Tongue color (choose one with √ or note for others) | |||||
---|---|---|---|---|---|
pale tongue â–¡ pale red tongue â–¡ | red tongue â–¡ | teeth-marked tongue â–¡ | others (please note) | ||
Tongue fur (choose one with √ or note for others) | |||||
white fur â–¡ yellow fur â–¡ | thin fur â–¡ | thin fur â–¡ | others (please note) | ||
Pulse diagnosis (choose one with √ or note for others) | |||||
floating pulse â–¡ sunken pulse â–¡ slow pulse â–¡ | rapid pulse â–¡ fine pulse â–¡ | slippery pulse â–¡ string-like pulse â–¡ | others (please note) | ||
Knee joint situation (mark with √ for yes or no) | |||||
morning stiffness | no â–¡ | yes â–¡ | cold pain | no â–¡ | yes â–¡ |
pain of unfixed location | no â–¡ | yes â–¡ | stabbing pain | no â–¡ | yes â–¡ |
joint swelling | no â–¡ | yes â–¡ | muscle atrophy | no â–¡ | yes â–¡ |
Whole body situation (mark with √ for yes or no) | |||||
easy to sweat at daytime | no â–¡ | yes â–¡ | easy to sweat at nighttime | no â–¡ | yes â–¡ |
sloppy stool | no â–¡ | yes â–¡ | hard bound stool | no â–¡ | yes â–¡ |
dry mouth | no â–¡ | yes â–¡ | profuse dreaming | no â–¡ | yes â–¡ |
reddish yellow urine | no â–¡ | yes â–¡ | frequent urination | no â–¡ | yes â–¡ |
vexing heat in the extremities | no â–¡ | yes â–¡ | poor libido | no â–¡ | yes â–¡ |
deafness | no â–¡ | yes â–¡ | torpid intake | no â–¡ | yes â–¡ |
dizzy vision | no â–¡ | yes â–¡ | tinnitus | no â–¡ | yes â–¡ |
lack of strength | no â–¡ | yes â–¡ | somnolence | no â–¡ | yes â–¡ |
lassitude of spirit | no â–¡ | yes â–¡ | inability to sleep | no â–¡ | yes â–¡ |