TCM Diagnostics is a discipline that studies how to diagnose and differentiate diseases and patterns under the guidance of TCM theories. The contents of the course chiefly include four parts: introduction, diagnostic methods, pattern differentiation and comprehensive application, with diagnostic methods and pattern differentiation as its focus. Diagnostic methods are the means employed to collect data or search for the symptoms and signs. They include inspection, listening and smelling, enquiry, and palpation. Together, they are called the four examinations/diagnostic methods. While there are various pattern differentiation methods, including Eight-Principle Pattern Differentiation, Pattern Differentiation based on Etiology, Pattern Differentiation according to Qi, Blood and Body Fluids, Zang-Fu Organ Pattern Differentiation, Six-channel Pattern Differentiation, Wei-Qi-Ying-Blood Pattern Differentiation, and Sanjiao Pattern Differentiation, and Sanjiao Pattern Differentiation, etc.
Through the study of this course, students are required not only to master the basic concepts and theories related to TCM diagnosis, but also to gain the ability to diagnose an illness, differentiate diseases and patterns, and write medical records. Therefore, in the designing and teaching of this course, we attach great importance to the training of basic skills so as to lay a solid foundation for your future study of related TCM clinical courses.
As an important compulsory course in the TCM curriculum system, TCM Diagnostics is usually arranged between Fundamentals of TCM and clinical courses. Thus, it serves as a bridge linking the basic theories of TCM and clinical training.
TCM Diagnostics (I) mainly focuses on the introduction and diagnostic methods of inspection, listening and smelling, inquiry and palpation. The objective is to help students understand the status and main contents of the course, as well as the rationale and basic principles for TCM diagnosis, and grasp the concept, manifestation, clinical significance and specific diagnostic methods of common TCM symptoms and signs, so as to lay a foundation for further study of pattern differentiation and clinical course.
This course is suitable not only for students majoring in TCM or western medicine, but also for all TCM lovers at home and abroad. In order to facilitate your understanding, in the designing of this course, we have also endeavored to show its connection with relevant contents and knowledge in other TCM courses, such as Fundamentals of TCM, TCM Clinical Basis, and various TCM clinical courses. In order to do that, we have invited 11 nationally renowned professors from our university to participate in the teaching and discussion of relevant knowledge points. We would like to express our heartfelt thanks to those professors for their strong support, and to all the teachers and students who have helped with collecting materials and recording the course.
The experts participating in course-recording are as follows:
Professor Wang Qingguo, TCM Clinical Basis, lifelong professor at Beijing University of Chinese Medicine
Professor Gu Xiaohong, TCM Clinical Basis, Secretary of the Party Committee, Beijing University of Chinese Medicine
Professor Zhai Shuangqing, TCM Basic Theories, vice president, Beijing University of Chinese Medicine
Professor Chen Zhigang, Department of Encephalopathy, Dongfang Hospital, Beijing University of Chinese Medicine
Professor Jiao Yang, Respiratory Department, Dongfang Hospital, Beijing University of Chinese Medicine
Professor Zhang Hong, Department of Pediatrics, Dongfang Hospital, Beijing University of Chinese Medicine
Professor Li Haisong, Department of Andrology, Dongzhimen Hospital, Beijing University of Chinese Medicine
Professor Liu Yanfeng, Department of Gynecology, Dongzhimen Hospital, Beijing University of Chinese Medicine
Chief Physician Huang Qing, Department of Dermatology, Dongzhimen Hospital, Beijing University of Chinese Medicine
Deputy Chief Physician Zhou Li, Department of Acupuncture, Dongfang Hospital, Beijing University of Chinese Medicine
Deputy Chief Physician Hu Xingang, Department of Encephalopathy, Dongfang Hospital, Beijing University of Chinese Medicine
第1周 绪论 Introduction
1.1走进中医诊断学 Preface to TCM Diagnostics
1.2中医诊断学的主要内容 Main contents of TCM diagnostics
1.3中医诊断疾病的基本原理 Rationales of TCM Diagnositics
1.4中医诊断疾病的基本法则 Basic rules of TCM Diagnostics
1.5中医诊断学的学习方法 Learning Methods for the Course
第2周 望诊 Inspection (1)
2.1 望诊概述 Overview of Inspection
2.2 望诊发展简史 A Brief History of Inspection
2.3 整体望诊--概述 Overview of Inspection of the general condition
2.4 整体望诊--望神志 Inspection of Shen (mental activity)
2.5 整体望诊--望面色 Inspection of Complexion
2.6 整体望诊--望形体 Inspection of Physique
2.7 整体望诊--望姿态 Inspection of Posture and Movement
2.8 整体望诊--神气的分类与表现 The Classification and Manifestations of Shen (vitality)
第3周 望诊2 Inspection (2)
2.9 分部望诊概述 Overview of Inspection of the Local Conditions
2.10 分部望诊--望头面 Inspection of the Head and Face
2.11 分部望诊--望五官 Inspection of the Five Sense Organs
2.12 分部望诊--望颈项 Inspection of the Neck
2.13 分部望诊--望躯体 Inspection of the Trunk
2.14 分部望诊--望四肢 Inspection of the Limbs
2.15 分部望诊--望二阴 Inspection of the External Genitals and Anus
2.16 分部望诊--望皮肤 Inspection of the Skin
2.17 分部望诊--望指甲 Inspection of the Nails
2.18 望小儿食指络脉 Inspection of Infant’s Finger Venules
第4周 望诊3 Inspection (3)
2.19 舌诊概述 Overview of Tongue Inspection
2.20 舌诊--舌的解剖和生理功能 Anatomy and Physiological Functions of the Tongue
2.21 舌诊---中医对舌的认识及舌诊的内容 Tongue in TCM’s View and Contents of Tongue Inspection
2.22 舌诊---舌诊的方法和注意事项 Methods and Precautions
2.23 舌诊---正常舌象及其生理变异 Normal Tongue Manifestation and Physiological Variations
2.24 舌诊---望舌体 Inspection of the Tongue Body
2.25 舌诊---望舌苔 Inspection of the Tongue Coating
2.26 舌诊---舌象分析要点 Key Points for Analyzing the Tongue Manifestations
2.27舌诊---舌诊的意义及临床应用 Clinical Significance of the Tongue Inspection
望诊单元测验 Inspection Unit Test
望诊单元作业 Inspection Unit Assignment
第5周闻诊 Listening and Smelling
3.1 闻诊概述 Overview of Listening and Smelling
3.2 闻诊发展简史 A Brief History of Listening and Smelling
3.3 听声音--语声Listening to the Voice
3.4 听声音--喷嚏、鼻鼾 Sneezing and Snoring
3.5 听声音--咳嗽、咯痰 Coughing and Expectorations
3.6 听声音--喘、哮 Panting and Wheezing
3.7 听声音--恶心、呕吐 Nausea and Vomiting
3.8 听声音--呃逆、嗳气 Hiccupping and Belching
3.9听声音--肠鸣、太息、呵欠 Borborygmus, Deep Signing and Yawning
3.10 嗅气味 Smelling the Odor
闻诊-单元测验Listening and Smelling Unit Test
闻诊-单元作业Listening and Smelling Unit Assignment
第6周 问诊（1）Inquiry (1)
4.1 问诊概述 Overview of Inquiry
4.2 问诊发展简史 A Brief History of Inquiry
4.3 问诊的方法及技巧 Methods and Skills
4.4 问诊的内容 Contents of Inquiry
4.5 问寒热Cold and Heat
4.6 问汗 Sweating
第7周 问诊（2）Inquiry（2）
4.7 问疼痛 Pain
4.8 问头晕、头昏 Dizziness and Heaviness of the Head
4.9 问口、耳、目相关症状 Symptoms Related to the Mouth, Ear, and Eyes
4.10问胸、胁、脘、腹相关症状 Symptoms Related to the Chest, Hypochondrium, and Abdomen
4.11 问身重、疲劳 Heaviness of the Body and Fatigue
4.12 问睡眠 Inquiry of Sleep
4.13 问饮食 Inquiry of Diet
第8周 问诊（3）Inquiry（3）
4.14 问大便 Defecation and Stool
4.15 问小便 Urination and Urine
4.16 问妇女 Female Concerns
4.17 问男子 Male Concerns
4.18 问小儿 Inquiry of Children
Assignment: Dysmenorrhea
问诊-单元测验 Inquiry Unit Test
问诊单元作业 Inquiry Unit Assignment
第9周 切诊—1 Palpation (1)
5.1 脉诊概述 Overview of Pulse Diagnosis
5.2 脉诊发展简史A Brief History of Pulse Diagnosis
5.3 脉诊的常用部位Locations for Pulse Diagnosis
5.4 脉象的形成机理Formation of A Pulse Manifestation
5.5 寸口诊脉的方法及注意事项Cunkou Pulse-Taking Method and Precautions
5.6 脉象的构成要素Key Aspects of Pulse Manifestations
5.7 正常脉象及生理变异Normal Pulse Manifestation and Its Physiological Changes
第10周 切诊—2 Palpation (2)
5.8.1 常见脉象及临床意义——概述 Characteristics and Clinical Significance of Commonly Seen Pulses——Overview
5.8.2 常见脉象及临床意义——浮脉、沉脉 Floating Pulse and Deep Pulse
5.8.3 常见脉象及临床意义——迟脉、数脉、疾脉Slow Pulse, Rapid Pulse and Racing Pulse
5.8.4 常见脉象及临床意义——虚脉、实脉 Deficient Pulse and Excess Pulse
5.8.5 常见脉象及临床意义——长脉、、短脉 Long Pulse and Short Pulse
5.8.6 常见脉象及临床意义——滑脉、涩脉 Slippery Pulse and Rough Pulse
5.8.7 常见脉象及临床意义——洪脉、大脉、细脉 Surging Pulse, Large Pulse and Thready Pulse
5.8.8 常见脉象及临床意义——濡脉、弱脉 Soggy Pulse and Weak Pulse
5.8.9 常见脉象及临床意义——芤脉、革脉 Hollow Pulse and Drum-Skin Pulse
5.8.10 常见脉象及临床意义——弦脉、紧脉 Wiry Pulse and Tight Pulse
5.8.11 常见脉象及临床意义——促脉、结脉、代脉 Irregular-Rapid Pulse, Irregular-Slow Pulse and Regularly Intermittent Pulse
5.8.12 常见脉象及临床意义——散脉、微脉 Scattered Pulse and Faint Pulse
5.8.13 常见脉象及临床意义——伏脉、牢脉 Hidden Pulse and Firm Pulse
5.8.14 常见脉象及临床意义——动脉、缓脉 Throbbing Pulse and Loose/ Moderate Pulse
简述弦脉与紧脉的脉象特征，并比较两者的异同
第11周 切诊—3 Palpation (3)
5.9 相兼脉与真脏脉 Multi-Featured Pulses and Visceral Exhaustion Pulses
5.10 脉诊的意义及临床运用 Significance and Clinical Application of Pulse Diagnosis
5.11 按诊——按诊的方法及注意事项 Body Palpitation—— Methods and Precautions
5.12 按诊——按诊的内容 Body Palpitation—— Contents of Body Palpitation
切诊单元测验 Palpation Unit test
This course is suitable for TCM teachers, TCM college or university students of different levels, including undergraduate students and graduate students, as well as students from western medicine universities or TCM fans with certain knowledge about TCM theories. If you are a beginner who is interested in TCM, you can learn and refer to relevant TCM theoretical knowledge at the same time of learning this course.
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