude sickness, doctors also need to know whether they are in an environment with thin air and insufficient air due to mountaineering, entering the plateau, engaging in aerospace or sea diving, etc. (4) Discussion of living habits: Living habits, as the name suggests, refer to a habit formed by people in their daily lives. The formation of this habit is closely related to the customs and environment of each place. A good lifestyle is undoubtedly beneficial to our physical and mental health. Conversely, poor lifestyle habits can have a negative impact on our physical and mental health.
For example, there is an average of one or two people in a household who get sick every month. When someone went to visit, they found that their house was also closed in the summer, the room was dark and damp, the bed was full of debris, and the room emitted a musty smell. It is clear that the lifestyle habits in this environment have taken a toll on their health. Therefore, they are advised to change this bad lifestyle habit.
It can be seen that understanding a person's lifestyle habits is crucial for accurately diagnosing the condition. If you don't understand your lifestyle habits, it is difficult to completely solve the problem of rotational flow sickness, even if the method is very accurate. Therefore, it is very helpful to discuss lifestyle habits for us to correctly distinguish between syndromes, to give the patient the right **, and to maximize the effect of the drug according to the patient's lifestyle habits.
5) Discussion of state of mind:
Mood refers to a relatively long-lasting and stable emotional state that people often maintain in their daily lives, which not only involves people's emotions, but also closely related to people's personality, emotion, psychology and other aspects. The quality of the mood has a direct impact on the occurrence, development and development of the disease. In TCM clinical syndrome, there are two main cases of abnormal mood leading to diseases: one is emotional abnormality, that is, excessive excitement or inhibition of emotions, which will lead to dysfunction of certain parts of the body, and then cause diseases; The other is that the disease causes emotional abnormalities, that is, the disease causes the dysfunction of the viscera, qi and blood, which makes the patient have changes in mood and personality. If the emotion is excessive, it may lead to symptoms such as hematemesis, chest fullness and hypochondriac pain. Excessive joy may lead to mental abnormalities and even madness; Excessive sadness may lead to symptoms such as dizziness and atrophy of the eyes; Excessive fear may lead to symptoms such as spermatozoa and enuresis; Excessive startling may lead to symptoms such as epilepsy and coma; Excessive thinking can lead to symptoms such as insomnia, loss of appetite, and chest tightness. Abnormal mood caused by illness is more common in people such as the elderly and people with chronic diseases. These patients had normal emotions before the disease, but after the disease, due to the dysfunction of the viscera, qi and blood, it led to changes in mood and personality. For example, stroke patients are prone to emotional agitation and sadness; Patients with prolonged palpitations are often timid and need to be guarded by their loved ones; Patients with haemostagene syndrome may present with symptoms such as abnormal mental status. For these patients, more ideological comfort and guidance are needed during the clinical syndrome to help them adjust their mentality and actively cooperate.