Pain Disease Inquiry Need to Know Complaint: History: Trigger ( ), Onset ( ), Location ( ), Duration ( ) Wang Xinchun, Department of Rehabilitation and Pain, Qinghai Hospital of Traditional Chinese Medicine Nature: Sharp pain ( ) Distension ( ) Stabbing pain ( ) Throbbing pain ( ) Cold pain ( ) Scurrying pain ( ) Squeezing pain ( ) Drilling pain ( ) Spasmodic pain ( ) Radiating pain ( ) Cutting pain ( ) Dull pain ( ) Sour pain ( ) Strangulation pain ( ) Cramping pain ( ) Numbness pain ( ) Pain ( ) Pain ( ) Pain ( ) Pain ( ) Pain ( ) Pain ( ) Pain ( ) Pain ( ) Pain ( ) Pain ( ) Pain ( ) Pain ( ) Pain ( ) Pain ( ) Pain ( ) Pain ( ) Pain ( ) Pain ( ) Pain ( ) Pain ( ) Pain ( ) Pain ( ) Pain ( ) Pain ( ) Pain ( ) Pain ( ) Pain ( ) Pain ( ) Pain ( ) Pain ( ) Pain ( ) Pain ( ) Pain ( )electric shock pain ( )heavy pain ( )involving pain ( )burning pain ( ) Intensity: (none Mild Moderate Heavy Dramatic Most ) Aggravating Factors: Mitigating Factors: Accompanying Symptoms: Treatment: Current Treatment: General Condition: Mental ( ) Diet ( ) Sleep ( ) Stool ( ) Urine ( ) Physical Effort ( ) Weight ( ) Past History: Health ( ) Infectious Disease ( ) Surgery ( ) Trauma ( ) Allergy ( ) Other Diseases ( ) Personal history: occupational environment ( ) living habits ( ) history of tobacco and alcohol ( ) family history: