Diagnosis Procedure診斷程序

1.Have patient to lie down comfortably without any tension in the body.

讓患者舒適地躺下，身體不要緊張。

2.Extend the imaginary line connecting the tip of nose and umbilicus, and extend it up to malleoli  compare and confirm length of legs, foot spreading angles, and if umbilicus is inline without any deviation.

延長連接鼻尖和臍部的假想線，並將其延伸至槌狀骨比較並確認腿的長度，腳的張開角度，以及臍部是否呈線狀且無任何偏差。

3.Press UB56 / UB57 area with both hands and observe the patient’s response bilaterally for pain and tenderness.

用雙手按UB56 / UB57區域，從側面觀察患者對疼痛和壓痛的反應。

4.Lightly apply pressure around GB30 area as if you are lifting up the patient. Observe the patient’s response for pain or tenderness, and compare bilateral response.

好像要擡起病人一樣，在GB30區域周圍輕輕施加壓力。 觀察患者對疼痛或壓痛的反應，並比較雙側反應。

5.Same method to palpate at UB25 and L4 area, UB23, UB52, and L2 area, observe patient’s response with pain and/or tenderness, severity, and any asymmetric response. 

用相同的方法在UB25和L4區域，UB23，UB52和L2區域觸診，觀察患者的反應，包括疼痛和/或壓痛，嚴重程度以及任何不對稱反應。

6.Same procedure for bilateral LV13 area.

雙邊LV13區域的程序相同。

7.Same procedure for SI11 area, and Rhomboid minor/major (UB 12~ UB15) area, and around T4, T5, T6 area.

SI11區域，菱形次要/主要（UB 12～UB15）區域以及T4，T5，T6區域周圍的程序相同。

8.#4,5,6 Using your left hand to palpate and slightly lift area using 2,3,4 fingers in between GB21 and scapula spine on right-side.

＃4、5、6用右手的GB21和肩cap骨脊柱之間的2,3,4指頭用左手觸診並輕輕擡起區域。

9.Using your right hand to palpate and slightly lift area in between GB21 and scapula spine on left-side.

用右手觸診並輕輕擡起GB21和左側的肩cap骨脊柱之間的區域。

10.Palpate and squeeze GB21 area and observe the tenderness and patient’s response

觸診並擠壓GB21區域，觀察壓痛和患者的反應

11.Palpate and observe from cervical rotational motion.

觸診並觀察頸椎旋轉運動。

12.Inspect the in-line of nose, upper lip, and lower lip on the imaginary line connecting Yin-Tang to middle of chin. Tongue inspection is to include condition, size, color, and tremor, toothmark, .., etc., and in-line of tip of tongue between Yin Tang to middle of chin should be observed.

檢查將陰部和下巴中間連接的假想線的鼻子，上唇和下唇的直線。 舌頭檢查應包括病情，大小，顏色和震顫，牙齒印記等，並應觀察舌尖在.     

印堂到下巴中間的直線。

13.Palpate (a), (b), & (c) by slightly pushing upward and underneath of ribs.

輕輕向上推動肋骨並在肋骨下方觸診（a），（b）和（c）。

14.Palpate Ren4 (d) and ST25 (d) area.

觸碰Ren4（d）和ST25（d）區域。

15.Palpate and press McBurney Points (e) using index fingers.

觸摸並用食指按McBurney點（e）。

16.Palpate and press LV13 area (f) and observe response for pain or tenderness.

觸診並按LV13區域（f），觀察疼痛或壓痛的反應。

17.Palpate and press LU7 area for response.

觸摸並按LU7區域以作出響應。

18.Additionally, note the chief complaints for history, chronic conditions, medications intake, diet, life style, and personality.

此外，請注意主要的病史，慢性病，藥物攝入，飲食，生活方式和個性。

19.Thorough patient intake is required for urination, bowl movement, digestion, sweat, sleep, .., etc.

排尿，排便，消化，出汗，睡覺等都需要充分攝取病人的熱量。

Palpable Diagnostic Locations and Interpretation

明確的診斷位置和解釋

1.From #2 – This will check musculoskeletal state. The umbilicus being out-of-line is GB meridian, if one side of leg is shorter, or pain manifests especially on right side from #3 is Lung, if left side is shorter along with pain, then the Heart function is abnormal. Therefore, compare the result from #7 (Heart and Urinary Bladder issue)

從＃2 –這將檢查肌肉骨骼狀態。 脫離臍帶的是GB經絡，如果腿的一側較短，或者特別是＃3右側的疼痛表現為肺，如果左側較短且伴有疼痛，則說明心功能異常。 因此，請比較＃7的結果（心臟和膀胱膀胱問題）

2.From #5 – UB25 area and ST25 area from #14, back of neck, or bowel movement issue  Liver and LI issue

從＃5起–從UB25區和UB25區從＃14起，頸部後部或排便肝臟和LI發行

3.UB23 area from #5, observed issues from #14, AND problem around stomach area  Imbalance of Stomach and Kidney causing potential heart rate abnormality.

＃5的UB23區域，＃14的問題以及胃區域附近的問題,胃和腎臟的不平衡導致潛在的心率異常。

 

4.If observed issues from #6 and #16, imbalance in between Spleen and Gall Bladder triggering mental, and/or psychological, and digestive system issues. Look for toothmarks in tongue diagnosis.

如果觀察到＃6和＃16中的問題，則脾臟和膽囊之間的不平衡會觸發精神，和/或心理和消化系統問題。 在舌頭診斷中尋找牙印。

5.Any abnormality from #8, check #17 and functionality of Lung. If it is related to #15, then Lung and Small Intestine function to be confirmed. 

＃8異常，檢查＃17和肺功能。 如果與＃15相關，則肺和小腸功能得到確認。

6.If similar issue from #5 is showing in #9  Check functionality of Heart, Small Intestine, and sleep issues.

如果＃9中顯示＃5中的類似問題檢查心臟，小腸和睡眠問題的功能。

 

7.If problem in #10, then re-confirm #15 and #6. This is because of the Spleen not harmonizing with Lung and Spleen not harmonizing with Small Intestine.

如果＃10中有問題，則重新確認＃15和＃6。 這是因為脾臟與肺不協調，脾臟與小腸不協調。

8.If problem from #12, then give extra attention to confirm since it can be pre-indicator of CVA or CAD.

如果＃12中出現問題，則應特別注意進行確認，因為它可能是CVA或CAD的預示指標。

9.#13 is a very important diagnosis procedure in checking Liver, Spleen, and Stomach. It should derive the interactions in Spleen to Gall Bladder, Liver to Lung, and Stomach to Kidney, Heart to Stomach.

＃13是檢查肝，脾和胃的非常重要的診斷程序。 它應該得出脾臟到膽囊，肝到肺，胃到腎臟，心到胃的相互作用。

10.#15 is Small intestine area, if any pain or tenderness, reconfirm at #7 for SI11 area, Stomach and Spleen area.

＃15是小腸區域，如果有疼痛或壓痛，請在＃11處再次確認SI11，胃和脾臟區域。

11.#16 is where Gall Bladder is that need to confirm psychological/mental, headache, pain in ShaoYang side, Gall stones in relations to Spleen’s function.

＃16是膽囊所在的地方，需要確認心理/心理，頭痛，少陽側的疼痛，膽結石與脾臟功能的關係。

12.#17 is the Xi-Cleft point of Lung, note any abnormality on the right side upper/lower and lower hypochondriac area.

＃17是肺的Xi-Cleft點，請注意右側，下部和下部軟骨病區域有任何異常。

13.#18 is very important to compare with #1 ~ #12 results.

將＃18注意主要的病史，慢性病，藥物攝入，飲食，生活方式和個性。

與＃1～＃12的結果進行比較非常重要。

14.#19 is recommended to become a part of life style since it is a major factor to determine the Four Body Complexions and according herbal formula.

建議＃19排尿，排便，消化，出汗，睡覺等都需要充分攝取病人的熱量,成為生活方式的一部分，因為它是確定四種膚色和草藥配方的主要因素。

15.Due to the presence of multi-cultural patients base, pay attention to their general culture especially their diet.

由於存在多元文化的患者群體，因此要注意其一般文化，尤其是飲食。