Clinical Notes

Chief Complaint / 主诉 Onset & Duration / 发病经过 Western Diagnosis / 西医诊断 Allergy / Medication Notes / 过敏与用药

Blood Pressure Pulse Temperature Weight

Cold / Heat Sensation / 寒热感觉 Select Fear of cold / aversion to wind Feverish feeling / heat sensation Heat in palms, chest, soles Alternating chills and fever Normal temperature perception Sweating / 出汗 Select None Spontaneous daytime sweating Night sweats Profuse sweating Clammy sweat Pain Description / 疼痛描述 Appetite / Thirst / 食欲口渴 Stool / 大便 Select Normal Constipation Diarrhea / loose stools Sticky / incomplete evacuation Alternating constipation and diarrhea Urine / 小便 Select Clear and frequent Dark yellow / scanty Painful urination Nocturia Normal Sleep / 睡眠 Mood / 情志 Dizziness / Tinnitus / 头晕耳鸣 Taste In Mouth / 口味 Menstrual Cycle / 月经 Discharge / Leukorrhea / 带下 Reproductive Other / 男科或其他

Tongue Body Color / 舌质颜色 Select Pale Normal pink Red Deep red / Crimson Purple / bluish Tongue Shape / 舌体形态 Select Swollen / teeth marks Thin / small Cracked Stiff / deviated Normal Coating Color / 苔色 Select White Yellow Gray / black None / peeled Coating Texture / 苔质 Select Thin and white Thick Greasy / sticky Dry Map-like / geographic Complexion / 面色 Select Bright white / pale Sallow / yellow Red / flushed Dark / grayish Greenish / blue Shen / Spirit / 神 Select Vibrant / alert Tired / listless Restless / agitated Tongue Photo Note / 舌象照片备注

Pulse Depth / 脉位 Select Floating / superficial Deep / sunken Pulse Rate / 脉率 Select Rapid Slow Moderate Pulse Quality / 脉力脉形 Select Wiry Slippery Choppy Weak / thready Forceful / excess Pulse Position Detail / 寸关尺 Abdomen / Pressure Findings / 按腹 Voice / Cough / 声音咳嗽 Breath Sounds / 呼吸声 Odors / 气味

Disease Category / 中医病名 Pattern Name / 证型 8 Principles / 八纲辨证 Pathogenic Factor / 病邪因素 Organ Involvement / 脏腑定位

Treatment Type Select treatment Acupuncture Tuina Herbal Medicine Internal Medicine Consultation Follow-up Consultation Follow-Up Required Select No Yes Treatment Principle / 治则治法 Acupuncture Points / 针灸处方 Herbal Formula Name / 方剂名称 Treatment Notes Herbs With Dosage / 中药与剂量 Prescription / Medicine Instructions Lifestyle & Dietary Advice / 生活饮食宜忌 Follow-Up Advice / 复诊建议

Need Medicine? / 需要取药？ No / 不需要 Yes / 需要

Selecting Yes sends this patient's queue number to the Payment Counter, then the Medicine Counter, once you complete the consultation.