TCM Patient Analysis

➕New Patient Registration

First Name *

Last Name *

Date of Birth *

Gender *

Phone

Email

Address

Occupation

Blood Type

Known Allergies

Current Medications

Medical History

Family History

Lifestyle Notes

📋Visit Details

Visit Type

Initial

Follow-up

Urgent

Chief Complaint *

Duration of Complaint

1

Tongue Photo Capture
Take or upload tongue photo for the record

📷Tongue Photo

📸

Tap to capture or upload

Photo will be saved to this visit's record

👅Tongue Body Assessment

Tip = Heart

Sides = Liver

Middle = Spleen

Root = Kidney

Body Color

Pale

Pink

Red

Dark Red

Purple

Bluish

Body Shape

Normal

Swollen

Thin

Stiff

Flaccid

Moisture

Wet

Normal

Dry

Very Dry

Special Features

Cracks

Scalloped Edges

Movement

Normal

Trembling

Deviated

🌫️Tongue Coating

Coating Color

None

White

Yellow

Grey

Black

Thickness

Thin

Thick

Absent

Peeled

Texture

Normal

Greasy

Dry

Mossy

Sublingual Veins

Normal

Purple

Dark Purple

Regional Observations (tap zone on diagram above)

Practitioner Notes

2

Symptom Checklist
Select all that apply and rate severity

📊Symptoms

Loading symptoms...

3

General Health Data
Energy, digestion, sleep, and more

⚡Energy & Temperature

Energy Level

1
Very Low

2

3
Moderate

4

5
High

Temperature Sensitivity

None

Cold Sensitive

Heat Sensitive

Both

Sweating Pattern

Normal

Night Sweats

Spontaneous (Day)

Absent

🍽️Digestive System

Appetite

Strong

Normal

Weak

Absent

Thirst / Fluid Preference

Not Thirsty

Moderate

Excessive

Prefers Hot

Prefers Cold

Bowel Consistency

Bowel Frequency/day

Digestive Symptoms

Bloating

Nausea

Acid Reflux

🌙Sleep

Sleep Quality

1
Poor

2

3
Fair

4

5
Good

Sleep Issue

None

Hard to Fall Asleep

Wakes Up

Both

Dreams

None

Occasional

Vivid

Nightmares

Hours of Sleep per Night

😊Emotional & Mental

Primary Emotion / Tendency

Balanced

Anger

Worry

Grief/Sadness

Fear

Overthinking

Stress Level

1
Low

2

3
Moderate

4

5
High

💧Urinary

Frequency / day

Urine Color

Nocturia (night urination)

Yes, wakes to urinate

🌸Menstrual (if applicable)

Regular Cycle

Flow Volume

Flow Color

Menstrual Symptoms

Painful Periods

🔬TCM Pattern Analysis

Click Analyse to generate pattern scores based on the symptoms recorded for this visit.

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