When going to the hospital, people are accustomed to blood tests and the use of various examination instruments, often neglecting the aspect of palpation (touching the area with the hands). In fact, this is a very important examination tool, and sometimes palpation combined with medical history can generally diagnose what is the disease. For this reason, I would like to share my clinical cases with you. Case 1, female, 75 years old. She was admitted to the dermatology department (in the West Hospital) with acute eczema. On admission, she was found to have 5 grams of hematocrit and positive fecal occult blood, and the doctor in charge invited me to do colonoscopy on the phone. The patient’s family came to the clinic in a wheelchair, and when I saw that the patient was depressed, thin, weak and anemic, I thought that she could not tolerate the colonoscopy and that she might have a right hemicolectomy. When the patient’s family heard that the old lady could not tolerate colonoscopy, they asked for an examination method that the old lady could tolerate, I said let the old lady lie on the examination bed and I would feel her abdomen for any mass. After the patient lay down, the skin of the abdomen was intact and loose, with a navicular abdomen, and a mass of about 3×3×2 cm could be palpated at 2 cm above the right mid-abdominal umbilicus, with no pressure pain and no activity. It seemed that the cause of anemia and fecal occult blood was the abdominal mass that I palpated and felt. The patient’s family was instructed to do further whole-body examination before deciding if surgical radical treatment was needed for nutritional support. Case 2, female, 62 years old. I asked her about the site of abdominal pain and she said it seemed to be pain around the umbilicus. I gave her abdominal palpation and she had obvious pressure pain in the outer 1/3 of the line between the umbilicus and the right anterior superior iliac spine. The patient was immediately admitted to the hospital for surgical treatment. Case 3, male, 40 years old. He came to the hospital with a diagnosis of ulcerative colitis, which had not been treated well. The patient’s colonoscopy report was that the lower rectum was locally congested and swollen, with pus moss. The patient’s symptoms lasted for several days, and after the discharge of pus and blood, the symptoms slowly subsided, and the perianal area was usually moist and recurred at intervals. I gave him an anal finger examination (equivalent to palpation), the lower rectum submucosa is locally accessible with striae and nodules, the rest of the rectal mucosa is smooth and flat, according to my clinical diagnosis: the patient is not ulcerative colitis but a rectal submucosal fistula, which can only be cured by surgery. To diagnose a disease, in addition to a detailed history, it is extremely important to do a local examination according to the condition. Sometimes a sign is the basis for the diagnosis of a disease, this sign is found by Western medicine visual, touch, percussion, listening, Chinese medicine diagnosis of disease by looking, smelling, asking, cutting four diagnosis together, the two are similar, both are necessary to diagnose the disease, even in the modern medical examination means highly developed today, can not ignore the doctor “palpation”. This link.