The Four Pillars of Diagnosis are the foundation of the Chinese medicine to diagnose, prevent and treat illness for more than 5000 years. For the doctor of Chinese medicine, the art of diagnosis is a lifetime journey in decoding the representing the sign and symptoms of syndrome complexes. Chinese medicine is a naturalistic art and a holographic representation of the whole body of human. The Four Pillars of Diagnosis are observing the patient, auscultation the patient, question the patient and palpating the patient.
Inspection is an examination approach which employ the practitioner’s ocular sensation to observe abnormal appearance in patient’s complexion, spirit, mental, body and tongue in order to estimate the pathological transition of internal organs and whole-body system.
Auscultation & Olfaction
The auscultation is listening which means to listening to the patient’s breathing language, voice, coughing, vomiting, belching and sneezing. The olfaction is smelling which means to assess patient’s odors by smelling of the practitioner or the patients. The odors are used to distinguish abnormal odors which included the odor of sputum, , sweat, stool, urine, nasal discharge, menstrual blood, vaginal discharge.
Inquiry is examination by verbal communication with the patient or their representative to obtain information about the disease’s onset, presents symptoms, development and treatment. It used to develop an accurate diagnosis combine with other examination.
Pulse palpation is a diagnosis through thousands of years of clinical practice that the practitioners of Chinese medicine have developed a unique diagnostic by touching and palpation of the pulse to collect the status of Qi, Blood, Yin and Yang which combined to assess the current condition of the internal organ and whole-body system.
The history of Chinese Medicine
For more than 5000 years, Chinese medicine, an ancient wisdom system of health and wellness, has been used to prevent disease and protect more than one-third of the world’s population. Today in the world, China is the only country where Chinese medicine and Modern medicine are practiced alongside each other at every level of the healthcare system for protecting the wellness of people in the nation. The approaches of Chinese Medicine have herbal remedies, acupuncture, Chinese nutrition, Tui Na, Pediatric Tui Na, moxibustion,cupping and Tai Ji Quan.
The universal law behind Chinese Medicine
For thousands of years, Chinese medicine had concerned uninterrupted attention on the physical body (Xing, 形) and spiritual mind (Shen, 神). The physical body was substantial foundation for the healthy mind which maintain the positive mind, emotions, and psychological state. Chinese medicine treats the people with disease not disease only. All medical approaches are built upon the theory of Yin Yang, Qi, Zang Xiang, and the Five Elements.
Yin and Yang are the opposite concept of the universal exists. Both Yin and Yang are interdependent parts which Yin is visible as physical materials and Yang is invisible as energy or force state. The pain and illness will attack the physical body when Yin and Yang are unbalance.
The concept of Qi is at the center of Chinese Medicine. With five thousands of years of direct observation and inner-side-testify (内证) of Qi through spiritual testify, Chinese medicine has an exclusive understanding of Qi. Chinese medicine expertise conducts the Qi function as a profoundly effective healing system.
Zang means the interior location of the organ 腑,While Xiang means their external appearance or symbol of Zang. Zang Xiang consists of the fundamental principle diagnoses in Chinese medicine and literally means external manifestations of internal organs.
The Five Elements (wood, fire, earth, metal and water), a Chinese medical terminology, describe the status of the whole universal phenomena which could represent the interactions and relationships among five stage of all things.