The first time you treat a patient is called the first consultation or initial consultation, and for the same patient, another consultation is called a follow-up consultation. Many people attach importance to the first consultation, but not to the follow-up. If the initial consultation is good, the disease will be cured, but if the initial consultation is not good, it will be a waste of effort to go back for a follow-up consultation. In fact, it is very important to follow up. For Chinese medicine, follow-up is even more important, and sometimes it is even more important than the initial diagnosis. In the Nei Jing, there is a statement that “those who are cold but hot take the yin, those who are hot but cold take the yang”. That is to say: the initial diagnosis with cold medicine but the heat does not subside, most of the Yin deficiency, the follow-up should be treated with nourishing Yin method; the initial diagnosis with heat medicine but the cold does not subside, most of the Yang deficiency, the follow-up should be treated with the Yang method. The Treatise on Typhoid Discourses discusses more about rediagnosis. For patients with deficiency of heart yang due to mistreatment at the initial diagnosis, different methods of treatment should be adopted at the follow-up consultation according to the different changes that appear after the initial diagnosis. For example, in Article (64): If the person has excessive sweating, his forked hands are rising from the heart, palpitating under the heart and wanting to be pressed, Gui Zhi Gan Cao Tang is used. Article (122): For those who are irritable due to burning needles under fire, Gui Zhi Gan Cao Long Bone Oyster Soup is used. （Article (155): In typhoid fever with floating pulse, the doctor is forced to rob by fire, the death of yang, will be frightened and mad, restlessness in bed, Gui Zhi remove peony and add Shu Qi oyster and Dragon Bone to save the rebellious soup. （Article (65): After sweating, the person who palpitates under the umbilicus, want to make a running dolphin, Fu Ling Gui Zhi Gan Cao Dazao Tang is the main. (121) Article: burn the needle to make it sweat, the needle place is cold, the nucleus rises and red, will be sent running dolphin, gas from the less abdominal up the heart, sizzling its nucleus on each strong, and Gui Zhi plus Gui Tang, more Gui two also. As a doctor, you must pay attention to the follow-up consultation. First of all, make a good record of the first consultation, which is the basis for the follow-up consultation. When the follow-up consultation is based on the changes before and after the first consultation, the diagnosis and treatment. For example, in archery, the first arrow may hit the target, but not necessarily the center of the target, so the second arrow should be adjusted according to the position of the first arrow. The second arrow should be adjusted according to the position of the first arrow, whether it is up or down, left or right. A good archer will definitely make adjustments in the second arrow and try to shoot better than the first arrow. The “Medical Cases of the Qing Palace” is the work of the imperial physicians and represents the highest level of medical cases in modern Chinese medicine. Nevertheless, most of the medical cases have achieved good results after the initial prescriptions were adjusted during the follow-up consultation. In some cases, the prescriptions needed to be changed after taking only one dose. Nowadays, some doctors think they are highly skilled in medicine, or are driven by profit, and let patients take medicine for half a month or even a month at the first consultation. This is irresponsible to the patient and a desecration of Chinese medicine. People in the world are greatly influenced by the natural and social environment, who can guarantee that their condition will not change over time. Even if there is no change, the prescription is still right for the evidence. It is not too late to take the medicine according to the initial prescription after three or five days of the initial consultation. Doctors attach importance to follow-up consultation, and patients should also attach importance to follow-up consultation. Do not take medicine for three days at doctor A and then go to doctor B for three days if you are not satisfied with the result. Tried all the medicine of the nearby doctors, the disease is still the same. Or even worse. Why? Because although the doctor’s diagnosis at the first consultation is more serious, the medicine they think is correct. But that is only the doctor’s wishful thinking. The real evaluation of the effectiveness of the treatment is the effect of the patient after taking the medicine. If the patient does not go to the follow-up, even if the disease has been cured, the doctor does not know. The clinical experience of treating this patient cannot be summarized either. This is the first consultation effect is good, if the first treatment effect is not good? The patient also needs to be seen again to give the doctor a chance to correct the problem. The initial doctor knows what drugs the patient has taken, and has learned from the past. These drugs should not be repeated again. A careful analysis should be made of why the medication was not effective. Is it because the medicine is cold or hot, and is the condition due to the actual misuse of tonic or deficiency misuse of diarrhea. According to the patient’s situation at the time of the follow-up consultation, the medication should be re-dosed, so that the patient will have a better understanding than at the time of the initial consultation. If the initial consultation is effective, it is also necessary to re-examine, because after taking the medicine for a few days, the condition will change, and the doctor should readjust according to the changes, taking the strengths and making up for the weaknesses in order to achieve the best. Some patients are satisfied with the initial prescription, but they think they have to go to the hospital not only to suffer the pain of traveling, but also to register and queue for time. Take the prescription of the first consultation to the nearby pharmacy to grab the medicine to eat, less than a week, more than a month, which is not right. If the initial consultation is more satisfactory, it is necessary to repeat the consultation. If the patient has a pound of fire at the initial consultation, the doctor prescribed the patient a pound of fire medicine, after taking the medicine the patient will not have so much fire, but still take a pound of fire medicine, so that people without fire to take fire medicine, that does not become cold? A thousand gold is easy to get, an effect is difficult to find, a good formula, because of the lack of timely follow-up, long-term use, not only harmed themselves, but also harmed the reputation of the doctor. Doctors accumulate experience and improve their level after follow-up. The patient is cured by the follow-up consultation. This is the Chinese medicine that has been continued for thousands of years.