Do you know how to see a Chinese doctor?

  The “equal emphasis on Chinese and Western medicine” is still a national policy, although from time to time we hear voices against Chinese medicine, but the people still recognize the efficacy of the treatment, when they have a problem, Chinese and Western doctors will go to see, who can solve the pain will believe in who. The question is, do you know how to see a doctor? You do not hurry, see Western medicine you will, but see the real Chinese medicine you will not necessarily be.  You can’t just tell me the diagnosis of Western medicine. I often have acquaintances, friends or patients say to me, “So-and-so has polycystic ovaries (or other diseases), can you please write a prescription?” I am sorry to say no, but I cannot prescribe Chinese medicine through a Western diagnosis alone.  Chinese and Western medicine are two different medical systems and different modes of treatment. Simply put, Western medicine attaches importance to microscopic, studying the disease that people have, while Chinese medicine attaches importance to macroscopic, treating the person who has the disease. Western medicine can basically use the same treatment plan for all people as long as the diagnosis is clear, but Chinese medicine prescribes the corresponding treatment plan based on the observation of the patient’s different reactions to a certain disease, and must not be uniform.  For example, many patients have the symptom of lower abdominal pain, which can occur in a variety of diseases such as pelvic inflammatory disease, dysmenorrhea, endometriosis, pelvic vein stasis syndrome, etc. in Western medicine. If a patient just tells me that she has “pelvic inflammatory disease” and now has severe “lower abdominal pain” but cannot describe the lower abdominal pain further, I still cannot give her the ideal prescription.  From the perspective of TCM, any symptom (taking “abdominal pain” as an example) includes at least five types of characteristics: 1. the nature of the pain: stabbing pain (considered by TCM to be blood stasis), distension (qi stagnation), cold pain (cold condensation), hot pain (heat disturbance), vague pain (multiple deficiency), etc.; 2. the location of the pain: both sides of the abdomen (liver meridian), navel (kidney), or around the navel (spleen and stomach). ) or around the navel (spleen and stomach), etc.; 3. The timing of pain: pain before menstruation (mostly actual evidence), pain after menstruation (mostly deficiency evidence), and even the year in which the disease occurs (luck factor); 4. The triggering/aggravating factors and conditions of pain relief: pain after getting cold (cold evidence), pain after getting angry (qi stagnation), comfort after rubbing (deficiency evidence), comfort when warm (cold evidence), etc.; 5. The accompanying symptoms of pain (see (see the third and fourth): multiple symptoms can be combined into a “so-and-so syndrome” in Western medicine, while in Chinese medicine, it may be a characteristic symptom, which is conducive to the identification and treatment.  Thus, depending on the characteristics of the same symptom, it is possible to make the opposite diagnosis and prescribe the opposite Chinese medicine.  3. When visiting a gynecologist, pay attention to expressing gynecological problems clearly 1. Date of the last three menstrual periods? Are there any abnormalities in the cycle, period, volume and color texture of menstruation?  2. Are there any symptoms accompanying menstruation or before and after menstruation: for example, abdominal pain and diarrhea during menstruation, nausea, breast/nipple pain before menstruation, side headache during menstruation, recurrent cold and fever during menstruation, abdominal pain after menstruation; 3. Are you using contraception, have you ever been pregnant or had an abortion, unmarried with a history of sexual life cannot be concealed to avoid misdiagnosis; 4. It is also necessary to consciously avoid gynecological examinations and vaginal ultrasound examinations to protect themselves.  With the development of science and technology, western medical research is getting deeper and deeper, what genes, what proteomes, the division of disciplines is getting more and more subtle, so that some people do not know which department to consult after getting sick. The more people have knowledge of modern technology, the more their thinking about consultation is affected, and they only talk about the symptoms of the department when they visit. For example, if you have pelvic inflammatory disease and go to a gynecologist, you say you have a migraine. It may be seen as 250 or a brain tether!  However, to see a Chinese medicine doctor, you should be able to tell the symptoms of other departments, not just the department you are seeing. The same pelvic inflammatory disease, if there is a side headache (Shaoyang meridian lesion), I may use Xiao Chai Hu Tang that can enter the Shaoyang meridian to treat; if there is no headache, I may use Angelica Paeonia San to treat. This issue has a great impact on the efficacy and should not be taken lightly.  I also pay attention to the following symptoms when I see patients in the clinic. It is better for the patient to say when and where these symptoms appear? Don’t leave them out because you or other physicians feel they are worthless, or because they are not gynecological/male problems, these symptoms may be important in my opinion.  1, hot and cold: such as fear of cold without sweat, such as fear of wind with sweat, such as a cold burst of hot, such as 3-5 pm fever, such as cold hands and feet but mouth ulcers acne sore throat, such as back cold; 2, sweating: such as after / before the middle of the night chest, neck hot sweat / cold sweat; 3, taste: such as bitter mouth dry throat, such as dry mouth thirst but do not want to drink water or can only drink a small amount of hot water; 4, mouth: such as like to eat acid / spicy / cold / hot / meat Pain: such as dull head pain like wearing a hat, such as the top of the head / belly button cold pain, such as heel pain, such as premenstrual nipples or both sides of the abdomen tingling; 8, he: such as panic and shortness of breath, dizziness and tinnitus, back and knee pain, joint pain, foot weakness, dry eyes and swollen eyes, tears in the wind, airflow from the abdomen upward, want to cry for no reason, etc., can not be exhausted.  After reading my introduction above, you may think that it is too complicated to see a Chinese doctor! It is better to see Western medicine and give yourself to scientific instruments. But the modern medical model has also encountered difficulties, such as the wealthy United States, whose medical system is also much criticized. Here I would like to introduce you to a relatively simple and easy to remember TCM diagnosis recipe – “Ten Questions Song” “a question of cold and heat, two questions sweat, three questions head and body, four questions stool, five questions diet, six chest and abdomen, seven deafness, eight thirst and sleep, nine questions old illnesses, ten questions cause, and then take the medicine to refer to the machine change, women must ask the period, late and fast closed collapse are visible If you want to ask me for a prescription, at least ask me for a prescription. If you want to ask me for a prescription, you should at least provide information according to this requirement.  5, as far as possible “true”, not “beauty” Some people say that in today’s world, women wear makeup, men take medicine. Chinese medicine is concerned about the look, smell, ask questions and cut, “look and know is called God”, but after the face cream, lipstick, manicure, hair dye and so on after the renovation of the beauty has long covered the true face of the mountain, so that the doctor’s diagnosis is difficult to implement. Fortunately, there is the tongue, see the doctor can not put the tongue brush off, and do not eat dyed, too spicy and too hot food, please retain this last true.  When a sick body is restored to health with proper treatment, it will naturally glow with beauty, which is true and healthy from the inside out.  Postscript: There are four common diagnostic methods in Chinese medicine: “looking, smelling, asking and cutting”, although some physicians can prescribe medicine by pulse diagnosis alone or by other diagnosis alone, although in some cases I can also diagnose clearly by one of the means of “looking, smelling, asking and cutting” alone, although there are also ancient books Although the ancient books also have the view that “to look and know is called god, to hear and know is called holy, to ask and know is called work, to cut and know is called skillful”, I think, in fact, the four diagnoses of “look, smell, ask and cut” are not superior or inferior. In my personal opinion, in order to make an accurate diagnosis, the four diagnoses of “looking, smelling, asking and cutting” are often needed together.  This article has clearly indicated that it is “my consultation tips”, which are the consultation tips of my level of TCM practitioners, not those of other TCM practitioners, therefore, readers or patients should not use this article as a benchmark for other TCM practitioners.