中医诊断学双语教案

1 Lecture record of Tianjin university of TCM Teacher’s name：Wangtong subject：the science of diagnosis of TCM Time ： objects：7-year education of opening TCM Teaching unit Title of each chapter and section INTRODUCTION Teaching aim and demand 1．Master the principles of diagnostics of TCM 2．Get familiar of the contents of diagnostics of TCM 3．Known the development history of diagnostics of TCM Noted and key points of the teaching context 1、The principles of diagnostics of TCM 2、The contents of diagnostics of TCM 3、The methods and requirements of diagnostics of TCM Difficult points in teaching and solutions Teaching methods and concrete steps） Class-teaching as the main method ,and together with self-study Time schedule (the whole and part)） 20 minutes for the main contents of diagnostics of TCM 20 minutes for the basic principles of diagnostics of TCM 10 minutes for the methods and requirements of diagnostics of TCM Blackboard design Introduction： 1. The main contents of diagnostics of TCM：the diagnostic methods, syndrome differentiation,disease differentiation and medical records. 2. The basic theory of diagnostics of TCM: To presume the interior through the exterior ,To understand the whole through the local ,To know the spirit through the physique 3. The basic principles of diagnostics of TCM: The holistic examnition, The synthesis of the four diagnostic method, The combination of disease and syndrome. 4. The development history of diagnostics of TCM. 5. The methods of diagnostics of TCM . Ater-notes Appendix questions： 1. To briefly describe the contents of the diagnostic of TCM? 2. The contents of disease ,syndrome and symptom ?How to differentiate the three ones? 2 Lecture record of Tianjin university of TCM Teacher’s name：Wangtong subject：the science of diagnosis of TCM Time ： objects：7-year education of opening TCM Teaching unit Title of each chapter and section Inspection of the spirit and color Teaching aim and demand 1． understand the manifestation and clinical meaning of presence of spirit ，loss of spirit and false spirit 2． understand the difference between the false spirit and the recover from the heavy disease 3． understand the five colors governing different syndromes 4． Understand the principle and meaning of the color diagnosis Noted and key points of the teaching context No1．Inspection of the spirit 1． The principle and meaning 2． the main content is the eyes ，the expression the lustrous and the body figure 3． The modality of the spirit：presence of spirit ，lack of spirit ，loss of spirit ，false spirit and confusion of spirit 4． Tips for inspection of spirit No2 inspection of the colors 1 the principle and meaning 2 the main content is the nomal color and the morbid colorand the five color governing the diefferent syndromes 3 tips for it Main point：1 the charactors of the morbid color 2 the five colors governing different syndromes Difficult points in teaching and solutions 1 the difference between the presence of spirit ，loss of spirit and false spirit 2 how to modility the prolong of the morbid color affect the disease 3 pratical uses Solution：analysis them by some diagrams Teaching methods and concrete steps） Main form is teach in the class Time schedule (the whole and part)） Inspection of the spirit ：100mins 1 priciple and meaning 2main content 3 modalities 4tips Blackboard design Chapter one inspection Section one inspection of the whole body No1 inspection of the spirit 1 priciple and meaning 2 main content 3 modalities 4 tips No 2 inspection of the color 1 principle 2 the meaning of color and lust 3 normal color and morbid color 4 the five color governing the different syndromes 5 tips Ater-notes Appendix Questions：1 the difference between the presence of the spirit ，the lack of spirit the loss of spirit ，the false spirit and confusion of spirit。 2 the disease and the changes of the five colors。 3 Lecture record of Tianjin university of TCM Teacher’s name：Wangtong subject：the science of diagnosis of TCM Time ： objects：7-year education of opening TCM Teaching unit Title of each chapter and section Inspection of the body form Teaching aim and demand 1. understand the differentiation of the different body form 2. understand the meaning of the different body form 3. understand the main morbid gesture Noted and key points of the teaching context 1the principle 2main contents ：the strong or weak of the body，the fat or thin of the body 3the main contents：the dynamic or static posture、the abnormal mvement，the fatigue movement。 Difficult points in teaching and solutions Teaching methods and concrete steps） Teach in the calss Time schedule (the whole and part)） Inspection of the body form：20 mins Inspection of the gestures：30 mins Blackboard design Inspection of the body form： 1 the priciple and the meaning 2 the main content Inspection of the gesture： 1 the priciple and meaning 2the main content Ater-notes Appendix 4 Lecture record of Tianjin university of TCM Teacher’s name：Wangtong subject：the science of diagnosis of TCM Time ： objects：7-year education of opening TCM Teaching unit Title of each chapter and section Inspection of the body form ,posture and movement Teaching aim and demand 1. to be familiar with the clinical meaning of the fatness or thinness of the body form 2. to understand the meaining of the constitutional types 3. to master the clinical meanings of pathological postures Noted and key points of the teaching context 1. the principe and meaining of the inspection of the body form,posture and movement 2. the main contents of the inspection of the body form : the strength or weakness of the body form ,the fatness or thinness of the body form ,the constitutional types 3. the content of the inspection of posture and movement : the dynamic or static posture , the weak or exhausted posture, the abnormal movements Difficult points in teaching and solutions Teaching methods and concrete steps） Teaching in the class Time schedule (the whole and part)） Inspection of the body form for 20 minutes Inspection of posture and movement for 30 minutes Blackboard design THREE Inspection of the body form (Introduction) (1) The principle and meaining of inspection of the body form 第7章 The contents of inspection of the body form FOUR Inspection of posture and movement(Introduction) 2. The principle and meaining of inspection of posture and movement 3. The contents of inspection of posture and movement Ater-notes Appendix 5 Lecture record of Tianjin university of TCM Teacher’s name：Wangtong subject：the science of diagnosis of TCM Time ： objects：7-year education of opening TCM Teaching unit Title of each chapter and section Inspection of the local parts: inspection of the head , face and five sense organs Teaching aim and demand To understand the basic contents of the head, face and the five sense organs Noted and key points of the teaching context 1.     Inspection of the head (the shape of the head, the fontanel, the movements, the hair) 2.     Inspection of the face (the facial puffiness, the swelling of the cheeks, the facial emaciation, the deviation of the mouth and eyes ,the special facial appearance) 3.     Inspection of the eyes (the five wheels, the color ,the appearance , the movement) 4.     Inspection of the ears(the color, the form, the secretions of the external auditory canal) 5.     Inspection of the nose(the color, the form, the nasal discharges) 6.     Inspection of the mouth and lips(the color, the shape,the movement) 7.     Inspection of the teeth and gums(red and swollen, pus,false membrane, the shape ) 8.     Inspection of the throat Difficult points in teaching and solutions To give emphasis to the colors that reflect different problems To give emphasis to the relationship between the orifices and the zang-fu organs To review the related knowledge and  the explaination of the bacic knowledge of TCM Teaching methods and concrete steps） 1. To ask about the relationship between the orifices and the zang-fu organs 2. To talk briefly about the common clinical meanings 3. To give emphasis to the special diseases such as nepotism,mumps, tonsillitis ,etc. Time schedule (the whole and part)） 1.     Inspection of the head and face:30 2.     Inspection of the five sense organs:70 Blackboard design 1.     Inspection of the head and face 1.1    Inspection of the head 1.2    Inspection of the face 2.     Inspection of the five sense organs 2.1    Inspection of the eyes 2.2    Inspection of the ears 2.3    Inspection of the nose 2.4    Inspection of the mouth and lips 2.5    Inspection of the teeth and gums 2.6    Inspection of the throat Ater-notes The time of this part isn’t enough and some parts of it are self-studied or taught briefly Appendix The questions to review: 1.     What’s the basic contents of the five wheels? 2.     What’s the relationship between the five sense organs and the zang-fu organs? 6-7 Lecture record of Tianjin university of TCM Teacher’s name：Wangtong subject：the science of diagnosis of TCM Time ： objects：7-year education of opening TCM Teaching unit Title of each chapter and section Inspection of various parts of the body:observetion of neck and nape,body trunk,four linmbs,skin and the genitalia and anus. Teaching aim and demand Understand the basic contents of observation of neck and nape,body trunk,four linmbs,skin and the genitalia and anus. Noted and key points of the teaching context 1. observation of neck and nape. 2. The abnormal manifestation and the clinical meaning of observetion of body trunk(inspection of the chest and hypochondrium, inspection of the abdomen, inspection of the lumbus and back). 3. The abnormal manifestation and the clinical meaning of observetion of linmbs (inspection of the four limbs, inspection of the digits, inspection of the infantile index finger veins). 4. The abnormal manifestation and the clinical meaning of observetion of skin,including the color ,luster of the hole body and patches and rashes,skin blisters,abscess,deep abscess,deep-rooted boils and furuncles. 5. The abnormal manifestation and the clinical meaning of observetion of lower orifices(inspection of anterior orifice and posterior orifice) The most important part 1. The differences between patches and rashes 2. The differences of abscess,deep abscess,deep-rooted boils and furuncles. Difficult points in teaching and solutions Strengthen the visual teaching, use videos and slide. 1. The relationship between skin disease and zang-fu organs. 2. The differents between patches and rashes and blisters,abscess,deep abscess,deep-rooted boils and furuncles. Teaching methods and concrete steps） 1. Classroom lectures 2. Video projector Time schedule (the whole and part)） 100 minutes 1. observetion of neck and nape 2. observetion of body trunk 3. observetion of four linmbs 4. observetion of skin 5. observetion of the genitalia and anus Blackboard design 1、 General speaking 2、 Inspection of the shape 3、 Inspection of the movement 4、 Observetion of neck and nap(1.shape 2.movement) 5、 observetion of body trunk(1. inspection of the chest and hypochondrium 2. inspection of the abdomen 3. inspection of the lumbus and back) 6、 observetion of four linmbs (1.inspection of the four limbs 2. inspection of the digits 3.inspection of the infantile index finger veins) 7、 observetion of skin (1.the color ,luster of the hole body 2.patches and rashes3.skin blisters 4.abscess,deep abscess,deep-rooted boils and furuncles.) a) observetion of the genitalia and anus(1.inspection of anterior orifice 2. inspection of posterior orifice) Ater-notes Strengthen the visual teaching Appendix Questions: 4. What are the abnormal limb performance?And the main diease? 5. The concept of the patches and rashes.How to distinguish them? 8 Lecture record of Tianjin university of TCM Teacher’s name：Wangtong subject：the science of diagnosis of TCM Time ： objects：7-year education of opening TCM Teaching unit Title of each chapter and section Inspection of discharges Teaching aim and demand To understand the basic contents of inspection of discharges Noted and key points of the teaching context 1. Inspection of the sputum , vomitus, stool and the color,quantity and quality of the urine,and their clinical meanings. 2. The main points: 1) To make sure the importance that the discharges can reflect the pathological changes of the zang-fu organs. 2) To give emphasis to the differences between the etiology and the nature of the disease. Difficult points in teaching and solutions 1. Dryness-sputum 1) caused by the pathogenic dryness: acute, exterior syndrome,the most important symptom is dryness 2) caused by lung-yin deficiency: chronic ,interior syndrom, dryness and the manifestation of deficient heat 2. Inspection of hematochezia : local bleeding and distal bleeding Teaching methods and concrete steps） 1) To teanch 2) To discuss in class To make a conclusion White ,clear,and thin :deficent syndrome and cold syndrome Yellow,thicky and turbid: excessive syndrome and heat syndrome Time schedule (the whole and part)） 30 minites. Inspection: 10 minites. Inspection of vomitus:15 minites. Blackboard design Section Three Inspection of Discharges [general idea] 1. Inspection of the sputum and the saliva 2. Inspection of the vomitus 3. Inspection of the stool 4. Inspection of the urine Ater-notes Appendix Inspection of discharges 9 Lecture record of Tianjin university of TCM Teacher’s name：Wangtong subject：the science of diagnosis of TCM Time ： objects：7-year education of opening TCM Teaching unit Title of each chapter and section 1） to familiar the structure of the tongue,the principle of inspection of tongue, the normal tongue and its physiological variations. 2） To master the metho do tongue observation , the content of tongue diagnosis, the normal tongue. Teaching aim and demand 1. the principle of inspection of tongue 2. the method of tongue observation and the attention points of tongue observation. 3. the contents of tongue diagnosis and the normal tongue key points:1）the manifestation of the normal tongue. 2）舌诊脏分部 Noted and key points of the teaching context the principle of inspection of tongue(why people can diagnose disease through inspection of tongue) solution 1 reviewing the relationgship between zang-fu organs and meridians. 2 watching video and demonstration Difficult points in teaching and solutions 1） teaching in class 2） the question fo the relationship between zang-fu organs and meridians. 3） Demonstration Teaching methods and concrete steps） the principle of inspection of tongu the method of tongue observation and the attention points of tongue observation e, the contents of tongue diagnosis and the normal tongue totally 50 minutes. Time schedule (the whole and part)） first, the principle of inspection of tongue second, the method of tongue observation and the attention points of tongue observation. third, the contents of tongue diagnosis and the normal tongue Fourth, summary Blackboard design Should put the tissue and structure of tongue into the final study. Shuold explain the range of the observation of tongue proper and the observation of tongue coating, the specific location Ater-notes thinking reviewing The relationship between the tongue and zang-fu organs as well as meridians. Appendix 3） to familiar the structure of the tongue,the principle of inspection of tongue, the normal tongue and its physiological variations. 4） To master the metho do tongue observation , the content of tongue diagnosis, the normal tongue. 10 Lecture record of Tianjin university of TCM Teacher’s name：Wangtong subject：the science of diagnosis of TCM Time ： objects：7-year education of opening TCM Teaching unit Title of each chapter and section Inspection of tongue body Teaching aim and demand 1.     To master the manifestation and clinical meaning of the abnormal tongue 2.     Be able to identify the abnormal tongue Noted and key points of the teaching context 1)     The tongue color (the pale-red tongue ,the pale tongue ,the red or deep-red tongue ,the blue or purple tongue ) 2)     The tongue shape (the lustrous or withered tongue ,the tough or tender tongue ,the enlarged or thin tongue ,the spotted tongue ,the cracked tongue ) 3)     The tongue movement (the flaccid tongue ,the stiff tongue ,the trembling tongue ,the deviated tongue ,the protrusion and moving of tongue ,the shortened tongue ) 4)     The sublingual vessels The main points :the tongue color ,the tongue shape ,the tongue movement Difficult points in teaching and solutions Manipulation ,identifying The solution :1.to do more practice               2.to organize the students to watch the video and discuss Teaching methods and concrete steps） 1.     To profess in class 2.     To watch the lantern slides and models Time schedule (the whole and part)） 60 minutes The tongue color :20minutes The tongue shape :20minutes The tongue movement and the sublingual vessels :20minutes Blackboard design Inspection of tongue body 1.     The tongue color 2.     The tongue shape 3.     The tongue movement 4.     The sublingual vessels Ater-notes 1)The examples of the enlarged tongue and the swollen tongue Appendix The questions to review :the pathological manifestations and clinical meaning of the  tongue proper 11 Lecture record of Tianjin university of TCM Teacher’s name：Wangtong subject：the science of diagnosis of TCM Time ： objects：7-year education of opening TCM Teaching unit Title of each chapter and section the observation of tongue coating Teaching aim and demand 1. master the manifestation of abnomal tongue coating and its clinical significance. 2.one can distinguish the usual clinical tongue. Noted and key points of the teaching context The proper of tongue coating(thin or thick, dry or moist, greasy or curdy, rotten or musty, exfoliative or exfoliatoid) The color of tongue coating (the white coating, the yellow coating, the gray or black coating) Key points: the proper of tongue coating, the color of tongue coating Difficult points in teaching and solutions the differentiation between the greasy and curdy tongue coating The white coating, the gray or black coating indicate cold or heat. Solution 1. Watch picture ect. 2. analysis the mechanism, emphasis Teaching methods and concrete steps） 1. class lecture 2.picture 3.ask and discuss why the white, gray or black coating indicate either cold and heat syndrome,if there is any diffenrentiation of the mechanism. Time schedule (the whole and part)） Totally 100 minutes The proper of tongue coating 20 minutes The color of tongue coating 20 minutes Summary and range 10 minutes Blackboard design lesson 3 the observation of tongue coating one the proper of tongue coating two the color of tongue coating Ater-notes Describe the differentiation among greasy, curdy, musty, rotten tongue coating and give out examples. Appendix thinking and reviewing The pathological manifestation of the proper of tongue coating and its clinical meaning 12 Lecture record of Tianjin university of TCM Teacher’s name：Wangtong subject：the science of diagnosis of TCM Time ：