Why Do Acupuncturists Ask So Many Questions?
New to acupuncture? You might wonder why your practitioner asks so many detailed questions. In Traditional Chinese Medicine (TCM), comprehensive diagnosis is the foundation of effective treatment. The “Ten Questions” framework, combined with tongue and pulse diagnosis, helps practitioners assess your health holistically and design personalized treatment plans that go beyond surface symptoms.
What Are the Ten Questions in TCM?
- Body Temperature (Hot/Cold Sensation, Fever, Chills)
- Sweating
- Head and Face (Pain, Dizziness, Eyes, Ears)
- Pain (Nature and Triggers)
- Urine and Stool (Elimination Patterns)
- Thirst, Appetite, and Taste
- Sleep Patterns and Quality
- Thorax and Abdomen (Chest, Hypochondrium, Epigastrium)
- Gynecological and Reproductive Health
- Emotional and Mental State
Each question helps uncover underlying patterns of disharmony, whether from deficiency, excess, heat, cold, or stagnation.
Detailed Overview of the Ten Diagnostic Categories
1. Questions About Temperature
Evaluating sensations of heat and cold helps distinguish between internal and external conditions, and determine the stage and type of illness, such as Wind-Cold or Yin Deficiency.
2. Questions About Sweating
Patterns like spontaneous daytime sweating or night sweats provide insight into Qi, Yang, or Yin deficiencies, while abnormal sweating may indicate collapse of vital energy.
3. Questions About Head and Face
Headaches, dizziness, and eye or ear issues reveal imbalances like Liver Fire, Blood Deficiency, or Internal Wind. Location and nature of pain guide precise diagnosis.
4. Questions About Pain
The nature of pain (sharp, dull, moving, or fixed) helps identify conditions such as Qi Stagnation, Blood Stasis, or Cold Invasion.
5. Questions About Elimination (Urine and Stool)
Urinary and bowel patterns indicate organ function, digestive health, and the presence of dampness, heat, or deficiency syndromes.
6. Questions About Digestion (Thirst, Appetite, Taste)
Abnormalities like lack of appetite or cravings for cold foods suggest issues like Spleen Qi Deficiency or Stomach Heat. Tastes reflect elemental imbalances.
7. Questions About Sleep
Sleep disturbances often reflect Heart and Kidney imbalances. Patterns of insomnia, frequent waking, or nightmares provide diagnostic clues.
8. Questions About Thorax and Abdomen
Chest and abdominal pain may stem from emotional or physical causes. Issues like Liver Qi Stagnation often present in the hypochondriac region.
9. Questions About Gynecological Health
Menstrual irregularities, pain, or fertility concerns are explored to understand hormonal and energetic balance, especially of the Liver, Kidney, and Spleen.
10. Emotional and Mental Health
Emotions directly affect organ systems in TCM. Stress, anxiety, or depression can be linked to Liver Qi stagnation, Heart Fire, or Spleen deficiency.
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