Phlegmatic Dampness
Please answer the following questions based on your experience and feelings in the past year
No
(Not at all)
Very little
(a little)
Sometimes
(somewhat)
Often
(Quite)
Always
(Very)
(1) Do you feel tightness in your chest or fullness in your abdomen?
1
2
3
4
5
(2) Do you feel that the physical student is not relaxed or unpleasant?
1
2
3
4
5
(3) Is your abdomen fat and flabby?
1
2
3
4
5
(4) Do you have excessive oil production on your forehead?
1
2
3
4
5
(5) Are your upper eyelids swollen (still slightly elevated) compared to others?
1
2
3
4
5
(6) Do you have a sticky feeling in your mouth?
1
2
3
4
5
(7) Do you usually have a lot of phlegm, especially in your throat, and do you always feel blocked by phlegm?
1
2
3
4
5
(8) Do you have a thick and greasy tongue or a feeling of a thick tongue?
1
2
3
4
5
Judgment result: □Yes □Tend to Yes □No
Damp-heat quality
Please answer the following questions based on your experience and feelings in the past year
No
(Not at all)
Rarely
(a little)
Sometimes
(somewhat)
Often
(Quite)
Always
(Very)
(1) Do you have a greasy feeling or oily glow on your face or nose?
1
2
3
4
5
(2) Do you have acne or sores easily?
1
2
3
4
5
(3) Do you feel bitter in your mouth or have a folk taste in your mouth?
1
2
3
4
5
(4) Does your ambassador have a feeling of stagnation and incomplete relief?
1
2
3
4
5
(5) Do you have a feeling of heat in your urethra and a thick (dark) urine color when you urinate?
1
2
3
4
5
(6) Do you have a yellowish color under your belt (yellowish white belt)? (Female answer only)
1
2
3
4
5
(7) Is your scrotal area moist?
1
2
3
4
5
Judgment result: □Yes □Tend to Yes □No
Blood stasis
Please answer the following questions based on your experience and feelings in the past year
No
(Not at all)
Rarely
(a little)
Sometimes
(somewhat)
Often
(Quite)
Always
(very)
(1) Do you have bruised petechiae (subcutaneous bleeding) on your skin without realizing it?
1
2
3
4
5
(2) Do you have fine red filaments on both cheekbones?
1
2
3
4
5
(3) Do you have any pain in your body?
1
2
3
4
5
(4) Do you have a dull complexion or are you prone to brown spots?
1
2
3
4
5
(5) Do you tend to have dark circles under your eyes?
1
2
3
4
5
(6) Do you forget things easily (forgetfulness)?
1
2
3
4
5
(7) Is your lip color dull?
1
2
3
4
5
Judgment result: □Yes □Tend to Yes □No
Special endowment
Please answer the following questions based on your experiences and feelings in the past year
No
(Not at all)
Rarely
(a little)
Sometimes
(somewhat)
Often
(Quite)
Always
(Very)
(1) Do you sneeze even when you don’t have a cold?
1
2
3
4
5
(2) Do you have a stuffy or runny nose even when you don’t have a cold?
1
2
3
4
5
(3) Do you have coughing and wheezing due to seasonal changes, temperature changes or odors?
1
2
3
4
5
(4) Are you prone to allergies (to medicines, foods, smells, pollen, or at the change of seasons or climate)?
1
2
3
4
5
(5) Is your skin prone to hives (bumps, rashes, pimples)?
1
2
3
4
5
(6) Have you ever had purpura (purplish red petechiae, petechiae) due to allergies?
1
2
3
4
5
(7) Is your skin red and scratchy when you scratch it?
1
2
3
4
5
Judgment result: □Yes □Tend to Yes □No
Pneumoconiosis
Please answer the following questions based on your experience and feelings in the past year
No
(Not at all)
Rarely
(a little)
Sometimes
(somewhat)
Often
(Quite)
Always
(Very)
(1) Do you feel stuffy?
1
2
3
4
5
(2) Do you get nervous and anxious easily?
1
2
3
4
5
(3) Are you sentimental and emotionally fragile?
1
2
3
4
5
(4) Do you feel scared or frightened easily?
1
2
3
4
5
(5) Do you have abdominal pain in your ribs or breasts?
1
2
3
4
5
(6) Do you sigh for no reason?
1
2
3
4
5
(7) Do you have a foreign body in your throat that you can’t spit out or swallow?
1
2
3
4
5
Judgment result: □Yes □Tend to Yes □No
Peaceful quality
Please answer the following questions based on your experience and feeling in the past year
No
(Not at all)
Rarely
(a little)
Sometimes
(somewhat)
Often
(Quite)
Always
(Very)
(1) Do you have a lot of energy?
1
2
3
4
5
(2) Do you get tired easily? *1
1
2
3
4
5
(3) Do you speak with a weak voice? *
1
2
3
4
5
(4) Do you feel sullen? *
1
2
3
4
5
(5) Are you more tolerant of cold (cold in winter, cold air conditioners and electric fans in summer) than the average person? *1
1
2
3
4
5
(6) Are you able to adapt to changes in the external natural and social environment?
1
2
3
4
5
(7) Do you tend to have insomnia? *1
1
2
3
4
5
(8) Do you forget things easily (forgetfulness)? *
Judgment result: □Yes □Tend to be □No
(Note: Entries marked with * need to be scored in reverse first, i.e., 1→5, 2→4, 3→3, 4→2, 5→1, and then convert the score with the formula.