|
Subjective
|
|
|
Chief Complaints
|
|
|
Current Assessment and Related Histories
|
|
|
Objective
|
|
|
Tongue
• • •
|
Coating
• • •
|
|
Tongue drawing
|
Additional tongue info
|
|
Pulses:
|
Blood Pressure
/
|
|
Breathing
• • •
|
Abdomen Exam
• • •
|
|
Hara Dx
|
|
|
Assessment
|
|
|
Chinese Medicine Diagnosis
|
Differentiations
|
|
Treatment Principle
|
|
|
Plan
|
|
|
Points
/
|
Details
• • •
|
|
Points
/
|
Details
• • •
|
|
Points
/
|
Details
• • •
|
|
Points
/
|
Details
• • •
|
|
Points
/
|
Details
• • •
|
|
Points
/
|
Details
• • •
|
|
Points
/
|
Details
• • •
|
|
Total Number of Needles:
|
Type
|
|
Herbs & Instructions
|
|
|
Extended Treatment Plan
|
|
