RESUMEN
Objective To analyze the characteristics of differential diagnosis in medical record of ZuiHuaChuang, so that to improve level of medical diagnosis and treatment in clinical work. [Methods] Analyze and research 58 cases of medical records which involved in differential diagnosis in the book, to summarize the characteristic of differential diagnosis inmedical record of ZuiHuaChuang. [Results] There are 58 cases in 101 cases medical records in the whole book written by WangYu in Qing Dynasty. The differential diagnosis methods base on perimal symptoms, concomitant symptoms and pulse diagnosis, and the pulse diagnosis is attributed to the most importantly. The differential diagnosis based on pulse diagnosis is the key charcteristic ofmedical record of ZuiHuaChuang.
RESUMEN
Objective] To analyze the character of diagnosis and treatment of excessive fluid zheng in medical record of ZuiHuaChuang, so that to improve level of medical diagnosis and treatment in clinical work. [Methods] Analyze the diagnosis,treatment and nurse of medical records of excessive fluid zheng in the book, to summarize the characteristic of diagnosis and treatment of excessive fluid zheng in medical record of ZuiHuaChuang. [Results] There are 6 cases involvingexcessive fluid zhengin 101 cases medical records in the whole book which written by WangYu in Qing Dynasty. The key symptoms of excessive fluid zheng in medical record of ZuiHuaChuang including difficulty in micturition,dyspnea,thirsty,edema, cardiopalmus, vomiting, insomnia and string-tight pulse accompanied with rapid or stasis pulse. It was treated with WuLin San most of time, and used the method ofinvigorating spleen to eliminate dampnessto regulate the constitution.[Conclusion] The character of diagnosis and treatment ofexcessive fluid zheng in medical record of ZuiHuaChuang including:1. diagnosed by pulse diagnosis, especial y combined with symptoms,2.Treat with WulinSan,and emphasize regulation of constitution after erasing excessive fluid.