What is TCM Health Record Creation?

Deficiency of both Heart and Spleen: frequent dreams, easy to wake up, palpitations, forgetfulness, loss of appetite, sallow complexion

Applicable Population and Common Symptoms

People who need a systematic understanding of their own constitution status for their first visit, those with chronic constitution imbalance (such as long-term fatigue, recurrent colds, poor digestion, insomnia, etc.) requiring long-term nourishment, individuals in sub-healthy state (with normal physical examination indicators but feeling uncomfortable) who wish to engage in health management, those who have received multiple TCM adjustments and need to track the adjustment effects and constitution changes, middle-aged and elderly individuals who wish to engage in systematic TCM health planning, and those who need a constitution file before preparing for seasonal tonification (such as winter herbal paste).

Mechanism of Action

TCM emphasizes differential diagnosis and treatment and individualization based on the patient's condition. Constitution bias is a dynamic process. Establishing a complete health record helps practicing TCM doctors understand the evolution of the patient's constitution, past adjustment responses and effects, providing a continuous reference for subsequent differential diagnosis, and achieving accurate individualized health management.

Regimen and process

Initial consultation and record creation, including physical constitution identification, review of past health conditions, and lifestyle assessment. Subsequent follow-up visits record entries. Record information includes: basic constitution type, constitution bias score, adjustment plan records, constitution change trend chart, seasonal adjustment suggestions, etc.

Precautions

  • Medical record data is solely used for reference in traditional Chinese medicine health management and does not serve as a basis for Western diagnosis
  • Personal health record information is strictly confidential and is only used by practicing traditional Chinese medicine practitioners for diagnosis, treatment, and recuperation
  • It is recommended to follow the doctor's advice and regularly undergo physical constitution re-evaluation

The content above is for reference only, the specific treatment plan needs to be formulated after the TCM practitioner makes a diagnosis

Licensed TCM Physicians

Wang Zhengxiang
Wang Zhengxiang Traditional Chinese Medicine Practitioner
Fan Li
Fan Li Traditional Chinese Medicine (TCM) Practitioner Assistant Physician

Related Treatment Projects

Traditional Chinese Medicine Constitution Identification

Traditional Chinese Medicine (TCM) const

Common Questions

Compiled based on real medical consultation scenarios, please take the face-to-face diagnosis of a practicing Chinese medicine physician as the standard.

What is the difference between a health record and a hospital medical record? Why does traditional Chinese medicine (TCM) need to establish a separate record?

Western medical records focus on diagnosis and treatment records of diseases, while TCM health records emphasize constitution and changes in trends. The dimensions of focus are different: TCM records will systematically record your constitution type, changes in tongue and pulse signs, adjustment plans, and constitution trend charts, forming your personal exclusive 'TCM physiological trajectory'. For patients receiving long-term TCM adjustment, this record is an important reference for the subsequent syndrome differentiation of the practicing TCM physician - understanding which adjustment methods you respond well to, and under what conditions your constitution is prone to deviation, so as to achieve accurate individualized health management.

I have received adjustment from another TCM doctor before. Do I need to establish a new record at Ke Zhen Tang?

It is recommended to establish a new TCM health record during the first visit. Different doctors may have different perspectives on syndrome differentiation and focus on different aspects, and your constitution may have changed during the adjustment process. The practicing TCM physicians at Ke Zhen Tang will record the current constitution status in the new record, and you can also bring your previous adjustment records for reference if you have them. After establishing the record, there will be information updates for each visit, and the more complete the record, the higher the accuracy of subsequent syndrome differentiation.

Three generations of my family think our constitutions are similar. My grandfather is afraid of cold, and I am afraid of cold too. Is this related to heredity?

Constitution is indeed related to hereditary factors (genetic factors), and it is also influenced by postnatal diet, environment, and other factors. As you described, the familial fear of cold may be a family constitution tendency with a deficiency of Yang in TCM. There is a large space for improvement after birth, and it can be helped to improve through diet (increasing warm foods appropriately), moxibustion to warm the Yang, and paying attention to keeping warm in winter. Establishing a health record and regularly reviewing it can objectively understand the changes in constitution brought about by the adjustment.

I changed my phone, can I still find my previous adjustment records? Is the record paper or electronic?

Ke Zhen Tang's TCM health record is managed by the clinic as a whole, not affected by the replacement of your personal device. The practicing TCM physician will retrieve your record to view the trend of constitution changes and past adjustment plans during each visit, ensuring continuity. Your adjustment data will not be lost due to changing phones or moving houses.

Can others see my record? How is privacy protected?

Your personal TCM health record is only for the practicing TCM physician who provides you with adjustment services to consult during diagnosis and treatment, and will not be disclosed to third parties. TCM constitution data belongs to the category of health information, and Ke Zhen Tang follows the medical health information confidentiality regulations for management. If you need to provide the record to other physicians for reference, you can apply for it yourself.

The above Q&A is compiled based on common medical consultation scenarios.