GB/T 40665.3-2021Operation specifications for four diagnostic methods in traditional Chinese medicine—Part 3: Inquiry (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 third 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 consultations are advancing with the times and reflecting the characteristics of the times, the implementation and operation processes in clinical practice are still traditional The method is dominant, that is, the implementer obtains data and information related to the patient's condition by asking the patient and the attendant. Therefore, this document refers to On the basis of examining the latest understanding of contemporary Chinese medicine consultations, we have summarized and condensed the consultation procedures and methods used in long-term practice, and hoped With the development of the times and the progress 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 stipulates the basic requirements, content and common symptoms of consultations 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 consultation

4.1 In general, consultations should be conducted in a quiet, tidy, ventilated consulting room, and the indoor temperature, humidity, and air pressure should be kept in a comfortable place. Within the appropriate range. Precautions for specific operations should comply with the provisions of Appendix A.

4.2 Clinically, according to the specific conditions of the patients (such as initial diagnosis/re-visit, acute disease/chronic disease, etc.), the Questions and disease-related questions are asked systematically, comprehensively, and focused.

4.3 For newly diagnosed patients with chronic diseases, first ask about the chief complaint, and then ask about the current medical history and past history in detail around the chief complaint. At the time, inquire about his family history, personal history, etc.

4.4 For patients with acute or critical illnesses, first, through brief inquiries to the patient or attendant, grasp the main symptoms, and conduct key inspections. In order to quickly treat the patient or relieve the patient's pain. After the condition is relieved or stabilized, detailed inquiries will be made about other content related to the condition.