You must start by establishing a detailed card which contains
- Last name, first name, date of birth, address, tel, profession
- Marital and family situation
- Medical history and history, trauma (physical and emotional shock), surgical procedures,… as well as family medical history (heredity).
Then you need to define the reason for the visit, which is most important for this person today, which should allow you to follow a common thread and not to get lost.
You should ask the person about the age of the signs and symptoms, since when they started, and what treatments or therapies the person has taken to treat a particular problem. You must also find out about any medication in progress.
The interrogation phase and the 10 basic questions phase is actually a checklist of the state of the 5 Zang. You have to respect a chronology and deepen information rather than collecting a lot of it.
For example, in case of pain, ask about the intensity, duration, circumstances of onset, worsening and relief. In case of insomnia, ask for details, be specific.
It is essential that the patient feels good and that he has time to speak and relax. The more the patient speaks, the better he will feel.
When observing, be sure to keep an overview. All the details are interesting: the shape of the body, the size, the complexion, the voice, the facial expressions … but without giving too much importance to certain small clues.
The patient's examination clearly includes taking the pulse on several occasions during the same session: a first time during the interrogation, for example, when the patient is seated facing you. Then ask the patient to undress and settle in. You will then be able to take the pulses of the 9 regions and compare the radial and carotid pulses.
You must have already mentally classified the information gleaned during the interrogation and you must think simple before thinking complicated !!! Sort as you go.
You then observe the tongue, you palpate the body, the abdomen, the canals and you spot hot or cold areas, edemas, spots, etc.
You are completing your first reasoning and looking for other information to confirm your hypotheses. If it is inconsistent, you should modify these assumptions.
You should not hesitate to conclude however. You have to decide and start the treatment with something. You can possibly resume the pulse after this first therapeutic action.
You can give explanations to people who ask for it, paying attention to the nocebo effect that some overly powerful statements cause! Just explain the case and give advice on healthy living.
Finally, know that to understand is not to heal. Guiding is not convincing or forcing. A good therapist works on him at the level of his physical and energetic vitality. He preserves his Qi and undertakes a spiritual process. He takes a step back from illness and death.
