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Japanese Acupuncture Diagnosis.pdf

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Japanese Acupuncture Diagnosis.pdf

文档介绍

文档介绍:Questioning 問診
Questioning is an examination method whereby various questions that may be of help in
determining the pattern of imbalance are asked of the patient. Questioning is a very important
and fundamental part of an examination, but many beginners are uncertain what to ask. Many
are also poor questioners and ask irrelevant questions or ask questions in a rote manner, such
that the patient feels fortable or offended.
Some patients, for instance, e for a fairly simple low back treatment, may think
it intrusive to be asked for information beyond the basics of name, address, and age, such as
profession, previous illnesses, home and family environment, and family medical history. To
them, such seemingly overly detailed questioning can make them dislike the practitioner.
Questioning, in a sense, involves eliciting some secrets from the patient, so appropriate
discretion should be used while asking only those questions that are related to the symptom
pattern.
Poor questioners usually get poor answers from their patients. Some patients may really
dramatize their situation and others may go on and on about their condition. This can reach
the extent that some practitioners even think the patient is telling nothing but lies. But all
these problems arise from unskilled questioning.
In order to be petent questioner it is essential to have a wealth of knowledge about
numerous diseases—both from the contemporary medical perspective and the traditional
medical point of view. It is of course even better to have experience examining and treating
those diseases.
Basic Questions
① Name, Address, Age, and Occupation
This is the bare essential information to be asked. Sometimes it may be necessary to ask
the patient’s gender if it is not apparent.
Some patients may not wish to reveal their occupation. Depending on the circumstances,
the question may be phrased in a general manner such as, “Do you do office work?”