Table 2

Pattern identification questionnaire for allergic rhinitis, V.3.0

First questionnaire
We would like to know more about any problems you have experienced recently. Please answer all of the questions by marking the answer that most closely applies to you.
Question 1–6: 0: disagree strongly, 1: disagree, 2: agree, 3: agree strongly
Condition 0 1 2 3
1. My face is pale or yellowish
2. I have a feeling of fullness in my stomach after eating
3. I have indigestion
4. My stool is loose
5. I usually feel tired or languid
6. I have a poor appetite and eat just a little food
7. I have a thin body
(According to BMI): 0:≥22, 1:≥20,<22, 2:≥18.5, <20.0, 3:≤18.5)
*BMI=weight (kg)/(height (cm)×height (cm))
- Scores≥11 → Do not need to complete second questionnaire.
- Scores<10 → Complete second questionnaire.
Second questionnaire
Question 1-5: Please answer all of the questions by marking the answer that most closely describes your symptoms over the last 2 weeks.
Question 1. Aversion to cold or heat1
2
3
4
5
I have had considerable aversion to coldI have had slight aversion to coldNormalI have had slight aversion to heatI have had considerable aversion to heat
Question 2.
Preference for warm or cold water
1
2
□fidentiality of their persona
3
4
5
I have had considerable preference for warm waterI have had slight preference for warm water a littleNormalI have had slight preference for cold waterI have had considerable preference for cold water
Question 3.
Colour of face
1
2
3
4
5
My face has been very paleMy face has been a little paleNormalMy face has been flushed a littleMy face has been flushed very much
Question 4.
Shape and consistency of stool
1
2
3
4
5
Liquid consistency with no solid piecesSoft blobs with clear-cut edgesSmooth, soft, and sausage-likeLumpy sausage shaped or sausage-like with cracks in the surfaceSeparate hard lumps
Question 5.
Colour of urine
1
2
3
4
5
Completely transparent with no yellow colourAlmost transparent with little yellow colourLight yellowYellowDark yellow or light orange colour
Question 6–7: Clinician’s assessment questions
Question 6. Clinician checks the score after enquiring about the colour and viscosity of rhinorrhoea1
2
3
4
5
Totally watery and transparentSlightly watery and transparentSlightly sticky and transparentSlightly sticky and yellowishTotally sticky and yellowish
Question 7. Clinician checks the score after observing the nasal membrane colour of the patient using nasal endoscopy and referring to the pictures.1
2
3
4
5
Severe paleMild paleNormalMild hyperaemiaSevere hyperaemia
  • Pattern identificaiton:

  • Lung–cold: first questionnaire scores<10, second questionnaire score ≥21.

  • Spleen qi deficiency: first questionnaire scores ≥11.

  • Lung-heat: first questionnaire scores<10, second questionnaire score ≥7,<20.