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Dear Nicholas,

I have recently developed a database that can perform

the function of complete traceablity of any products/treatments to

any customers it's called Batch Master V 1.0 and further details may

be accessed from my website:

 

http://www.herbalmedicineuk.com/Pages/public.mv

 

If you require more information then please contact me off list I am

looking to distribute in America as soon as a suitable vendor can be

found.

 

Lorraine Hodgkinson.

 

 

 

 

 

 

 

 

 

Chinese Medicine , " Nicholas "

<solomon@a...> wrote:

> Hello All;

> I have for months been reading everyones messages, I have to

admit I have

> learned a lot! What software applications does everyone use in

their clinics

> to house paitients information and treatments?

> I am curious to see if everyone uses a databasing system

available on the

> market, or if you keep them by hand ?

>

> Nicholas

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Nicholas wrote:

<snip>

> What software applications does everyone use in their clinics to

> house paitients information and treatments? I am curious to see if

> everyone uses a databasing system available on the market, or if you

> keep them by hand?

 

Hi Nicholas!

 

I have tried a few demo programs but they are 1) expensive and 2) don't

seem to work. I have been trying to write one of my own for ten years

but, alas, I am no programmer.

 

That said, I have enlisted a programmer to help me with it. I will post

to the list when we have a version ready. However, this will be a while,

it has already been ten years.

 

I have a work-around that I use for the time being. It is a text file

with all my intake questions that I print out and write on with a pen

while interviewing the patient. Then I take it home, save the file with

a unique file name that identifys the patient to me and then edit the

file to include only those issues that the patient presents with.

 

This is the WordPerfect file text if you haven't seen it in my previous

posts:

 

Patient Medical History:

 

Patient: Record Date:

 

Patient Number: Age: Gender:

 

What is your major complaint?

How long have you had this condition?

What treatments or remedies have you tried for this condition?

 

Have you seen a Western Doctor for this condition? Yes or No.

Have you seen a Chiropractor for this condition? Yes or No.

Have you ever had scarlet fever? Yes or No.

Have you ever had diphtheria? Yes or No.

Have you ever had rheumatic fever? Yes or No.

Have you ever had chronic or frequent colds? Yes or No.

Have you ever had sinusitis? Yes or No.

Have you ever had tuberculosis? Yes or No.

Have you ever had a heart murmur? Yes or No.

Have you ever had a heart attack? Yes or No.

Have you ever had a heart condition? Yes or No.

Have you ever had stomach, liver or intestinal trouble? Yes or No.

Have you ever had gallbladder trouble or gallstones? Yes or No.

Have you ever had jaundice? Yes or No.

Have you ever had a reaction to serum, drug or medicine? Yes or No.

Have you ever had a tumor, growth, cyst or cancer? Yes or No.

Have you ever had piles or rectal disease? Yes or No.

Have you ever had a kidney stone or blood in your urine? Yes or No.

Have you ever had sugar or albumin in your urine? Yes or No.

Have you ever had venereal disease? Yes or No.

Have you ever had any drug or narcotic habit? Yes or No.

Have you ever had an excessive drinking habit? Yes or No.

Have you ever had to wear a neck or back brace? Yes or No.

Have you ever had exposure to tuberculosis? Yes or No.

Have you ever had to wear eyeglasses? Yes or No.

Have you ever had eye trouble? Yes or No.

Have you ever had ear, nose or throat trouble? Yes or No.

 

(female only section)

Have you ever had a pregnancy? Yes or No.

Have you ever had a vaginal discharge? Yes or No.

Have you ever had treatment for female disorder? Yes or No.Have you ever

had painful menstruation? Yes or No.

Have you ever had irregular menstruation? Yes or No.

How old were you when you had your first menstrual period?

What is the interval between your menstrual periods?

How long do your menstrual periods last?

When was your last period?

What is the quantity of your menstrual discharge? Normal, Excessive or

Scanty.

Have you ever had or do you now have bloody or other discharge, non

menses? No, Seldom or Frequent.

Have you ever had or do you now have loss of sexual desire? No, Seldom

or Frequent.

(end of female only section)

 

Have you ever had or do you now have shortness of breath? No, Seldom or

Frequent.

Have you ever had or do you now have swollen ankles? No, Seldom or Frequent.

Have you ever had or do you now have high blood pressure? No, Seldom or

Frequent.

Have you ever had or do you now have a rapid heartbeat? No, Seldom or

Frequent.

Have you ever had or do you now have dizziness? No, Seldom or Frequent.

Have you ever had or do you now have fainting spells? No, Seldom or

Frequent.

Have you ever had or do you now have chest pain or pressure? No, Seldom

or Frequent.

Have you ever had or do you now have leg cramps? No, Seldom or Frequent.

Have you ever had or do you now have a cough? No, Seldom or Frequent.

Have you ever coughed up blood or do you now? No, Seldom or Frequent.

Have you ever had or do you now have hoarseness? No, Seldom or Frequent.

Have you ever had or do you now have sore throats? No, Seldom or Frequent.

Have you ever had or do you now have hay fever? No, Seldom or Frequent.

Have you ever had or do you now have nosebleeds? No, Seldom or Frequent.

Have you ever had or do you now have asthmatic wheezing? No, Seldom or

Frequent.

Have you ever had or do you now have pneumonia? No, Seldom or Frequent.

Have you ever had or do you now have indigestion? No, Seldom or Frequent.

Have you ever had or do you now have abdominal pain or cramps? No,

Seldom or Frequent.

Have you ever had or do you now have constipation? No, Seldom or Frequent.

Have you ever had or do you now have diarrhea? No, Seldom or Frequent.

Have you ever had or do you now have blood in your bowel movement? No,

Seldom or Frequent.

Have you ever had or do you now have a black bowel movement? No, Seldom

or Frequent.

Have you ever had or do you now have increased appetite? No, Seldom or

Frequent.

Have you ever had or do you now have increased thirst? No, Seldom or

Frequent.

Have you ever had or do you now have decreased appetite? No, Seldom or

Frequent.

Have you ever had or do you now have nausea and vomiting? No, Seldom or

Frequent.

Have you ever had or do you now have difficulty swallowing? No, Seldom

or Frequent.

Have you ever had or do you now have skin ulceration? No, Seldom or

Frequent.

Have you ever had or do you now have itching? No, Seldom or Frequent.

Have you ever had or do you now have a rash? No, Seldom or Frequent.

Have you ever had or do you now have back pain? No, Seldom or Frequent.

Have you ever had or do you now have frequent urination? No, Seldom or

Frequent.

 

(male only section)Have you ever had or do you now have pain in the

testicles? No, Seldom or Frequent.

Have you ever had or do you now have bloody or other discharge from your

penis? No, Seldom or Frequent.

Have you ever had or do you now have loss of sexual potency? No, Seldom

or Frequent.

(end of male only section)

 

Have you ever had or do you now have arthritis? No, Seldom or Frequent.

Have you ever had or do you now have muscle pain or cramps? No, Seldom

or Frequent.

Have you ever had or do you now have painful joints? No, Seldom or Frequent.

Have you ever had or do you now have lameness? No, Seldom or Frequent.

Have you ever had or do you now have backaches? No, Seldom or Frequent.

Have you ever had or do you now have weakness? No, Seldom or Frequent.

Have you ever had or do you now have fever? No, Seldom or Frequent.

Have you ever had or do you now have chills? No, Seldom or Frequent.

Have you ever had or do you now have night sweats? No, Seldom or Frequent.

Have you ever had or do you now have headaches? No, Seldom or Frequent.

Have you ever had or do you now have insomnia? No, Seldom or Frequent.

Have you ever had or do you now have nervousness? No, Seldom or Frequent.

Have you ever had or do you now have irritability? No, Seldom or Frequent.

Have you ever had or do you now have morning tiredness? No, Seldom or

Frequent.

Have you ever had or do you now have easy fatigability? No, Seldom or

Frequent.

 

Have you ever been refused employment because of your health? Yes or no.

Why were you refused employment because of your health?

 

Have you ever been denied life insurance because of your health?

Why were you refused life insurance because of your health?

 

Have you ever been rejected for or discharged from military service

because of physical, mental or other reasons? Yes or no.

 

Do you smoke? Yes or no.

What do you smoke?

How much do you smoke?

How long have you smoked?

 

Do you have or have you had weight loss recently? Yes or no.

Do you have or have you had weight gain recently? Yes or no.

How much have you lost or gained?

 

Do you have or have you had a memory defect recently? Yes or no.

Do you have or have you had a change in your handwriting recently? Yes

or no.Do you have or have you had difficulty walking in the dark

recently? Yes or no.

Do you have or have you had balance problems recently? Yes or no.

Do you have or have you had numbness or tingling in the extremities

recently? Yes or no.

Do you have or have you had hearing loss recently? Yes or no.

Do you have or have you had ringing ears recently? Yes or no.

Do you have or have you had a change in your vision recently ? Yes or no.

Do you have or have you had an ear ache recently? Yes or no.

Do you have or have you had running ears recently? Yes or no.

Do you have or have you had new skin growths recently? Yes or no.

Do you have or have you had a change in the color of your skin recently?

Yes or no.

Do you have or have you had a tendency to bruise easily recently? Yes or no.

Do you have or have you had athlete's foot recently? Yes or no.

Do you have or have you had heat intolerance recently? Yes or no.

Do you have or have you had cold intolerance recently? Yes or no.

Do you have or have you had a change in your shoe or hat size recently?

Yes or no.

Do you have or have you had lymph node enlargement recently? Yes or no.

Do you have or have you had kidney stones recently? Yes or no.

 

Do you have other items of physical fitness you want to mention? Yes or no.

What are the other items of physical fitness you want to mention?

 

Is there a history of tuberculosis in your family? Yes or no.

Who had tuberculosis in your family?

 

Is there a history of diabetes in your family? Yes or no.

Who had diabetes in your family?

 

Is there a history of cancer in your family? Yes or no.

Who had cancer in your family?

 

Is there a history of gout in your family? Yes or no.

Who had gout in your family?

 

Is there a history of heart trouble in your family? Yes or no.

Who had heart trouble in your family?

 

Is there a history of stroke in your family? Yes or no.

Who had a stroke in your family?

 

Is there a history of high blood pressure in your family? Yes or no.

Who had high blood pressure in your family?

 

 

Is there a history of asthma, hay fever or hives in your family? Yes or no.

Who had asthma, hay fever or hives in your family?

 

Is there a history of glaucoma in your family? Yes or no.

Who had glaucoma in your family?

 

What medications do you currently take?

Have you been hospitalized or treated in the past year for what you

would consider a significant condition? Yes or no.

What was or were the significant condition or conditions you were

treated or hospitalized for?

 

Are there other factors in your physical condition not already covered

that you have questions about? Yes or no.

What are the other factors in your physical condition not already

covered that you have questions about?

 

Please list all operations you may have had, and your age when you had them.

 

End of Medical History portion.

 

 

Four Pillar Examination: (stuff in parentheses is what it means to have

a " hit " on the question, don't have all of the meanings - doctors are

not in agreement, yet. Can anyone help fill in the blanks?)

 

Observe:

 

Unhealthy complexion. Yes or No. (no spirit)

Withered muscles. Yes or No. (no spirit)

Dark or unclear face color. Yes or No. (no spirit)

Eyes move uncontrollably, show no inner vitality and are not clear. Yes

or No. (no spirit)

Mind is unclear. Yes or No. (no spirit)

Breathing with a readily noticeable sound. Yes or No. (no spirit)

Excess, rapid or jerky movement. Yes or No. (heat, often liver or heart)

Slow or no movement. Yes or No. (deficient cold, usually spleen)

Small movement, continuous fidgeting especially of the legs. Yes or No.

(deficient heat in the kidneys)

Tremors or convulsions. Yes or No. (interior wind of the liver)

Clear moist color (indicates intact Stomach-Qi, Dry lifeless color

indicates exhausted Stomach-Qi)

Green face color (indicates a Liver pattern, interior Cold, pain or

interior Wind) Yes or No.

Red color (may indicate Inflammation, fever or infection)

White (indicates Deficiency, Cold, Blood Deficiency or Yang Deficiency,

Dull-pale-white indicates Blood deficiency, Bright-white color indicates

Yang deficiency)Black complexion (indicates Cold, pain or Kidney

disease, usually Kidney-Yin deficiency, Moist Black indicates Cold,

Dried-up, burned black color indicates Heat, usually Empty- Heat from

Kidney-Yin deficiency)

Yellow (Spleen deficiency, Dampness, or both; Bright orange-yellow,

Damp-Heat more Heat than dampness; Hazy, smoky yellow, Damp-Heat, more

Dampness than Heat; Withered, dried up yellow, Heat in Stomach and

Spleen; Sallow yellow, Stomach and Spleen deficiency;Dull-pale yellow,

Cold-Damp in Stomach and Spleen)

Tall & Slender, hard working " Wood Type " . Yes or No.

Small pointed head, fast moving & small hands " Fire Type " . Yes or No.

Broad, square shoulders, slow and deliberate, strong build, triangular

face, " Metal Type " . Yes or No.

Slightly fat, calm, large head, belly and thighs, wide jaws, " Earth

Type " . Yes or No.

Round face and body with a long spine, slightly lazy, " Water Type " . Yes

or No.

Large chest & epigastrium. Yes or No.

Very large upper thighs out of proportion with the rest of the body. Yes

or No.

Fat body ( " central obesity " in Western medicine.) Yes or No.

The eyes have glitter and reveal inner vitality. Yes or No.

The eyes move uncontrollably, show no inner vitality and are not clear.

Yes or No.

Clear thin phlegm, cold pattern; dry nasal passage or yellow phlegm,

heat pattern; nose bleeding, extreme heat excess pattern.

5 element ear problem is mainly kidney; tinnitus is yin deficient,

hyperactive fire liver or kidney; crack at the front of the earlobe is

heart.

Excess mouth movement, or rapid, jerky,Yang, Full (excess) Hot; lack of

movement, slow movements Yin, Empty (deficient) Cold.

Observe the lips.

Loose teeth, kidney essence deficient.

Observe the gums.

Pale, sallow face, (deficient qi & blood; or stagnant qi and congealed

blood;) Dark face (liver & kidney yin deficient or stagnant qi and

congealed blood); red face, (heat in the blood;) puffy or pale, bright,

(deficient spleen qi unable to control blood).

Healthy color around wrists and ankles. Yes or No.

Dry and shriveled around wrists and ankles. Yes or No.

Pale nails. Yes or No.

Blue nails. Yes or No.

Observe the Thenar Eminence.

Non-pitting edema of the lower limbs. Yes or No.

Pitting edema of the lower limbs. Yes or No.

Infant index finger venules:

Tongue color.

Tongue shape.

Tongue coating.

Tongue moisture.

Redness along the channel or channels. Yes or No.

Which channel or channels are red?

White color along the channel or channels. Yes or No.Which channel or

channels are white?

Purple color along the channel or channels. Yes or No.

Which channel or channels are purple?

Purple spots along the channel or channels. Yes or No.

Which channel or channels have purple spots?

Rash along the channel or channels. Yes or No.

Which channel or channels have a rash?

 

Inquire:

 

Fever with aversion to cold. Yes or No. (exterior cold/wind)

Feeling feverish with a slight chilliness. Yes or no. (exterior heat/wind)

Feeling of fever without chills. Yes or no. (heat evil)

Alternating fever and chills. Yes or no. (shao yang stage)

Low grade fever worse in the afternoon or only in the afternoon. Yes or

no. (yin deficiency)

Constant low grade fever. Yes or no. (qi deficiency)

Fever in the middle of the night. Yes or no. (yin deficiency)

Area of the body that is sweating.

Time of day that there is sweating. (day sweat, yang deficiency; night

sweat, yin deficiency)

Condition of the illness.

Quality of the sweat.

Sudden onset of headache. Yes or no.

Gradual onset of headache. Yes or no.

Time of day when the head aches.

Location of the headache.

Character of the headache pain:

Condition of the patient while having the headache.

Severe giddiness, everything seems to sway, loss of balance. Yes or no.

Slight dizziness with a feeling of heaviness in the head. Yes or no.

Sudden onset of dizziness. Yes or no.

Gradual onset of dizziness. Yes or no.

Slight dizziness, worse when tired. Yes or no.

Pain that is diminished by heat. Yes or no.

Pain that is diminished by cold. Yes or no. (heat)

Pain that is relieved by touch or pressure. Yes or no. (deficient)

Pain that is worsened by touch or pressure. Yes or no. (excess)

Pain that is better after eating. Yes or no. (deficient)

Pain that is worse after eating. Yes or no. (excess)

Pain that is worse in humid weather. Yes or no. (dampness)

Pain with bloating or a sense of fullness. Yes or no. (excess)

Sharp stabbing pain usually in a fixed location. Yes or no. (blood stasis)

Sensation of heaviness. Yes or no. (damp cold, damp heat, qi deficiency

or bi syndrome)

Pain that moves from place to place. Yes or no. (wind)

Slight pain with fatigue. Yes or no. (deficient qi or dampness)

Clear Urine. Yes or no.

Dark Yellow or Reddish Urine. Yes or no.

Scanty urination. Yes or no.

Frequent dark, scanty and painful urination. Yes or no.

Incomplete urination, dribbling or lack of force. Yes or no.

Infrequent, dry hard stool. Yes or no.

Frequent watery or unformed stools. Yes or no.

Urgent diarrhea, especially if yellowish with burning anus. Yes or no.

Stool dry at first, then wet. Yes or no.

Undigested food in the stool. Yes or no.

Thirst, appetite and tastes.

Not able to fall asleep. Yes or no.

Dream disturbed sleep. Yes or no.

Restless sleep with dreams. Yes or no.

Wake up early and not able to fall asleep again. Yes or no.

Always early period. Yes or no.

Always late period. Yes or no.

Sometimes early, sometimes late period. Yes or no.

Heavy menstrual flow. Yes or no.

Scanty period. Yes or no.

Dark red or bright red menstrual blood. Yes or no.

Pale color menstrual blood. Yes or no.

Purple or blackish menstrual blood. Yes or no.

Fresh red color menstrual blood. Yes or no.

Congealed menses with clots. Yes or no.

Watery menses. Yes or no.

Turbid menses. Yes or no.

Pain before periods. Yes or no.

Pain during periods. Yes or no.

Pain after periods. Yes or no.

Taking contraceptive pills. Yes or no.

Have had an intrauterine device. Yes or no.

Have had two or more births. Yes or no.

White leucorrhea. Yes or no.

Yellow vaginal discharge. Yes or no.

Green leucorrhea. Yes or no.

Red and white vaginal discharge. Yes or no.

Yellow discharge with pus and blood. Yes or no.

Watery leucorrhea. Yes or no.

Thick leucorrhea. Yes or no.

Is it possible that you are pregnant now? Yes or no.

Change in sinews, such as weak or stiff. Yes or No.

Change in blood vessels, hard & wiry pulse. Yes or No.

Change in the skin, such as flaccid skin. Yes or No.

Change in the bones, such as brittle bones. Yes or No.

Bitter taste is liver problem. Dry mouth is liver, kidney, yin

deficiency, heat. No taste is mucus dampness or spleen.

Throws off the blanket at night. Yes or No. (excess heat maybe liver or

heart)

 

Listen & smell:

 

Coarse, strong respiration. Yes or No. (excess)

Weak Respiration, or shortness of breath, weak, low voice, little

speech. Yes or No. (deficiency)

Sudden loss of voice. Yes or No. (usually wind heat)

Chronic loss of voice. Yes or No. (deficiency)

Wheezing. Yes or No. (asthma due to kidney deficiency)

Heavy or sudden, violent cough. Yes or No. (excess)

Dry hacking cough. Yes or No. (heat or dryness)

Weak cough. Yes or No. (deficiency pattern)

Shouting " angry " tone of voice. Yes or No. (wood imbalance or liver

disharmony)

Frequent laughter without reason. Yes or No. (fire imbalance)

Laughing tone of voice. Yes or No. (heart disharmony)

Singing tone of voice. Yes or No. (earth imbalance or spleen disharmony)

Crying. Yes or No. (related to metal, lung deficiency)

Whimpering tone of voice. Yes or No. (lung disharmony)

Very thin and weak voice. Yes or No. (weakness of Lung Qi)

Groaning tone of voice. Yes or No. (imbalance in water or Kidney disharmony)

Loud sounds from the abdomen. Yes or No. (full or excessive pattern)

Weak sounds from the abdomen. Yes or No. (empty or deficient pattern)

Foul, rotten nauseating odor like rotten meat or rotten eggs.Yes or No.

(Kidney or bladder damp heat, or heat in any organ)

Pungent, fishy odor that seems to hurt the nose like bleach odor. Yes or

No. (Cold and Deficiency)

Rancid or goatish, wood; Scorched or burning, fire; Fragrant or

perfumed, earth; Fleshy or rank, metal and Rotten or putrid, water (or

heat in any organ)

 

Palpate:

 

Systolic blood pressure (Optimal <120; Normal <130; High Normal <139;

Stage 1, 140 159; Stage 2, 160 179; Stage 3, 180 or more)

Diastolic blood pressure (Optimal <80; Normal <85; High Normal <89;

Stage 1, 90 99; Stage 2, 100 109; Stage 3. 100 or more)

Heart rate.

Floating pulse. Yes or no. (weak, deficient yin; strong, interior wind)

Sinking pulse. Yes or No. (yin, internal disharmony or obstruction)

Slow pulse less than 70 beats per minute. Yes or No. (cold or

insufficient qi)

Rapid pulse more than 87.5 beats per minute. Yes or No. (heat is

accelerating the movement of blood)

Thin pulse feels like a fine thread but very distinct and clear. Yes or

No. (blood deficiency, often qi deficiency as well)

Big pulse broad and very distinct. Yes or No. (heat in stomach, intestines)

Empty pulse big with no strength, felt at the superficial level. Yes or

No. (deficient qi and blood)

Full pulse big, strong, pounding hard against the fingers at all three

levels. Yes or No. (excess)

Slippery pulse extremely fluid " ball bearing covered with viscous

fluid " . Yes or No. ( yang within yin; pregnant, excess damp or mucus)

Choppy pulse uneven and rough, and sometimes irregular in strength and

fullness. Yes or No. (thin, deficient blood or jing; not thin, congealed

blood)

Wiry pulse, taut feeling; strong, rebounds at all levels, hits the

fingers evenly; no fluidity or wave. Yes or no. (stagnation in the body,

usually related to a disharmony that impairs the flowing and spreading

functions of the Liver and Gall Bladder)

Tight pulse strong and seems to bounce from side to side like a taut

rope.Yes or No. (Yang within Yin, Excess, Cold and Stagnation)

Short pulse, does not fill the spaces under the three fingers and is

usually felt in only one position. Yes or No. (often sign of deficient qi)

Long pulse is perceptible beyond the first and third positions. Yes or

No. (if tight and wiry, excess)

Knotted pulse, slow irregular pulse that skips beats irregularly. Yes or

No. (cold obstructing Qi, Blood; Deficient Qi, Blood or Jing. Often a

sign of the Heart not ruling the Blood properly, more interruptions in

rhythm, more severe the condition)

Hurried pulse is a rapid pulse that skips beats irregularly. Yes or No.

(Heat agitating the Qi and Blood)

Intermittent pulse usually skips more beats than the previous two

pulses, but does so in a regular pattern. Yes or No. (Serious Heart

disharmony, or it can signal exhaustion of all organs)

Moderate pulse is the healthy, perfectly balanced pulse normal in

depth, speed, strength and width. Yes or No. (very rare, not necessary

for a clean bill of health)

Flooding pulse surges with the strength of a big pulse to hit the

fingers at all three depths, but leaves the fingers with less strength,

like a receding wave. Yes or No. (Heat has injured the Fluids and Yin)

Minute pulse is extremely fine and soft, but lacks the clarity of the

thin pulse. It is barely perceptible and seems to disappear. Yes or No.

(extreme Deficiency)

Frail pulse is soft, weak and somewhat thin. It is usually felt at the

deep level. It is like an inverted empty pulse. Yes or No. (extreme

Deficient Qi condition)

Soggy pulse is a combination of the thin, empty and floating pulses. It

is extremely soft, less clear than a thin pulse and is perceptible only

in the superficial position. Yes or No. (Deficient Blood or Jing, and

sometimes of Dampness)

Leather pulse is a combination of the wiry and the floating pulses, with

aspects of the empty pulse. It feels like the tight skin on the top of a

drum. Yes or No. (Deficient Blood or Jing)

Hidden pulse is an extreme form of the sinking pulse. Yes or No.

(Deficient Yang if weak. If strong, Deficient Cold obstructing the

meridians)

Moving pulse is a combination of the short, tight, slippery and rapid

pulses felt in only one position, incomplete without a head or a tail.

Yes or No. (extreme condition rarely seen, cases of heart palpitation,

intense fright, fever or pain)

Hollow pulse, like the stem of a green onion, solid on the outside but

completely empty, often a floating pulse. Yes or No. (Deficient Blood,

often seen after great loss of Blood)

Scattered pulse, similar to empty pulse, floating, big and weak; larger

and much less distinct than empty pulse, however tends to be felt

primarily as it recedes. Yes or No. (serious Disharmony Kidney Yang is

exhausted and is floating away)

Radial pulse: Left distal (first) Heart; Left central (second) Liver;

Left proximal (third) Kidney Yin; Right distal (first) Lungs; Right

central (second) Spleen; Right proximal (third) Kidney Yang, Mingmen,

Life Gate Fire.

 

Flaccidness along the channel or channels. Yes or No.

Which channel or channels are flaccid?

 

Feeling of hardness along the channel or channels. Yes or No.

Which channel or channels are hard?

 

Feeling of cold along the channel or channels. Yes or No

Which channel or channels are cold?

 

Feeling of heat along the channel or channels. Yes or No.

Which channel or channels are hot?

 

Hot at first press then decline. Yes or No. (superficial heat)

Heat increases as felt. Yes or No. (internal heat)

Skin widely hot with no steaming. Yes or No. (general debility)

Cool skin. Yes or No. (yang deficiency)

Cold hands and feet. Yes or No. ( deficient yin, extreme pathogenic cold)

Hot hands and feet. Yes or No. (extreme yang heat)

Hot palms of hot hands. Yes or No. (extreme yang heat)

Hot dorsum of hot hand. Yes or No. (exterior syndrome)

Dry skin. Yes or No. (deficiency of liver blood)

Itchy skin. Yes or No. (wind)

Withered skin. Yes or No. (fluids are exhausted)

 

Summary:

 

Acupuncture impression:

 

Treatment principle:

 

Possible Points:

 

Herbal Pills:

 

(end of WordPerfect file text)

 

I hope this is helpful.

 

Regards,

 

Pete

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Guest guest

herbsandhelpers wrote:

> Dear Nicholas,

> I have recently developed a database that can perform

> the function of complete traceablity of any products/treatments to

> any customers it's called Batch Master V 1.0 and further details may

> be accessed from my website:

>

> http://www.herbalmedicineuk.com/Pages/public.mv

 

Hi Lorraine!

 

" COST £150.00 per 1 CD containing 30 day FREE trial " Hmm. I suppose it seems

like that in effect

there is no free trial. Sort of like buy the paid version and get the

trial version included for free, or something like that.

 

Does this have diagnostic info and will it keep medical records? I think

this is a feature we all would like, I know I would.

 

Regards,

 

Pete

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Hi Pete,

 

as thorough as your intake form is I think there are a few things which are

important to mention.

Firstly,I believe we should ask the patient if they have had acupuncture or

herbs before.Were there any side effects?With fainting it is important to

ask if the patient has fainted before at the sight of needles or the feel of

them.History of seizures or epilepsy is very important and how to deal with

these as they DO occur.Blood related diseases such as haemophilia and

infectious diseses such as HIV/AIDS.I think these things are VERY important

in practice.An emergency contact number is important.Some of these

conditions could be covered by your last question but patients DO forget

about them so I think it is really important to ask directly.

Regards Ray Ford

 

 

Chinese Medicine

Chinese Medicine On Behalf Of Pete

Theisen

Monday, 1 August 2005 9:05 PM

Chinese Medicine

Re: Chinese Med

 

Nicholas wrote:

<snip>

> What software applications does everyone use in their clinics to house

> paitients information and treatments? I am curious to see if everyone

> uses a databasing system available on the market, or if you keep them

> by hand?

 

Hi Nicholas!

 

I have tried a few demo programs but they are 1) expensive and 2) don't seem

to work. I have been trying to write one of my own for ten years but, alas,

I am no programmer.

 

That said, I have enlisted a programmer to help me with it. I will post to

the list when we have a version ready. However, this will be a while, it has

already been ten years.

 

I have a work-around that I use for the time being. It is a text file with

all my intake questions that I print out and write on with a pen while

interviewing the patient. Then I take it home, save the file with a unique

file name that identifys the patient to me and then edit the file to include

only those issues that the patient presents with.

 

This is the WordPerfect file text if you haven't seen it in my previous

posts:

 

Patient Medical History:

 

Patient: Record Date:

 

Patient Number: Age: Gender:

 

What is your major complaint?

How long have you had this condition?

What treatments or remedies have you tried for this condition?

 

Have you seen a Western Doctor for this condition? Yes or No.

Have you seen a Chiropractor for this condition? Yes or No.

Have you ever had scarlet fever? Yes or No.

Have you ever had diphtheria? Yes or No.

Have you ever had rheumatic fever? Yes or No.

Have you ever had chronic or frequent colds? Yes or No.

Have you ever had sinusitis? Yes or No.

Have you ever had tuberculosis? Yes or No.

Have you ever had a heart murmur? Yes or No.

Have you ever had a heart attack? Yes or No.

Have you ever had a heart condition? Yes or No.

Have you ever had stomach, liver or intestinal trouble? Yes or No.

Have you ever had gallbladder trouble or gallstones? Yes or No.

Have you ever had jaundice? Yes or No.

Have you ever had a reaction to serum, drug or medicine? Yes or No.

Have you ever had a tumor, growth, cyst or cancer? Yes or No.

Have you ever had piles or rectal disease? Yes or No.

Have you ever had a kidney stone or blood in your urine? Yes or No.

Have you ever had sugar or albumin in your urine? Yes or No.

Have you ever had venereal disease? Yes or No.

Have you ever had any drug or narcotic habit? Yes or No.

Have you ever had an excessive drinking habit? Yes or No.

Have you ever had to wear a neck or back brace? Yes or No.

Have you ever had exposure to tuberculosis? Yes or No.

Have you ever had to wear eyeglasses? Yes or No.

Have you ever had eye trouble? Yes or No.

Have you ever had ear, nose or throat trouble? Yes or No.

 

(female only section)

Have you ever had a pregnancy? Yes or No.

Have you ever had a vaginal discharge? Yes or No.

Have you ever had treatment for female disorder? Yes or No.Have you ever had

painful menstruation? Yes or No.

Have you ever had irregular menstruation? Yes or No.

How old were you when you had your first menstrual period?

What is the interval between your menstrual periods?

How long do your menstrual periods last?

When was your last period?

What is the quantity of your menstrual discharge? Normal, Excessive or

Scanty.

Have you ever had or do you now have bloody or other discharge, non menses?

No, Seldom or Frequent.

Have you ever had or do you now have loss of sexual desire? No, Seldom or

Frequent.

(end of female only section)

 

Have you ever had or do you now have shortness of breath? No, Seldom or

Frequent.

Have you ever had or do you now have swollen ankles? No, Seldom or Frequent.

Have you ever had or do you now have high blood pressure? No, Seldom or

Frequent.

Have you ever had or do you now have a rapid heartbeat? No, Seldom or

Frequent.

Have you ever had or do you now have dizziness? No, Seldom or Frequent.

Have you ever had or do you now have fainting spells? No, Seldom or

Frequent.

Have you ever had or do you now have chest pain or pressure? No, Seldom or

Frequent.

Have you ever had or do you now have leg cramps? No, Seldom or Frequent.

Have you ever had or do you now have a cough? No, Seldom or Frequent.

Have you ever coughed up blood or do you now? No, Seldom or Frequent.

Have you ever had or do you now have hoarseness? No, Seldom or Frequent.

Have you ever had or do you now have sore throats? No, Seldom or Frequent.

Have you ever had or do you now have hay fever? No, Seldom or Frequent.

Have you ever had or do you now have nosebleeds? No, Seldom or Frequent.

Have you ever had or do you now have asthmatic wheezing? No, Seldom or

Frequent.

Have you ever had or do you now have pneumonia? No, Seldom or Frequent.

Have you ever had or do you now have indigestion? No, Seldom or Frequent.

Have you ever had or do you now have abdominal pain or cramps? No, Seldom or

Frequent.

Have you ever had or do you now have constipation? No, Seldom or Frequent.

Have you ever had or do you now have diarrhea? No, Seldom or Frequent.

Have you ever had or do you now have blood in your bowel movement? No,

Seldom or Frequent.

Have you ever had or do you now have a black bowel movement? No, Seldom or

Frequent.

Have you ever had or do you now have increased appetite? No, Seldom or

Frequent.

Have you ever had or do you now have increased thirst? No, Seldom or

Frequent.

Have you ever had or do you now have decreased appetite? No, Seldom or

Frequent.

Have you ever had or do you now have nausea and vomiting? No, Seldom or

Frequent.

Have you ever had or do you now have difficulty swallowing? No, Seldom or

Frequent.

Have you ever had or do you now have skin ulceration? No, Seldom or

Frequent.

Have you ever had or do you now have itching? No, Seldom or Frequent.

Have you ever had or do you now have a rash? No, Seldom or Frequent.

Have you ever had or do you now have back pain? No, Seldom or Frequent.

Have you ever had or do you now have frequent urination? No, Seldom or

Frequent.

 

(male only section)Have you ever had or do you now have pain in the

testicles? No, Seldom or Frequent.

Have you ever had or do you now have bloody or other discharge from your

penis? No, Seldom or Frequent.

Have you ever had or do you now have loss of sexual potency? No, Seldom or

Frequent.

(end of male only section)

 

Have you ever had or do you now have arthritis? No, Seldom or Frequent.

Have you ever had or do you now have muscle pain or cramps? No, Seldom or

Frequent.

Have you ever had or do you now have painful joints? No, Seldom or Frequent.

Have you ever had or do you now have lameness? No, Seldom or Frequent.

Have you ever had or do you now have backaches? No, Seldom or Frequent.

Have you ever had or do you now have weakness? No, Seldom or Frequent.

Have you ever had or do you now have fever? No, Seldom or Frequent.

Have you ever had or do you now have chills? No, Seldom or Frequent.

Have you ever had or do you now have night sweats? No, Seldom or Frequent.

Have you ever had or do you now have headaches? No, Seldom or Frequent.

Have you ever had or do you now have insomnia? No, Seldom or Frequent.

Have you ever had or do you now have nervousness? No, Seldom or Frequent.

Have you ever had or do you now have irritability? No, Seldom or Frequent.

Have you ever had or do you now have morning tiredness? No, Seldom or

Frequent.

Have you ever had or do you now have easy fatigability? No, Seldom or

Frequent.

 

Have you ever been refused employment because of your health? Yes or no.

Why were you refused employment because of your health?

 

Have you ever been denied life insurance because of your health?

Why were you refused life insurance because of your health?

 

Have you ever been rejected for or discharged from military service because

of physical, mental or other reasons? Yes or no.

 

Do you smoke? Yes or no.

What do you smoke?

How much do you smoke?

How long have you smoked?

 

Do you have or have you had weight loss recently? Yes or no.

Do you have or have you had weight gain recently? Yes or no.

How much have you lost or gained?

 

Do you have or have you had a memory defect recently? Yes or no.

Do you have or have you had a change in your handwriting recently? Yes or

no.Do you have or have you had difficulty walking in the dark recently? Yes

or no.

Do you have or have you had balance problems recently? Yes or no.

Do you have or have you had numbness or tingling in the extremities

recently? Yes or no.

Do you have or have you had hearing loss recently? Yes or no.

Do you have or have you had ringing ears recently? Yes or no.

Do you have or have you had a change in your vision recently ? Yes or no.

Do you have or have you had an ear ache recently? Yes or no.

Do you have or have you had running ears recently? Yes or no.

Do you have or have you had new skin growths recently? Yes or no.

Do you have or have you had a change in the color of your skin recently?

Yes or no.

Do you have or have you had a tendency to bruise easily recently? Yes or no.

Do you have or have you had athlete's foot recently? Yes or no.

Do you have or have you had heat intolerance recently? Yes or no.

Do you have or have you had cold intolerance recently? Yes or no.

Do you have or have you had a change in your shoe or hat size recently?

Yes or no.

Do you have or have you had lymph node enlargement recently? Yes or no.

Do you have or have you had kidney stones recently? Yes or no.

 

Do you have other items of physical fitness you want to mention? Yes or no.

What are the other items of physical fitness you want to mention?

 

Is there a history of tuberculosis in your family? Yes or no.

Who had tuberculosis in your family?

 

Is there a history of diabetes in your family? Yes or no.

Who had diabetes in your family?

 

Is there a history of cancer in your family? Yes or no.

Who had cancer in your family?

 

Is there a history of gout in your family? Yes or no.

Who had gout in your family?

 

Is there a history of heart trouble in your family? Yes or no.

Who had heart trouble in your family?

 

Is there a history of stroke in your family? Yes or no.

Who had a stroke in your family?

 

Is there a history of high blood pressure in your family? Yes or no.

Who had high blood pressure in your family?

 

 

Is there a history of asthma, hay fever or hives in your family? Yes or no.

Who had asthma, hay fever or hives in your family?

 

Is there a history of glaucoma in your family? Yes or no.

Who had glaucoma in your family?

 

What medications do you currently take?

Have you been hospitalized or treated in the past year for what you would

consider a significant condition? Yes or no.

What was or were the significant condition or conditions you were treated or

hospitalized for?

 

Are there other factors in your physical condition not already covered that

you have questions about? Yes or no.

What are the other factors in your physical condition not already covered

that you have questions about?

 

Please list all operations you may have had, and your age when you had them.

 

End of Medical History portion.

 

 

Four Pillar Examination: (stuff in parentheses is what it means to have a

" hit " on the question, don't have all of the meanings - doctors are not in

agreement, yet. Can anyone help fill in the blanks?)

 

Observe:

 

Unhealthy complexion. Yes or No. (no spirit) Withered muscles. Yes or No.

(no spirit) Dark or unclear face color. Yes or No. (no spirit) Eyes move

uncontrollably, show no inner vitality and are not clear. Yes or No. (no

spirit) Mind is unclear. Yes or No. (no spirit) Breathing with a readily

noticeable sound. Yes or No. (no spirit) Excess, rapid or jerky movement.

Yes or No. (heat, often liver or heart) Slow or no movement. Yes or No.

(deficient cold, usually spleen) Small movement, continuous fidgeting

especially of the legs. Yes or No.

(deficient heat in the kidneys)

Tremors or convulsions. Yes or No. (interior wind of the liver) Clear moist

color (indicates intact Stomach-Qi, Dry lifeless color indicates exhausted

Stomach-Qi) Green face color (indicates a Liver pattern, interior Cold, pain

or interior Wind) Yes or No.

Red color (may indicate Inflammation, fever or infection) White (indicates

Deficiency, Cold, Blood Deficiency or Yang Deficiency, Dull-pale-white

indicates Blood deficiency, Bright-white color indicates Yang

deficiency)Black complexion (indicates Cold, pain or Kidney disease, usually

Kidney-Yin deficiency, Moist Black indicates Cold, Dried-up, burned black

color indicates Heat, usually Empty- Heat from Kidney-Yin deficiency) Yellow

(Spleen deficiency, Dampness, or both; Bright orange-yellow, Damp-Heat more

Heat than dampness; Hazy, smoky yellow, Damp-Heat, more Dampness than Heat;

Withered, dried up yellow, Heat in Stomach and Spleen; Sallow yellow,

Stomach and Spleen deficiency;Dull-pale yellow, Cold-Damp in Stomach and

Spleen) Tall & Slender, hard working " Wood Type " . Yes or No.

Small pointed head, fast moving & small hands " Fire Type " . Yes or No.

Broad, square shoulders, slow and deliberate, strong build, triangular face,

" Metal Type " . Yes or No.

Slightly fat, calm, large head, belly and thighs, wide jaws, " Earth Type " .

Yes or No.

Round face and body with a long spine, slightly lazy, " Water Type " . Yes or

No.

Large chest & epigastrium. Yes or No.

Very large upper thighs out of proportion with the rest of the body. Yes or

No.

Fat body ( " central obesity " in Western medicine.) Yes or No.

The eyes have glitter and reveal inner vitality. Yes or No.

The eyes move uncontrollably, show no inner vitality and are not clear.

Yes or No.

Clear thin phlegm, cold pattern; dry nasal passage or yellow phlegm, heat

pattern; nose bleeding, extreme heat excess pattern.

5 element ear problem is mainly kidney; tinnitus is yin deficient,

hyperactive fire liver or kidney; crack at the front of the earlobe is

heart.

Excess mouth movement, or rapid, jerky,Yang, Full (excess) Hot; lack of

movement, slow movements Yin, Empty (deficient) Cold.

Observe the lips.

Loose teeth, kidney essence deficient.

Observe the gums.

Pale, sallow face, (deficient qi & blood; or stagnant qi and congealed

blood;) Dark face (liver & kidney yin deficient or stagnant qi and congealed

blood); red face, (heat in the blood;) puffy or pale, bright, (deficient

spleen qi unable to control blood).

Healthy color around wrists and ankles. Yes or No.

Dry and shriveled around wrists and ankles. Yes or No.

Pale nails. Yes or No.

Blue nails. Yes or No.

Observe the Thenar Eminence.

Non-pitting edema of the lower limbs. Yes or No.

Pitting edema of the lower limbs. Yes or No.

Infant index finger venules:

Tongue color.

Tongue shape.

Tongue coating.

Tongue moisture.

Redness along the channel or channels. Yes or No.

Which channel or channels are red?

White color along the channel or channels. Yes or No.Which channel or

channels are white?

Purple color along the channel or channels. Yes or No.

Which channel or channels are purple?

Purple spots along the channel or channels. Yes or No.

Which channel or channels have purple spots?

Rash along the channel or channels. Yes or No.

Which channel or channels have a rash?

 

Inquire:

 

Fever with aversion to cold. Yes or No. (exterior cold/wind) Feeling

feverish with a slight chilliness. Yes or no. (exterior heat/wind) Feeling

of fever without chills. Yes or no. (heat evil) Alternating fever and

chills. Yes or no. (shao yang stage) Low grade fever worse in the afternoon

or only in the afternoon. Yes or no. (yin deficiency) Constant low grade

fever. Yes or no. (qi deficiency) Fever in the middle of the night. Yes or

no. (yin deficiency) Area of the body that is sweating.

Time of day that there is sweating. (day sweat, yang deficiency; night

sweat, yin deficiency) Condition of the illness.

Quality of the sweat.

Sudden onset of headache. Yes or no.

Gradual onset of headache. Yes or no.

Time of day when the head aches.

Location of the headache.

Character of the headache pain:

Condition of the patient while having the headache.

Severe giddiness, everything seems to sway, loss of balance. Yes or no.

Slight dizziness with a feeling of heaviness in the head. Yes or no.

Sudden onset of dizziness. Yes or no.

Gradual onset of dizziness. Yes or no.

Slight dizziness, worse when tired. Yes or no.

Pain that is diminished by heat. Yes or no.

Pain that is diminished by cold. Yes or no. (heat) Pain that is relieved by

touch or pressure. Yes or no. (deficient) Pain that is worsened by touch or

pressure. Yes or no. (excess) Pain that is better after eating. Yes or no.

(deficient) Pain that is worse after eating. Yes or no. (excess) Pain that

is worse in humid weather. Yes or no. (dampness) Pain with bloating or a

sense of fullness. Yes or no. (excess) Sharp stabbing pain usually in a

fixed location. Yes or no. (blood stasis) Sensation of heaviness. Yes or no.

(damp cold, damp heat, qi deficiency or bi syndrome) Pain that moves from

place to place. Yes or no. (wind) Slight pain with fatigue. Yes or no.

(deficient qi or dampness) Clear Urine. Yes or no.

Dark Yellow or Reddish Urine. Yes or no.

Scanty urination. Yes or no.

Frequent dark, scanty and painful urination. Yes or no.

Incomplete urination, dribbling or lack of force. Yes or no.

Infrequent, dry hard stool. Yes or no.

Frequent watery or unformed stools. Yes or no.

Urgent diarrhea, especially if yellowish with burning anus. Yes or no.

Stool dry at first, then wet. Yes or no.

Undigested food in the stool. Yes or no.

Thirst, appetite and tastes.

Not able to fall asleep. Yes or no.

Dream disturbed sleep. Yes or no.

Restless sleep with dreams. Yes or no.

Wake up early and not able to fall asleep again. Yes or no.

Always early period. Yes or no.

Always late period. Yes or no.

Sometimes early, sometimes late period. Yes or no.

Heavy menstrual flow. Yes or no.

Scanty period. Yes or no.

Dark red or bright red menstrual blood. Yes or no.

Pale color menstrual blood. Yes or no.

Purple or blackish menstrual blood. Yes or no.

Fresh red color menstrual blood. Yes or no.

Congealed menses with clots. Yes or no.

Watery menses. Yes or no.

Turbid menses. Yes or no.

Pain before periods. Yes or no.

Pain during periods. Yes or no.

Pain after periods. Yes or no.

Taking contraceptive pills. Yes or no.

Have had an intrauterine device. Yes or no.

Have had two or more births. Yes or no.

White leucorrhea. Yes or no.

Yellow vaginal discharge. Yes or no.

Green leucorrhea. Yes or no.

Red and white vaginal discharge. Yes or no.

Yellow discharge with pus and blood. Yes or no.

Watery leucorrhea. Yes or no.

Thick leucorrhea. Yes or no.

Is it possible that you are pregnant now? Yes or no.

Change in sinews, such as weak or stiff. Yes or No.

Change in blood vessels, hard & wiry pulse. Yes or No.

Change in the skin, such as flaccid skin. Yes or No.

Change in the bones, such as brittle bones. Yes or No.

Bitter taste is liver problem. Dry mouth is liver, kidney, yin deficiency,

heat. No taste is mucus dampness or spleen.

Throws off the blanket at night. Yes or No. (excess heat maybe liver or

heart)

 

Listen & smell:

 

Coarse, strong respiration. Yes or No. (excess) Weak Respiration, or

shortness of breath, weak, low voice, little speech. Yes or No. (deficiency)

Sudden loss of voice. Yes or No. (usually wind heat) Chronic loss of voice.

Yes or No. (deficiency) Wheezing. Yes or No. (asthma due to kidney

deficiency) Heavy or sudden, violent cough. Yes or No. (excess) Dry hacking

cough. Yes or No. (heat or dryness) Weak cough. Yes or No. (deficiency

pattern) Shouting " angry " tone of voice. Yes or No. (wood imbalance or liver

disharmony)

Frequent laughter without reason. Yes or No. (fire imbalance) Laughing tone

of voice. Yes or No. (heart disharmony) Singing tone of voice. Yes or No.

(earth imbalance or spleen disharmony) Crying. Yes or No. (related to metal,

lung deficiency) Whimpering tone of voice. Yes or No. (lung disharmony) Very

thin and weak voice. Yes or No. (weakness of Lung Qi) Groaning tone of

voice. Yes or No. (imbalance in water or Kidney disharmony) Loud sounds from

the abdomen. Yes or No. (full or excessive pattern) Weak sounds from the

abdomen. Yes or No. (empty or deficient pattern) Foul, rotten nauseating

odor like rotten meat or rotten eggs.Yes or No.

(Kidney or bladder damp heat, or heat in any organ) Pungent, fishy odor that

seems to hurt the nose like bleach odor. Yes or No. (Cold and Deficiency)

Rancid or goatish, wood; Scorched or burning, fire; Fragrant or perfumed,

earth; Fleshy or rank, metal and Rotten or putrid, water (or heat in any

organ)

 

Palpate:

 

Systolic blood pressure (Optimal <120; Normal <130; High Normal <139; Stage

1, 140 159; Stage 2, 160 179; Stage 3, 180 or more) Diastolic blood

pressure (Optimal <80; Normal <85; High Normal <89; Stage 1, 90 99; Stage

2, 100 109; Stage 3. 100 or more) Heart rate.

Floating pulse. Yes or no. (weak, deficient yin; strong, interior wind)

Sinking pulse. Yes or No. (yin, internal disharmony or obstruction) Slow

pulse less than 70 beats per minute. Yes or No. (cold or insufficient qi)

Rapid pulse more than 87.5 beats per minute. Yes or No. (heat is

accelerating the movement of blood) Thin pulse feels like a fine thread but

very distinct and clear. Yes or No. (blood deficiency, often qi deficiency

as well) Big pulse broad and very distinct. Yes or No. (heat in stomach,

intestines) Empty pulse big with no strength, felt at the superficial level.

Yes or No. (deficient qi and blood) Full pulse big, strong, pounding hard

against the fingers at all three levels. Yes or No. (excess) Slippery pulse

extremely fluid " ball bearing covered with viscous fluid " . Yes or No. ( yang

within yin; pregnant, excess damp or mucus) Choppy pulse uneven and rough,

and sometimes irregular in strength and fullness. Yes or No. (thin,

deficient blood or jing; not thin, congealed

blood)

Wiry pulse, taut feeling; strong, rebounds at all levels, hits the fingers

evenly; no fluidity or wave. Yes or no. (stagnation in the body, usually

related to a disharmony that impairs the flowing and spreading functions of

the Liver and Gall Bladder) Tight pulse strong and seems to bounce from side

to side like a taut rope.Yes or No. (Yang within Yin, Excess, Cold and

Stagnation) Short pulse, does not fill the spaces under the three fingers

and is usually felt in only one position. Yes or No. (often sign of

deficient qi) Long pulse is perceptible beyond the first and third

positions. Yes or No. (if tight and wiry, excess) Knotted pulse, slow

irregular pulse that skips beats irregularly. Yes or No. (cold obstructing

Qi, Blood; Deficient Qi, Blood or Jing. Often a sign of the Heart not ruling

the Blood properly, more interruptions in rhythm, more severe the condition)

Hurried pulse is a rapid pulse that skips beats irregularly. Yes or No.

(Heat agitating the Qi and Blood)

Intermittent pulse usually skips more beats than the previous two pulses,

but does so in a regular pattern. Yes or No. (Serious Heart disharmony, or

it can signal exhaustion of all organs) Moderate pulse is the healthy,

perfectly balanced pulse normal in depth, speed, strength and width. Yes or

No. (very rare, not necessary for a clean bill of health) Flooding pulse

surges with the strength of a big pulse to hit the fingers at all three

depths, but leaves the fingers with less strength, like a receding wave. Yes

or No. (Heat has injured the Fluids and Yin) Minute pulse is extremely fine

and soft, but lacks the clarity of the thin pulse. It is barely perceptible

and seems to disappear. Yes or No.

(extreme Deficiency)

Frail pulse is soft, weak and somewhat thin. It is usually felt at the deep

level. It is like an inverted empty pulse. Yes or No. (extreme Deficient Qi

condition) Soggy pulse is a combination of the thin, empty and floating

pulses. It is extremely soft, less clear than a thin pulse and is

perceptible only in the superficial position. Yes or No. (Deficient Blood or

Jing, and sometimes of Dampness) Leather pulse is a combination of the wiry

and the floating pulses, with aspects of the empty pulse. It feels like the

tight skin on the top of a drum. Yes or No. (Deficient Blood or Jing) Hidden

pulse is an extreme form of the sinking pulse. Yes or No.

(Deficient Yang if weak. If strong, Deficient Cold obstructing the

meridians)

Moving pulse is a combination of the short, tight, slippery and rapid pulses

felt in only one position, incomplete without a head or a tail.

Yes or No. (extreme condition rarely seen, cases of heart palpitation,

intense fright, fever or pain) Hollow pulse, like the stem of a green onion,

solid on the outside but completely empty, often a floating pulse. Yes or

No. (Deficient Blood, often seen after great loss of Blood) Scattered pulse,

similar to empty pulse, floating, big and weak; larger and much less

distinct than empty pulse, however tends to be felt primarily as it recedes.

Yes or No. (serious Disharmony Kidney Yang is exhausted and is floating

away) Radial pulse: Left distal (first) Heart; Left central (second) Liver;

Left proximal (third) Kidney Yin; Right distal (first) Lungs; Right central

(second) Spleen; Right proximal (third) Kidney Yang, Mingmen, Life Gate

Fire.

 

Flaccidness along the channel or channels. Yes or No.

Which channel or channels are flaccid?

 

Feeling of hardness along the channel or channels. Yes or No.

Which channel or channels are hard?

 

Feeling of cold along the channel or channels. Yes or No Which channel or

channels are cold?

 

Feeling of heat along the channel or channels. Yes or No.

Which channel or channels are hot?

 

Hot at first press then decline. Yes or No. (superficial heat) Heat

increases as felt. Yes or No. (internal heat) Skin widely hot with no

steaming. Yes or No. (general debility) Cool skin. Yes or No. (yang

deficiency) Cold hands and feet. Yes or No. ( deficient yin, extreme

pathogenic cold) Hot hands and feet. Yes or No. (extreme yang heat) Hot

palms of hot hands. Yes or No. (extreme yang heat) Hot dorsum of hot hand.

Yes or No. (exterior syndrome) Dry skin. Yes or No. (deficiency of liver

blood) Itchy skin. Yes or No. (wind) Withered skin. Yes or No. (fluids are

exhausted)

 

Summary:

 

Acupuncture impression:

 

Treatment principle:

 

Possible Points:

 

Herbal Pills:

 

(end of WordPerfect file text)

 

I hope this is helpful.

 

Regards,

 

Pete

 

 

 

 

 

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ray ford wrote:

> Hi Pete,

>

> as thorough as your intake form is I think there are a few things

> which are important to mention. Firstly,I believe we should ask the

> patient if they have had acupuncture or herbs before.Were there any

> side effects?With fainting it is important to ask if the patient has

> fainted before at the sight of needles or the feel of them.

 

Hi Ray!

 

Yes, good suggestion.

 

> History of seizures or epilepsy is very important and how to deal

> with these as they DO occur.

 

OK

 

> Blood related diseases such as haemophilia and infectious diseses

> such as HIV/AIDS.

 

If I recall correctly it is against the law to ask about AIDS/HIV.

Something about targeting the people who initially were most likely to

get this. We were taught to assume that every patient had it and use

" Universal Precautions " . Political correctness and all that.

 

I have a separate contact sheet that contains personal stuff like phone

numbers and addresses. I didn't include it but it will be in the

program, of course.

 

> I think these things are VERY important in practice.An emergency

> contact number is important.Some of these conditions could be covered

> by your last question but patients DO forget about them so I think

> it is really important to ask directly.

 

Regards,

 

Pete

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