GB/T 40665.1-2021Operation specifications for four diagnostic methods in traditional Chinese medicine—Part 1: Inspection (English PDF)

Foreword

This document is in accordance with GB/T 1.1-2020 "Guidelines for Standardization Part 1: Structure and Drafting Rules of Standardization Documents". To be drafted.

This document is the first part of GB/T 40665 "Code of Practice for the Fourth Diagnosis of Traditional Chinese Medicine". GB/T 40665 has released the following parts.

---Part 1: Inspection;

---Part 2: smell and diagnosis;

---Part 3: Inquiry;

---Part 4: Diagnosis.

Introduction

The methods of Chinese medicine diagnosis and detection of diseases include four types. inspection, smell, inquiry, and excision (collectively referred to as the "four diagnosis"), which are the long-term medical practice of doctors in the past dynasties.

It is gradually formed and developed on the basis of, and has been continuously supplemented and improved with the progress of the times. As one of the "Four Diagnoses" of Chinese Medicine Diagnosis plays an important role in the collection of TCM clinical information. Therefore, the standardization and standardization of its operating procedures and methods is to promote TCM The basic work of discipline construction, academic development and improving the level of clinical diagnosis and treatment of Chinese medicine is the teaching, medical treatment, scientific research, management and foreign exchanges. need.

GB/T 40665 "Code of Practice for the Four Diagnoses of Traditional Chinese Medicine" is to guide teaching, clinical, scientific research, medical administration, publishing and academic exchanges at home and abroad The basic and universal standards for the "four diagnostics" operation in China. The "four diagnosis" examines and collects the patient's condition data from different angles.

With its unique method and basis, the four cannot replace each other. Therefore, GB/T 40665 "Code of Practice for the Fourth Diagnosis of Traditional Chinese Medicine" is planned to be composed of four departments. Sub-composition.

---Part 1: Inspection. The purpose is to guide the operation of the inspection.

---Part 2: smell and diagnose. The purpose is to guide the operation of smell and diagnosis.

---Part 3: Asking a doctor. The purpose is to guide the operation of the consultation.

---Part 4: Diagnosis. The purpose is to guide the operation of the excision.

Inspection is one of the "four diagnoses" of traditional Chinese medicine. It plays an important role in the collection of clinical information of traditional Chinese medicine.

It has been gradually formed and developed on the basis of medical practice, and has been continuously supplemented and improved with the progress of the times. One of the inspections of traditional Chinese medicine Although these contents are advancing with the times and reflecting the characteristics of the times, the implementation and operation processes in clinical practice are still dominated by traditional methods.

The donor obtains disease-related materials and information through the use of visual sensory organs. Therefore, this document is based on the latest recognition of contemporary Chinese medicine inspection.

On the basis of knowledge, the summary and condensing of the long-term inspection operation process, and hope that with the development of the times and the advancement of science and technology, we will combine The latest and mature research results have been continuously revised, supplemented and refined.

The standardization and standardization of inspection procedures and methods is the need for better inheritance of TCM diagnostic skills, and is to promote TCM The basic work of discipline construction, academic development and improving the level of clinical diagnosis and treatment of Chinese medicine is the teaching, medical treatment, scientific research, management and foreign exchanges. need.

1 Scope

This document stipulates the basic requirements and content of the inspection in the "four consultations" of Chinese medicine.

This document is suitable for teaching, clinical, scientific research, medical administration, publishing and academic exchanges at home and abroad in the field of Chinese medicine.

2 Normative references

There are no normative references in this document.

3 Terms and definitions

The following terms and definitions apply to this document.

4 Basic requirements for inspection

4.1 The overall condition of the patient (such as look, color, shape, posture, etc.) should be observed first.

4.2 According to the needs of disease diagnosis, the patient's whole body, part, tongue, etc. should be observed.

4.3 When looking at color, care should be taken to exclude physiological changes in color caused by various internal and external factors (such as diet, temperature, mood, etc.) and human factors The resulting changes (such as hair dyeing, makeup, etc.); attention should be paid to compare the patient's color change with the normal color.

4.4 When observing the tongue, ask the patient to stretch the tongue naturally, relax the tongue, flatten the tongue surface, and slightly downwards the tongue, fully expose the tongue, and do not stretch it excessively. tongue. When looking at the sublingual collaterals, ask the patient to open his mouth, tilt the tongue towards the upper palate, and gently press the tip of the tongue against the upper palate, so that the tongue can relax naturally and the sublingual collaterals can fill up. Points revealed. When necessary, tongue scraping, tongue wiping and other diagnostic methods can be used to cooperate with tongue watching.

4.5 For children under 3 years of age, attention should also be paid to the collaterals of the index finger of the child.

4.6 The precautions for inspection operation should be in accordance with Appendix A.

5 Inspection content