中医腹诊临床操作规范(团体标准)OA

Abdominal diagnosis possesses important clinical value.Nevertheless,the absence of unified operational specifications and quantitative criteria for TCM abdominal diagnosis severely restricts its clinical popularization and application.This standard is formula-ted on the basis of classical works such as Treatise on Cold Damage and Miscellaneous Diseases,combined with the achievements of mul-tiple scientific research projects and more than 30 years of clinical practice experience of Chief Physician Niu Xue'en.Its operational methods and procedures are as follows.Abdominal inspection:observe abdominal contour,complexion,skin condition,peristaltic waves,respiratory movements and other manifestations.Abdominal auscultation:listen to bowel sounds,succussion splash and other abdominal sounds.Abdominal inquiry:inquire about the nature,location,timing,inducing factors and relieving factors of abdominal discomfort.Ab-dominal palpation:adopt light-,moderate-and heavy-pressure manipulation to examine the chesthypochondrium,epigastrium,midabdo-men and lower abdomen in sequence,with key assessment of physical signs such as resistance,tenderness,throbbing,induration and succussion splash.The standard also specifies basic requirements,diagnostic indicators,and documentation guidelines for TCM abdomi-nal diagnosis,applicable to all levels and types of traditional Chinese medicine institutions,universities,and research organizations en-gaged in clinical practice,teaching,and research related to abdominal diagnosis.