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Notes on Differential Diagnosis of Practical Skills of Traditional Chinese Medicine (1)
1, cold air temperature difference

Seasonal course of disease caused by the spread of main symptoms.

Cold, wind and evil are dominant, fever is not high or hot, and the four seasons can be short and easy to cure.

Fever, cough, dizziness and convulsion are the main pathogens of wind-warm disease. There are obvious seasonal changes, from Wei to Qi, and even blood enters the camp, mostly in winter and spring. The length varies, and serious cases are difficult to cure.

2. Differentiation between common cold and influenza.

Epidemic situation and the spread of symptoms in the onset season

The common cold is mainly pathogenic wind, mainly sporadic in winter and spring, with low or no fever and mild systemic symptoms. Multiple invariance

When catching a cold, the virus spreads widely all year round, causing serious systemic symptoms. Heat transfer and change

3. The distinction between wind-cold cold and wind-heat cold

Etiology, pathogenesis and main symptoms

similarities and differences

Pathogen of cold due to wind-cold, aversion to cold and fever, stuffy nose and runny nose. Severe aversion to cold, mild fever, no sweat, runny nose, no thirst, thin and white tongue coating and tight pulse.

Wind-heat cold is accompanied by high fever, mild aversion to cold, excessive sweating, runny nose, thirst, sore throat or redness, thin yellow tongue coating and rapid pulse.

4. Distinguish asthma syndrome from asthma syndrome.

As far as wheezing is concerned, laryngitis is an independent disease with recurrent attacks. Asthma refers to shortness of breath, which is a symptom of various acute and chronic diseases.

Asthma and asthma syndrome are not necessarily accompanied by asthma.

5. Discrimination between Asthma with Excess and Asthma with Deficiency

Clinical manifestations of asthma with excess and asthma with deficiency.

Breathing deeply is more than enough, exhaling quickly, shortness of breath is difficult to continue, inhaling deeply is faster, and qi is timid.

Loud voice with phlegm and cough. Low, less phlegm, cough.

The number of pulse phases is strong and weak.

The illness is sudden and slow, sometimes light and sometimes heavy, and it is very hard to work.

6. The difference between chest pain and real heartache

Pain degree, duration, relief and ECG myocardial enzyme spectrum of syndrome

Chest pain is mild and brief, ranging from a few seconds to 15 minutes. Relieve quickly after rest or taking nitroglycerin. Shortness of breath, fatigue, spontaneous sweating and palpitation. Ischemic ST-T segment changes. normality

Severe true heartache with oppressive feeling can last for more than 30 minutes. It is difficult to relieve after rest or taking nitroglycerin. Pale face, sweaty limbs and blue lips. Electrocardiogram of myocardial infarction. abnormal

7. Differentiation of chest pain and stomach pain

Chest pain, heartache and stomachache

Located in the middle of sandalwood or near the left chest, upper abdomen, stomach and heart pit.

The nature is hidden, swollen, prickly, twisted and burning. Mainly swelling and pain, local tenderness.

The time interval is short and long.

Symptoms include palpitation, chest tightness, shortness of breath, anorexia, nausea, vomiting and other digestive system diseases.

Abnormal ECG is normal.