| Representative books | Structure and elements |
| Biography of Bian Que and Cang Gong | Patient’ name, home address, profession, name of disease and name of TCM pattern, main complaint, pulse condition, etiology, pathogenesis, syndrome differentiation, diagnosis, treatment, and prognosis |
| Han’s Medical Treatment | Date of consultation, place, height, weight, face color, voice, disease condition, disease location, etiology, the onset time and the aggravated time of illness, afraid of cold or heat, diet, the previous treatment history, pulse condition, manifestation and root cause of disease, diagnosis, severity of illness, treatment method, prescriptions, medication methods. |
| Essence of Pulse Theory | Date of consultation, place, patient’s name, age, height, weight, face color, voice, the main symptoms and signs, the onset time and the aggravated time of illness, disease condition, the previous treatment history and clinical effects, nature of yin or yang, afraid of cold or heat, diet, sleep condition, pulse condition, name of disease, name of TCM pattern, manifestation and root cause of disease, chronic or acute, treatment method, diagnosis, prescriptions, the modification of prescription, the explanation of Chinese medicine and prescriptions, contraindication, the doctor’s signature. |
| Experience of Chinese Medicine | Date of consultation, place, patient’s name, age, height, weight, face color, voice, emotions, disease condition, etiology, the onset time and the aggravated time of illness, the main symptoms and signs, the present symptoms, the previous treatment history and clinical effects, afraid of cold or heat, diet, excretory functions, sleep condition, pulse condition, manifestation and root cause of disease, treatment method, diagnosis, prescriptions, composition of Chinese herbs, analysis of illness, analysis of treatment, clinical effect. |
| Eight Requirements to TCM Case Record and Case Report by He Lian-chen | Patient, name of disease and name of TCM pattern, etiology, TCM pattern, diagnosis, treatment principle, prescriptions, treatment outcomes. |
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