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islandh3问诊单

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发表于 2010-5-26 08:03:17 | 显示全部楼层 |阅读模式
<p><font face="Verdana">性别: 男&nbsp;&nbsp; 女 &shy;</font></p>
<p><font face="Verdana">年龄:28 &shy;</font></p>
<p><font face="Verdana">籍贯:山东省烟台市养马岛镇 &shy;</font></p>
<p><font face="Verdana">婚否: &shy;未婚</font></p>
<p><font face="Verdana">身高: 160&shy;</font></p>
<p><font face="Verdana">体重: &shy;160</font></p>
<p><font face="Verdana">腰围: &shy;2.6</font></p>
<p><font face="Verdana">肤色: 容易白,容易黑。脸上白,身上黑(请描述皮肤是什么颜色) &shy;</font></p>
<p><font face="Verdana">目前气候:&shy;春末夏初,潮湿,温差较大</font></p>
<p><font face="Verdana">所在地方:&shy;小岛 </font></p>
<p><font face="Verdana">主要症状: &shy;容易疲劳,胖,便秘</font></p>
<p><font face="Verdana">&shy;</font></p>
<p><font face="Verdana">发病经过: &shy;每当换季,温度不稳定,就容易眩晕,浑身无力,困倦却睡不着,</font></p>
<p><font face="Verdana">&shy;</font></p>
<p><font face="Verdana">西医病名: &shy;眩晕症?美尼尔?</font></p>
<p><font face="Verdana">是否长期用过激素: 否</font></p>
<p><font face="Verdana">是否大量用过消炎药: &shy; 否</font></p>
<p><font face="Verdana">是否做过内脏手术:&nbsp; 否&shy;</font></p>
<p><font face="Verdana">&shy;</font></p>
<p><font face="Verdana">2、请仔细选择下列部位身体状态(去掉下列没有的情况) &shy;</font></p>
<p><font face="Verdana">脉(左):&nbsp;&nbsp; &shy;</font></p>
<p><font face="Verdana">脉(右): &shy;</font></p>
<p><font face="Verdana">面: 红&nbsp;&nbsp;&nbsp; 白&nbsp;&nbsp;&nbsp; &shy;</font></p>
<p><font face="Verdana">&nbsp;&nbsp; &shy;</font></p>
<p><font face="Verdana">眼:&nbsp; 白睛色青&nbsp;&nbsp; 色黄&nbsp;&nbsp;&nbsp; 有瘀斑&nbsp; 眼下色青眼皮肿 &shy;</font></p>
<p><font face="Verdana">&nbsp;&nbsp; &shy;</font></p>
<p><font face="Verdana">舌: 肥大&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 滑湿&nbsp;&nbsp; 有齿痕&nbsp;&nbsp; 干&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 白苔&nbsp;&nbsp; </font></p>
<p><font face="Verdana">&nbsp;&nbsp; &shy;</font></p>
<p><font face="Verdana">耳:&nbsp; 聋&nbsp;&nbsp; 痒&nbsp;&nbsp;&nbsp;&nbsp; 左&nbsp;&nbsp;&nbsp; &shy;</font></p>
<p><font face="Verdana">&nbsp;&nbsp; &shy;</font></p>
<p><font face="Verdana">目: 干涩&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 眩晕&nbsp;&nbsp; 流泪&nbsp;&nbsp;&nbsp; 左&nbsp;&nbsp; 右 &shy;</font></p>
<p><font face="Verdana">&nbsp;&nbsp; &shy;</font></p>
<p><font face="Verdana">口:&nbsp; &shy;</font></p>
<p><font face="Verdana">&nbsp;&nbsp; &shy;</font></p>
<p><font face="Verdana">鼻: &shy;</font></p>
<p><font face="Verdana">&nbsp;&nbsp; &shy;</font></p>
<p><font face="Verdana">咽: </font></p>
<p><font face="Verdana">&nbsp;&nbsp; &shy;</font></p>
<p><font face="Verdana">胸:&nbsp; 痛&nbsp;&nbsp; &shy;</font></p>
<p><font face="Verdana">&nbsp;&nbsp; &shy;</font></p>
<p><font face="Verdana">乳: 胀&nbsp;&nbsp; 痛&nbsp;&nbsp; </font></p>
<p><font face="Verdana">&nbsp;&nbsp; &shy;</font></p>
<p><font face="Verdana">胁: &shy;</font></p>
<p><font face="Verdana">&nbsp;&nbsp; &shy;</font></p>
<p><font face="Verdana">腹: 胀&nbsp;&nbsp; 满&nbsp;&nbsp; &shy;</font></p>
<p><font face="Verdana">&nbsp;&nbsp; &shy;</font></p>
<p><font face="Verdana">外阴:&nbsp;&nbsp; &shy;</font></p>
<p><font face="Verdana">心和心跳次数&nbsp; 悸&nbsp;&nbsp; 慌&nbsp; <br/>&nbsp;&nbsp; &shy;</font></p>
<p><font face="Verdana">心下: <br/>&nbsp;&nbsp; &shy;</font></p>
<p><font face="Verdana">胃:&nbsp;&nbsp;&nbsp; &shy;</font></p>
<p><font face="Verdana">头: 晕&nbsp;&nbsp; <br/>&nbsp;&nbsp; &shy;</font></p>
<p><font face="Verdana">项: 僵&nbsp;&nbsp;&nbsp;&nbsp; &shy;</font></p>
<p><font face="Verdana">肩:&nbsp;&nbsp;&nbsp; 凉&nbsp;&nbsp;&nbsp; 左&nbsp;&nbsp; 右 &shy;</font></p>
<p><font face="Verdana">&nbsp;&nbsp; &shy;</font></p>
<p><font face="Verdana">臂:&nbsp; 凉&nbsp;&nbsp; &shy;</font></p>
<p><font face="Verdana">&nbsp;&nbsp;&nbsp;&nbsp; &shy;</font></p>
<p><font face="Verdana">手:&nbsp; 热&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &shy;</font></p>
<p><font face="Verdana">背:&nbsp;&nbsp;&nbsp; 酸&nbsp;&nbsp; 重&nbsp;&nbsp; 胀&nbsp; &shy;</font></p>
<p><font face="Verdana">&nbsp;&nbsp; &shy;</font></p>
<p><font face="Verdana">腰: 酸&nbsp;&nbsp; 重&nbsp;&nbsp; 痛&nbsp;&nbsp;&nbsp;&nbsp; 凉&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &shy;</font></p>
<p><font face="Verdana">&nbsp;&nbsp;&nbsp;&nbsp; &shy;</font></p>
<p><font face="Verdana">腿:&nbsp; 外侧&nbsp;&nbsp;&nbsp; 酸&nbsp;&nbsp; 重&nbsp;&nbsp; 麻&nbsp;&nbsp; 木&nbsp;&nbsp;&nbsp; 左&nbsp;&nbsp; 右&nbsp;&nbsp; &shy;</font></p>
<p><font face="Verdana">&nbsp;&nbsp; &shy;</font></p>
<p><font face="Verdana">膝:&nbsp;&nbsp;&nbsp; &shy;</font></p>
<p><font face="Verdana">足:&nbsp;&nbsp; 热 &shy;</font></p>
<p><font face="Verdana">&nbsp;&nbsp; &shy;</font></p>
<p><font face="Verdana">足跟: 痛&nbsp;&nbsp; &shy;</font></p>
<p><font face="Verdana">&nbsp;&nbsp; &shy;</font></p>
<p><font face="Verdana">足趾: &shy;</font></p>
<p><font face="Verdana">3、请选择与下列项目对应的身体状况(以下各项目为必选,每一项目都必须详细选择) &shy;</font></p>
<p><font face="Verdana">&shy;</font></p>
<p><font face="Verdana">饮: 多&nbsp;&nbsp;&nbsp;&nbsp; 喜凉&nbsp;&nbsp; 喜热&nbsp;&nbsp;&nbsp;&nbsp; 喜酸&nbsp;&nbsp; 喜辣&nbsp;&nbsp; 喜苦&nbsp;&nbsp;&nbsp; 喜甜 &shy;</font></p>
<p><font face="Verdana">&nbsp;&nbsp; &shy;</font></p>
<p><font face="Verdana">食: 多&nbsp;&nbsp;&nbsp; 喜米&nbsp;&nbsp; 喜面&nbsp;&nbsp;&nbsp; 厌油腻 &shy;</font></p>
<p><font face="Verdana">&nbsp;&nbsp; &shy;</font></p>
<p><font face="Verdana">睡眠:&nbsp; 少&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </font></p>
<p><font face="Verdana">&nbsp;&nbsp; &shy;</font></p>
<p><font face="Verdana">大便: 干&nbsp;&nbsp;&nbsp; 便秘&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 色黑&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 色白 溏泻&nbsp;&nbsp;&nbsp; 数日一次 &shy;</font></p>
<p><font face="Verdana">&nbsp;&nbsp; &shy;</font></p>
<p><font face="Verdana">小便: <br/>&nbsp;&nbsp;&nbsp;&nbsp; &shy;</font></p>
<p><font face="Verdana">房事: 有&nbsp;&nbsp; <br/>女士必填: 女性患者请详细选择月经、白带状况(必选)&nbsp;&nbsp; &shy;</font></p>
<p><font face="Verdana">月经: 有&nbsp;&nbsp;&nbsp; 先期&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 少&nbsp;&nbsp; 暗&nbsp;&nbsp; 红&nbsp;&nbsp;&nbsp; &shy;</font></p>
<p><font face="Verdana">&nbsp;有血块&nbsp;&nbsp; 痛经&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &shy;</font></p>
<p><font face="Verdana">白带: 有&nbsp;&nbsp; 黄&nbsp;&nbsp; 腥&nbsp;&nbsp; 臭 &shy;</font></p>
<p><font face="Verdana">&nbsp;&nbsp; &shy;</font></p>
<p><font face="Verdana">4、请回答身体经常有如下哪些症状 &shy;</font></p>
<p><font face="Verdana">&shy;</font></p>
<p><font face="Verdana">乏力倦怠&nbsp;&nbsp; 少气懒言&nbsp;&nbsp; 嗜卧&nbsp;&nbsp;&nbsp; 时冷时热&nbsp;&nbsp; &shy;</font></p>
<p><font face="Verdana">小时候淋巴节肿大&nbsp;&nbsp;&nbsp;&nbsp; 站立觉累&nbsp;&nbsp; 静脉曲张&nbsp;&nbsp;&nbsp;&nbsp; &shy;</font></p>
<p><font face="Verdana">发热&nbsp;&nbsp; 出汗&nbsp;&nbsp; 怕冷&nbsp;&nbsp; 怕风&nbsp;&nbsp; 怕热&nbsp;&nbsp; 气短&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &shy;</font></p>
<p><font face="Verdana">鼻血&nbsp;&nbsp; 肢体僵硬 &shy;</font></p>
<p><font face="Verdana">&shy;</font></p>
<p><font face="Verdana">&shy;</font></p>
<p><font face="Verdana">5、七情何者为重 &shy;</font></p>
<p><font face="Verdana">&shy;</font></p>
<p><font face="Verdana">喜悦&nbsp;&nbsp;&nbsp;&nbsp; 思虑&nbsp;&nbsp; 悲伤&nbsp;&nbsp;&nbsp; &shy;</font></p>
<p><font face="Verdana"></font>&nbsp;</p>
<p><font face="Verdana"></font>&nbsp;</p>
<p><font face="Verdana">通过喝加味春季养生汤感觉身体好了很多,体重未降,很多人都说我瘦了。这几天好像发胖了。就是想减肥。麻烦孙先生</p>
<p><br/></p></font>
 楼主| 发表于 2010-5-29 12:17:12 | 显示全部楼层
俺要减肥,变漂漂
 楼主| 发表于 2010-5-29 12:38:55 | 显示全部楼层
<p>吃茼蒿红根菠菜之类的,舌头还是会发黑</p>
<p>&nbsp;</p>
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