中医病历首程(国外英文资料).doc

中医病历首程 Xingtai city 4 hospital The course record Name: Progenitor WeiYun Gender: male Age: 11 years old Ward 2-15 Bed no. : 25 Medical record no. : 6823 First history of illness The 2015-02-02 16:00 Children, fathers WeiYun, male, 11 years old, the han nationality, cause subcutaneous ecchymosis 10 years after the knock against, with right knee pain in the elbow 1 year, the outpatient service to fact in the name of feb 02, 2015 income. Medical records: 1, male, 11 years old. After the collision, 10 years of subcutaneous stasis, one year of swelling in the right knee. 3, 2012-01-30 thrombin: the activation of partial thrombin time 140.3 seconds; VIII factor activity 1.0 percent. 4, the right knee elbow is swollen, the activity is restricted, the walk is limping. The dialectical basis of the dialectical of Chinese traditional Chinese medicine: after the child has been bruising the subcutaneous stasis for 10 years, the patient with the right knee of the elbow and the swelling pain for one year is the main performance, so the dialectic is the blood certificate. Because of a long illness, weary, pixu (spleen deficient) and so on lead to qi deficiency, qi deficiency cant general blood running, causing blood discharge pulse, pale tongue, moss thin white, pulse heavy fine, belongs to the ejection of the card. Western medicine diagnostic basis: 1, after the knock, the skin bruising 10 years, with right knee elbow is swollen pain 1 year. 2, 2012-01-30 thrombin: the activation of partial thrombin time 140.3 seconds; VIII factor activity 1.0 percent. 3, the right elbow is slightly swollen, the knuckles are slightly restricted, the right knee is swollen, the buckling is limited, the buckling is about 90 degrees, and the walk is limping. Differential diagnosis: Differential diagnosis of traditional Chinese medicine: the differentiation of local skin color in the identification of the rash and the rash of the rash is different from the rash point of the rash. The purple patch is i