What are the main contents of olfactory diagnosis and what does it include

The contents of the consultation mainly include: general items, chief complaint and medical history, current symptoms, etc.

1. Ask about general projects.

General items, including name, gender, age, ethnicity, occupation, marital status, place of origin, current employer, current address, etc.

Asking and recording general items can strengthen the doctor-patient relationship, follow up on the patient, and be responsible for the patient's diagnosis and treatment. At the same time, it can also be used as a reference for diagnosing diseases. Depending on the gender, the disease is different.

Men may have spermatozoa, **, impotence and other diseases; Women may have menstruation, carrying, fetal and childbirth diseases. The incidence of diseases such as measles, chickenpox, and whooping cough is more common in children. The same disease has a difference in reality due to different ages.

Generally speaking, young adults have sufficient qi and blood, and there are many empirical evidences of diseases; The elderly have qi and blood failure, and there are many symptoms of deficiency in diseases. Asking occupations can help understand the best of certain diseases, such as working in water, easy to get wet, and can also understand certain occupational diseases, such as lead poisoning, silicosis, etc. Ask if you are married?

Women who are married can know whether they have pregnancy, pregnancy diseases and birth history, and men who are married can have male function decline and hyperactivity. Ask about the place of origin and address to learn about endemic diseases. These are all important references for diagnosis and **.

Olfactory examination involves hearing sounds and smelling odors. Listening to sounds, mainly listening to the patient's voice, breathing, coughing, vomiting, hiccups, belching and other voice changes; Smell is mainly to smell the body, breath and sweat, phlegm, mucus, stool, urine and other secreted excretion of odor changes. Some of the contents of the smell diagnosis are actually learned by asking the patient or his companion, and the doctor does not have to listen or smell it himself.

TCM olfactory diagnosis includes two aspects: listening to sounds and smelling smells.

Listening to sound refers to the diagnosis of the patient's voice, speech, breathing, coughing, vomiting, hiccups, belching, breathing, sneezing, bowel sounds and other sounds.

Usually, the loud and loud voice is mostly empirical evidence, and vice versa is false evidence. Speech disorder is mostly a lesion of the heart, breathing, coughing, and sneezing are mostly related to lung disease, and vomiting, hiccups, and belching are mostly manifestations of stomach loss and decline, and stomach qi is reversed. Tai Xi is mostly related to liver depression.

Smell can be divided into two aspects: the body and the ward. The smell of the sick body is mainly due to the evil poison that causes the human organs, qi and blood, and fluid to produce bad qi, so that it is emitted from the body and the discharge, according to which the cold, heat, deficiency, reality and evil qi of the viscera and qi and blood can be distinguished.

Usually, those who are sour and rotten are mostly true and hot; Those with no odor or slightly fishy smell are mostly cold syndromes. The smell of the ward is emitted by the smell of the sick body and its excrement, such as the smell of mold and decay in the room of the plague patient; There is a smell of blood in the patient's room due to blood loss; Urine odor is more common in patients with advanced edematous disease.