Diagnosis by smell&sound
Listening & Smelling diagnosis is a diagnosis method to understand the condition and provide a basis for diagnosis by the sound and smell. Further, listening to the patient’s complaints and understanding his or her suffering is also closely related to the diagnosis of Listening & Smelling.
Listening to the voice: If the patient’s voice is hoarse, or he even loses his voice, the sudden onset of violent illness is more likely to be excess syndrome, while the accumulation of long-standing illness is more likely to be deficient, or health qi is deficient while pathogenic qi is excessive . Delirium and wild speech are excessive, and are mostly caused by phlegm and fire-heat stasis; Zheng sound and solitary speech are mostly caused by great injury to heart qi, or qi depression and phlegm obstruction; strong tongue is mostly caused by wind and phlegm obstruction.
Hearing breathing: in patients with wheezing and roaring, wheezing is mainly characterized by polypnea, roaring is mainly characterized by phlegm sound in the throat, and roaring must be accompanied by wheezing, while wheezing may not be accompanied by roaring; wheezing and phlegm surge with loud sound and heavy breathing is excessive, wheezing and phlegm sound like snoring, weak breathing, intensified while moving is deficient; short breathing or hard to breathe, low sound hardly to hear, is deficient, different from rapid shortness of breath, the number of breath is not continuous, and the symptoms have the difference of deficiency and excess.
Listen to the cough: frequent, violent, paroxysmal, lound sound and shortness of breath, mostly attributed to the excess symdrome of external sensation; the slight intermittent cough, low sound and shortness of breath, mostly attributed to the deficiency symptom of internal injury; in the case of asthma caused by prolonged coughing, then the nighttime coughing continues unabated, while breathing is short, even eructation, belching, sighing, sneezing, intestinal tinnitus
Listen to the vomiting: should be distinguished from vomiting when eating, vomiting at night while eating in the morning, vomiting slowly or acutely so as to distinguish the deficiency and excess; Hiccup loudly and frequently is excessive, lowly,weakly and intermittently deficient.
Smell the odor: breath comes with sour and rotten odor means gastrointestinal stagnation; putrid smell in the mouth, gum erosion means ulcerative gingivitis; coughing and vomiting fishy pus, blood and phlegm means pulmonary carbuncle; warm-heat disease has bad breath or sweat odor for epidemic poisoning; the body has corpse odor means the danger of organism failure, etc. In combination with the identification of disease, we need to pay attention to urine odor in the mouth of uremia, liver coma liver odor, diabetic ketosis rotten apple smell, coughing and vomiting blood patients with the smell of blood.