GB/T 40665.2-2021Operation specifications for four diagnostic methods in traditional Chinese medicine—Part 2: Listening and smelling (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 second 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. "Four diagnosis" in the clinical information of Chinese medicine Collection plays an important role, so the standardization and standardization of its operating procedures and methods is to promote the construction, academic development and Basic work to improve the level of clinical diagnosis and treatment of Chinese medicine.

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.

Although some contents of TCM smell and diagnosis are advancing with the times and reflecting the characteristics of the times, the implementation and operation process in clinical practice are still in the traditional way.

The method is dominant, that is, the implementer understands the various abnormal sounds and odors emitted by the patient through listening to sounds and smells, and obtains information about the patient's condition.

Relevant materials and information. Therefore, this document is based on the latest contemporary understanding of Chinese medicine smell and diagnosis, and is based on the long-term practice.

The summary and condensing of diagnostic procedures and methods, and hope that with the development of the times and the advancement of science and technology, combined with the latest and mature research results, It has been continuously revised, supplemented and refined.

In clinical practice, it is difficult to completely separate the operations of the "four diagnostics". Often the "four diagnostics" are combined to collect information on the patient's condition. Provide reliable basis for diagnosis and treatment.

1 Scope

This document specifies the basic requirements and contents of smell and diagnosis in the "four diagnosis" 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 smell and diagnosis

4.1 When performing language communication or physical examinations with patients, doctors should carefully listen to the voices of the patients and smell the smells of the patients, and do Good relevant medical records. The specific operation items should comply with Appendix A.

4.2 If the patient has abnormal sound or smell symptoms but has no performance at the time, relevant information can be obtained by asking the patient and the attendant.

4.3 Physicians should ensure that their sense of hearing and smell are in a normal and sensitive state. Doctors must have a high degree of compassion, a sense of responsibility, and a kind attitude. Solemn, considerate, and attentive. Allow the patient to receive the smell in the state of calm mood, even breathing, relaxation of the whole body, and active cooperation; when encountering patients, they cannot Cooperate with certain operations, such as unconsciousness, confusion, speech impairment, hearing impairment, and patient unwillingness to cooperate, etc., according to the actual situation. To master it alive, it is advisable to obtain the patient's information as much as possible.

4.4 The smell and diagnosis operation is carried out in a quiet, tidy, ventilated consulting room, and the indoor temperature, humidity, and air pressure will not affect the smell and diagnosis operation. Appropriate.