Traditional Chinese Medicine Diagnosis and Treatment Survey Questionnaire\n\n中医药诊断治疗调查问卷

Dear Participant,


Thank you for taking part in this survey. The purpose of this survey is to explore the diversity of diagnostic conclusions and treatment strategies for a standardized case. For this scenario, we have compiled 12 distinct diagnoses and their corresponding Traditional Chinese Medicine (TCM) treatment plans and prescriptions from multiple sources. We invite participants to evaluate each diagnosis and treatment plan based on their own professional experience. At the end of the questionnaire, if you find the provided options insufficient or inaccurate, you are welcome to offer your own assessment (this step is optional). Thank you for participating in this survey.

This questionnaire consists of two main sections: evaluation criteria and scoring methodology.
The evaluation covers the following five dimensions:
    1. Accuracy of Western medicine diagnosis
    2. Accuracy of Traditional Chinese Medicine (TCM) diagnosis
    3. Appropriateness of TCM treatment principle
    4. Appropriateness of TCM herbal prescription
    5. Appropriateness of preventive care

Please rate the performance of the models in each dimension based on your professional knowledge or personal experience.
A five-point Likert scale is used for scoring, defined as follows:
1 point: Completely inaccurate, irrelevant, and/or inappropriate
2 points: Mostly inaccurate, irrelevant, and/or inappropriate
3 points: Partially accurate, relevant, and/or appropriate
4 points: Mostly accurate, relevant, and/or appropriate
5 points: Completely accurate, highly relevant, and/or highly appropriate

Completing the questionnaire is expected to take approximately 15–20 minutes. Your honest feedback will provide critical insights for this research and support the advancement of TCM-based healthcare.
If you have any questions regarding this study or the questionnaire, please feel free to contact me: Will Yan (kyan2@mgh.harvard.edu). We sincerely appreciate your participation and valuable input, which will have an important impact on the future development of Traditional Chinese Medicine.


中文翻译

尊敬的参与者：

感谢您参与本次调查！本调查的目的是探讨针对标准化案例的诊断结论和治疗策略的多样性。针对这一案例，我们从多个来源整理了12种不同的诊断和相应的中医治疗方案及处方。我们希望参与者根据自身的专业经验，对每个诊断和治疗方案进行评估。在问卷的最后，如果您认为提供的选项不足或不准确，您也可以选择提供您自己的评估意见（此步骤为可选项）。感谢您参与本次问卷调查！

本问卷包括两个主要部分：评估标准和评分方法。
评估内容主要包括以下五个维度：
    1. 西医诊断的准确性
    2. 中医诊断的准确性
    3. 中医治疗原则的适宜性
    4. 中药处方的适宜性
    5. 预防调护的适宜性

请根据您的专业知识或个人经验，对模型在每个维度的表现进行评分。
评分采用5分制李克特量表，具体定义如下：
1分：完全不准确、不相关和/或不适宜
2分：大多不准确、不相关和/或不适宜
3分：部分准确、相关和/或适宜
4分：大多准确、相关和/或适宜
5分：完全准确、高度相关和/或非常适宜

完成问卷预计需要15-20分钟。您的诚实反馈将为本研究提供关键洞见，并助力中医药医疗的进步。
如果您对本研究或问卷内容有任何疑问，请随时联系我：Will Yan (kyan2@mgh.harvard.edu)。我们非常感谢您的参与和宝贵意见，这将为中医药的未来发展产生重要影响！

我们可能根据调研结果进行分析，总结写成论文。 如果您希望在致谢中提到您的单位及名字请在下面提供
We may analyze the results of the research and summarize them in a manuscript. If you wish to have your organization and name mentioned in the acknowledgements please provide below
姓名 (Name) ：
单位 (Organization)：
性别 (Gender)
职称 (Academic Title)
最高学历 (Highest Education)
工作地点 (Location)
工作年限 (Years of Working, e.g. 10.5 )
Case Report ( English Version)
Patient Profile
Female, 26 years old. Initial consultation on March 13, 2019.
Chief Complaint
Recurrent headache for 6 years, with acute exacerbation lasting 5 hours.
Present Illness History
The patient began experiencing headaches 6 years ago without any obvious trigger. Prior to the onset of pain, she typically perceives circular scintillating scotomas lasting approximately 2 minutes. This is followed by intense, pulsating pain in the right frontotemporal region, described as unbearable. Attacks are accompanied by photophobia, vomiting of frothy saliva, and typically last about 3 days. Pain is slightly alleviated with rest and oral ibuprofen. Episodes occur 2 to 3 times per month.
Associated symptoms include irritability, insomnia with vivid dreams, and dysmenorrhea, most severe on the first day of menstruation. Menstrual flow is scant and dark purple. The patient is overweight and reports a relatively low dietary intake.
Five hours prior to this visit, she developed circular dark scintillating spots in both visual fields, followed by severe pulsating pain in the right temporal region, along with photophobia and phonophobia. Oral ibuprofen was taken but failed to relieve the symptoms. She reported exposure to cold weather the day before symptom onset. Cranial CT and MRI showed no significant abnormalities. Her mother has a history of migraine.
Current Symptoms
Right-sided frontotemporal pulsating headache, aggravated by light and sound, accompanied by vomiting of frothy sputum, occasional aversion to wind, chest tightness. Tongue is dark red with a white greasy coating. A dark purple ecchymosis strip (~1 cm) is visible on both sides of the tongue. Sublingual veins are tortuous and dark purple black. Pulse is wiry and choppy.

病案  (中文版)
患者，女，26岁，2019年3月13日初诊。主诉：头痛反复发作6年，再发加重5 h。现病史：患者6年前无明显诱因出现头痛，头痛发作前眼前常浮现圆形闪光点，约2 min后右侧额颞部出现剧烈疼痛，呈搏动样疼痛，难以忍受，伴畏光，呕吐痰涎，每次发作持续约3天，安静休息后头痛稍减轻，发作时口服布洛芬可缓解。每月发作2或3次，伴情绪急躁，失眠多梦，痛经，尤以经期第1天为甚，经量少，色紫暗。患者体型偏胖，平素饮食偏少。此次患者5 h前双眼呈现圆形闪光暗点后右颞部搏动性剧烈疼痛，伴畏光、畏声，自行口服布洛芬后症状未缓解，发病前1天有外出受凉史。查颅脑CT及MR未见明显异常。其母亲有偏头痛病史。刻下症见：右侧额颞部搏动性头痛，见光闻声加重，伴呕吐痰涎，偶有恶风，胸闷，舌质暗红、苔白腻，舌体两边可见长约1 cm的黯紫色瘀条，舌下络脉迂曲，色紫黑，脉弦涩。

Case Report ( English Version)
Patient Profile
Female, 26 years old. Initial consultation on March 13, 2019.
Chief Complaint
Recurrent headache for 6 years, with acute exacerbation lasting 5 hours.
Present Illness History
The patient began experiencing headaches 6 years ago without any obvious trigger. Prior to the onset of pain, she typically perceives circular scintillating scotomas lasting approximately 2 minutes. This is followed by intense, pulsating pain in the right frontotemporal region, described as unbearable. Attacks are accompanied by photophobia, vomiting of frothy saliva, and typically last about 3 days. Pain is slightly alleviated with rest and oral ibuprofen. Episodes occur 2 to 3 times per month.
Associated symptoms include irritability, insomnia with vivid dreams, and dysmenorrhea, most severe on the first day of menstruation. Menstrual flow is scant and dark purple. The patient is overweight and reports a relatively low dietary intake.
Five hours prior to this visit, she developed circular dark scintillating spots in both visual fields, followed by severe pulsating pain in the right temporal region, along with photophobia and phonophobia. Oral ibuprofen was taken but failed to relieve the symptoms. She reported exposure to cold weather the day before symptom onset. Cranial CT and MRI showed no significant abnormalities. Her mother has a history of migraine.
Current Symptoms
Right-sided frontotemporal pulsating headache, aggravated by light and sound, accompanied by vomiting of frothy sputum, occasional aversion to wind, chest tightness. Tongue is dark red with a white greasy coating. A dark purple ecchymosis strip (~1 cm) is visible on both sides of the tongue. Sublingual veins are tortuous and dark purple black. Pulse is wiry and choppy.


Please rate the models' performance based on your expertise or experience using a 5-point Likert scale
1: Completely inaccurate, irrelevant, or inappropriate
2: Mostly inaccurate, irrelevant, or inappropriate
3: Partially accurate, relevant, or appropriate
4: Mostly accurate, relevant, or appropriate
5: Completely accurate, highly relevant, or highly appropriate


病案  (中文版)
患者，女，26岁，2019年3月13日初诊。主诉：头痛反复发作6年，再发加重5 h。现病史：患者6年前无明显诱因出现头痛，头痛发作前眼前常浮现圆形闪光点，约2 min后右侧额颞部出现剧烈疼痛，呈搏动样疼痛，难以忍受，伴畏光，呕吐痰涎，每次发作持续约3天，安静休息后头痛稍减轻，发作时口服布洛芬可缓解。每月发作2或3次，伴情绪急躁，失眠多梦，痛经，尤以经期第1天为甚，经量少，色紫暗。患者体型偏胖，平素饮食偏少。此次患者5 h前双眼呈现圆形闪光暗点后右颞部搏动性剧烈疼痛，伴畏光、畏声，自行口服布洛芬后症状未缓解，发病前1天有外出受凉史。查颅脑CT及MR未见明显异常。其母亲有偏头痛病史。刻下症见：右侧额颞部搏动性头痛，见光闻声加重，伴呕吐痰涎，偶有恶风，胸闷，舌质暗红、苔白腻，舌体两边可见长约1 cm的黯紫色瘀条，舌下络脉迂曲，色紫黑，脉弦涩。


请根据您的专业知识或个人经验，使用5分制李克特量表对模型的表现进行评分：
1分：完全不准确、不相关或不适宜
2分：大多不准确、不相关或不适宜
3分：部分准确、相关或适宜
4分：大多准确、相关或适宜
5分：完全准确、高度相关或非常适宜

Result 1

(1) Western Medical Diagnosis: 

        Migraine with typical aura – ICHD-3 code 1.2.1

(1) 西医诊断：

        典型先兆性偏头痛 （ICHD-3 1.2.1）

Diagnoses-Western Medicine
西医诊断：

(2) TCM Diagnosis:

    Disease Name: 

        Bian Tou Tong (migraine-type headache)

    Syndrome Pattern: 

        Liver-yang rising with phlegm-damp and blood stasis obstructing the channels

(2) 中医诊断:

    疾病名称：

        偏头痛（偏头痛属“头痛”范畴）

    证候类型：

        肝阳上亢、痰瘀阻络

TCM Diagnosis:
中医诊断:

(3) TCM Treatment Principle: 

        Pacify Liver, subdue yang, transform phlegm, invigorate blood, open the orifices, relieve pain

(3) 中医治则：
        平肝潜阳，化痰祛瘀，通络止痛

TCM Treatment Principle：
中医治则：

(4) Herbal Prescription:
    Prescription Name:

        Modified Tian Ma Gou Teng Yin
    Herbal Composition:

        Tian Ma 12 g, Gou Teng 15 g (add last 10 min), Shi Jue Ming 20 g (crush, pre-decoct), Chuan Niu Xi 10 g, Du Zhong 10 g, Sang Ji Sheng 12 g, Huang Qin 10 g, Zhi Zi 10 g, Chuan Xiong 10 g, Ban Xia 9 g, Dan Shen 12 g, Yi Mu Cao 15 g

    Decoction Method: 

        Add herbs (except Gou Teng) to 600 mL water, boil 30 min, add Gou Teng for final 10 min, strain; take 200 mL warm, three times daily after meals

(4) 中药方剂:
    方剂名称：

        加味天麻钩藤饮

    药物组成：

        天麻12g，钩藤15g（后下），石决明20g（先煎），川牛膝10g，杜仲10g，桑寄生12g，黄芩10g，栀子10g，川芎10g，半夏9g，丹参12g，益母草15g
    煎服方法：

            诸药（除钩藤外）加水600 mL，武火煮开后文火30 分钟，加入钩藤再煮10 分钟，去渣取汁；温服200 mL，日三次，饭后服

Herbal Prescription:
中药方剂：
(5) Preventive Care:
        Keep regular sleep, avoid wind-cold and bright light, limit greasy foods, practice stress-relief breathing or yoga for 15 min daily
(5) 预防调护：
        保持规律作息，避风寒与强光，少油腻，多做放松呼吸或瑜伽练习
Preventive Care:
预防调护：

Case Report ( English Version)

Patient Profile
Female, 26 years old. Initial consultation on March 13, 2019.
Chief Complaint
Recurrent headache for 6 years, with acute exacerbation lasting 5 hours.
Present Illness History
The patient began experiencing headaches 6 years ago without any obvious trigger. Prior to the onset of pain, she typically perceives circular scintillating scotomas lasting approximately 2 minutes. This is followed by intense, pulsating pain in the right frontotemporal region, described as unbearable. Attacks are accompanied by photophobia, vomiting of frothy saliva, and typically last about 3 days. Pain is slightly alleviated with rest and oral ibuprofen. Episodes occur 2 to 3 times per month.
Associated symptoms include irritability, insomnia with vivid dreams, and dysmenorrhea, most severe on the first day of menstruation. Menstrual flow is scant and dark purple. The patient is overweight and reports a relatively low dietary intake.
Five hours prior to this visit, she developed circular dark scintillating spots in both visual fields, followed by severe pulsating pain in the right temporal region, along with photophobia and phonophobia. Oral ibuprofen was taken but failed to relieve the symptoms. She reported exposure to cold weather the day before symptom onset. Cranial CT and MRI showed no significant abnormalities. Her mother has a history of migraine.
Current Symptoms
Right-sided frontotemporal pulsating headache, aggravated by light and sound, accompanied by vomiting of frothy sputum, occasional aversion to wind, chest tightness. Tongue is dark red with a white greasy coating. A dark purple ecchymosis strip (~1 cm) is visible on both sides of the tongue. Sublingual veins are tortuous and dark purple black. Pulse is wiry and choppy.

Please rate the models' performance based on your expertise or experience using a 5-point Likert scale
1: Completely inaccurate, irrelevant, or inappropriate
2: Mostly inaccurate, irrelevant, or inappropriate
3: Partially accurate, relevant, or appropriate
4: Mostly accurate, relevant, or appropriate
5: Completely accurate, highly relevant, or highly appropriate

病案  (中文版)
患者，女，26岁，2019年3月13日初诊。主诉：头痛反复发作6年，再发加重5 h。现病史：患者6年前无明显诱因出现头痛，头痛发作前眼前常浮现圆形闪光点，约2 min后右侧额颞部出现剧烈疼痛，呈搏动样疼痛，难以忍受，伴畏光，呕吐痰涎，每次发作持续约3天，安静休息后头痛稍减轻，发作时口服布洛芬可缓解。每月发作2或3次，伴情绪急躁，失眠多梦，痛经，尤以经期第1天为甚，经量少，色紫暗。患者体型偏胖，平素饮食偏少。此次患者5 h前双眼呈现圆形闪光暗点后右颞部搏动性剧烈疼痛，伴畏光、畏声，自行口服布洛芬后症状未缓解，发病前1天有外出受凉史。查颅脑CT及MR未见明显异常。其母亲有偏头痛病史。刻下症见：右侧额颞部搏动性头痛，见光闻声加重，伴呕吐痰涎，偶有恶风，胸闷，舌质暗红、苔白腻，舌体两边可见长约1 cm的黯紫色瘀条，舌下络脉迂曲，色紫黑，脉弦涩。

1分：完全不准确、不相关或不适宜
2分：大多不准确、不相关或不适宜
3分：部分准确、相关或适宜
4分：大多准确、相关或适宜
5分：完全准确、高度相关或非常适宜
Result 2

(1) Western Medical Diagnosis:

        Migraine

(1) 西医诊断:
        偏头痛

Diagnoses-Western Medicine

西医诊断：

(2) TCM Diagnosis:

    Disease Name: 

        Headache

    Symptom Type: 

        Liver wind and blood stasis

(2) 中医诊断:
    疾病名称：

        头痛
    证候类型：

        肝风夹瘀

TCM Diagnosis:

中医诊断:

(3) TCM Treatment Principle:

        Clearing the liver, relieving wind, expelling phlegm and activating blood circulation.

(3) 中医治则:
        清肝息风 祛痰活血

TCM Treatment Principle：

中医治则：

(4) Herbal Prescription:

    Prescription Name: 

        Chuanxiong Ligustici Pain Relief Drink

    Herbal Composition: 

        Chuanxiong Ligustici 12 Rhizoma Dioscorea Hypoglossum 10 Chrysanthemums 10 Cow's Knee 10 Tribulus Terrestris 10 Semen Huperzia 6 Coix lacryma-jobi Ren (Coix Seed Pasteur) 10 Myricetes 10 Angelica dahuricae 10 Radix Paeoniae Alba (Red peony) 10 Zingiber officinale (ginger) 6 (grams)

    Decoction Method: 

        chrysanthemums, Crocus Sativus, decoctions of water, take one dose daily. Take two doses of 5 doses

(4) 中药方剂:
    方剂名称：

        川芎定痛饮
    药物组成：

        川芎12 萆薢10 菊花10 牛膝10 白蒺藜10 清半夏6 生薏苡仁10 白豆蔻10 白芷10 赤芍10 生姜6 (克)
    煎服方法：

        菊花 钩藤后下，水煎服日一剂分两次服，5剂

Herbal Prescription:

中药方剂：

(5) Preventive care:

        Avoid wind and cold, avoid cold drinks, alcohol, etc., regulate emotions and moods, and exercise appropriately in normal times.
(5) 预防调护:
        避风寒，忌冷饮酒精等，调畅情志，平时适当运动

Preventive Care:

预防调护：

Case Report ( English Version)
Patient Profile
Female, 26 years old. Initial consultation on March 13, 2019.
Chief Complaint
Recurrent headache for 6 years, with acute exacerbation lasting 5 hours.
Present Illness History
The patient began experiencing headaches 6 years ago without any obvious trigger. Prior to the onset of pain, she typically perceives circular scintillating scotomas lasting approximately 2 minutes. This is followed by intense, pulsating pain in the right frontotemporal region, described as unbearable. Attacks are accompanied by photophobia, vomiting of frothy saliva, and typically last about 3 days. Pain is slightly alleviated with rest and oral ibuprofen. Episodes occur 2 to 3 times per month.
Associated symptoms include irritability, insomnia with vivid dreams, and dysmenorrhea, most severe on the first day of menstruation. Menstrual flow is scant and dark purple. The patient is overweight and reports a relatively low dietary intake.
Five hours prior to this visit, she developed circular dark scintillating spots in both visual fields, followed by severe pulsating pain in the right temporal region, along with photophobia and phonophobia. Oral ibuprofen was taken but failed to relieve the symptoms. She reported exposure to cold weather the day before symptom onset. Cranial CT and MRI showed no significant abnormalities. Her mother has a history of migraine.
Current Symptoms
Right-sided frontotemporal pulsating headache, aggravated by light and sound, accompanied by vomiting of frothy sputum, occasional aversion to wind, chest tightness. Tongue is dark red with a white greasy coating. A dark purple ecchymosis strip (~1 cm) is visible on both sides of the tongue. Sublingual veins are tortuous and dark purple black. Pulse is wiry and choppy.


病案 (中文版)
患者，女，26岁，2019年3月13日初诊。主诉：头痛反复发作6年，再发加重5 h。现病史：患者6年前无明显诱因出现头痛，头痛发作前眼前常浮现圆形闪光点，约2 min后右侧额颞部出现剧烈疼痛，呈搏动样疼痛，难以忍受，伴畏光，呕吐痰涎，每次发作持续约3天，安静休息后头痛稍减轻，发作时口服布洛芬可缓解。每月发作2或3次，伴情绪急躁，失眠多梦，痛经，尤以经期第1天为甚，经量少，色紫暗。患者体型偏胖，平素饮食偏少。此次患者5 h前双眼呈现圆形闪光暗点后右颞部搏动性剧烈疼痛，伴畏光、畏声，自行口服布洛芬后症状未缓解，发病前1天有外出受凉史。查颅脑CT及MR未见明显异常。其母亲有偏头痛病史。刻下症见：右侧额颞部搏动性头痛，见光闻声加重，伴呕吐痰涎，偶有恶风，胸闷，舌质暗红、苔白腻，舌体两边可见长约1 cm的黯紫色瘀条，舌下络脉迂曲，色紫黑，脉弦涩。


请根据您的专业知识或个人经验，使用5分制李克特量表对模型的表现进行评分：
1分：完全不准确、不相关或不适宜
2分：大多不准确、不相关或不适宜
3分：部分准确、相关或适宜
4分：大多准确、相关或适宜
5分：完全准确、高度相关或非常适宜

Result 3
(1) Western Medical Diagnosis:
        Migraine with Aura (ICD-10: G43.1)
(1)西医诊断:
        有先兆偏头痛（ICD-10：G43.1）

Diagnoses-Western Medicine

西医诊断：

(2) TCM Diagnosis:
        Disease Name: Head Wind (Toufeng)

        Syndrome Pattern: Blood Stasis Obstructing the Channels with Phlegm-Dampness and Liver Qi Stagnation

(2) 中医诊断:
        疾病名称：头风病
        证候类型：瘀阻脑络兼痰湿肝郁

TCM Diagnosis:

中医诊断:

(3) TCM Treatment Principle: 

        Activate blood circulation, resolve stasis, dispel phlegm-dampness, and relieve headache by regulating Liver Qi.

(3) 中医治则:
        活血通络，化痰息风，疏肝止痛。

TCM Treatment Principle：

中医治则：

(4) Herbal Prescription:
    Prescription Name: 
        Modified Tong Qiao Huo Xue Tang combined with Ban Xia Bai Zhu Tian Ma Tang
    Herbal Composition: 
        Chuan Xiong (Rhizoma Chuanxiongis) 10g, Tao Ren (Semen Persicae) 9g, Hong Hua (Flos Carthami) 6g, Bai Zhi (Radix Angelicae Dahuricae) 6g, Ge Gen (Radix Puerariae) 12g, Ban Xia (Rhizoma Pinelliae) 9g, Tian Ma (Rhizoma Gastrodiae) 6g, Bai Zhu (Rhizoma Atractylodis Macrocephalae) 12g, Fu Ling (Sclerotium Poriae) 12g, Sheng Jiang (Rhizoma Zingiberis Recens) 3 slices, Da Zao (Fructus Jujubae) 4 pieces
    Decoction Method: 
        Soak herbs in water for 30 minutes. Boil first for 15 minutes, then simmer for 30 minutes. Take warm twice daily.
(4) 中药方剂:
    方剂名称：
        通窍活血汤合半夏白术天麻汤加减
    药物组成：
        川芎 10g，桃仁 9g，红花 6g，白芷 6g，葛根 12g，制半夏 9g，天麻 6g，白术 12g，茯苓 12g，生姜 3片，大枣 4枚
    煎服方法：
        冷水浸泡30分钟，武火煮沸15分钟，文火续煎30分钟，温服每日两次。

Herbal Prescription:

中药方剂：

(5) Preventive Care: 

        Avoid cold exposure, manage stress, and maintain regular meals. Limit greasy foods to reduce phlegm-dampness.

(5) 预防调护:
        避风寒，调情志，忌高脂饮食，规律作息以化痰祛湿。

Preventive Care:

预防调护：

Case Report ( English Version)
Patient Profile
Female, 26 years old. Initial consultation on March 13, 2019.
Chief Complaint
Recurrent headache for 6 years, with acute exacerbation lasting 5 hours.
Present Illness History
The patient began experiencing headaches 6 years ago without any obvious trigger. Prior to the onset of pain, she typically perceives circular scintillating scotomas lasting approximately 2 minutes. This is followed by intense, pulsating pain in the right frontotemporal region, described as unbearable. Attacks are accompanied by photophobia, vomiting of frothy saliva, and typically last about 3 days. Pain is slightly alleviated with rest and oral ibuprofen. Episodes occur 2 to 3 times per month.
Associated symptoms include irritability, insomnia with vivid dreams, and dysmenorrhea, most severe on the first day of menstruation. Menstrual flow is scant and dark purple. The patient is overweight and reports a relatively low dietary intake.
Five hours prior to this visit, she developed circular dark scintillating spots in both visual fields, followed by severe pulsating pain in the right temporal region, along with photophobia and phonophobia. Oral ibuprofen was taken but failed to relieve the symptoms. She reported exposure to cold weather the day before symptom onset. Cranial CT and MRI showed no significant abnormalities. Her mother has a history of migraine.
Current Symptoms
Right-sided frontotemporal pulsating headache, aggravated by light and sound, accompanied by vomiting of frothy sputum, occasional aversion to wind, chest tightness. Tongue is dark red with a white greasy coating. A dark purple ecchymosis strip (~1 cm) is visible on both sides of the tongue. Sublingual veins are tortuous and dark purple black. Pulse is wiry and choppy.

Please rate the models' performance based on your expertise or experience using a 5-point Likert scale
1: Completely inaccurate, irrelevant, or inappropriate
2: Mostly inaccurate, irrelevant, or inappropriate
3: Partially accurate, relevant, or appropriate
4: Mostly accurate, relevant, or appropriate
5: Completely accurate, highly relevant, or highly appropriate


病案 (中文版)
患者，女，26岁，2019年3月13日初诊。主诉：头痛反复发作6年，再发加重5 h。现病史：患者6年前无明显诱因出现头痛，头痛发作前眼前常浮现圆形闪光点，约2 min后右侧额颞部出现剧烈疼痛，呈搏动样疼痛，难以忍受，伴畏光，呕吐痰涎，每次发作持续约3天，安静休息后头痛稍减轻，发作时口服布洛芬可缓解。每月发作2或3次，伴情绪急躁，失眠多梦，痛经，尤以经期第1天为甚，经量少，色紫暗。患者体型偏胖，平素饮食偏少。此次患者5 h前双眼呈现圆形闪光暗点后右颞部搏动性剧烈疼痛，伴畏光、畏声，自行口服布洛芬后症状未缓解，发病前1天有外出受凉史。查颅脑CT及MR未见明显异常。其母亲有偏头痛病史。刻下症见：右侧额颞部搏动性头痛，见光闻声加重，伴呕吐痰涎，偶有恶风，胸闷，舌质暗红、苔白腻，舌体两边可见长约1 cm的黯紫色瘀条，舌下络脉迂曲，色紫黑，脉弦涩。


请根据您的专业知识或个人经验，使用5分制李克特量表对模型的表现进行评分：
1分：完全不准确、不相关或不适宜
2分：大多不准确、不相关或不适宜
3分：部分准确、相关或适宜
4分：大多准确、相关或适宜
5分：完全准确、高度相关或非常适宜

Result 4

(1) Western Medical Diagnosis:
        Migraine with aura (ICHD-3 code： 1.2.1)

(1) 西医诊断:

        有先兆偏头痛 (ICHD-3 编码： 1.2.1)

Diagnoses-Western Medicine

西医诊断：

(2) TCM Diagnosis 

    Disease Name:
        Migraine (Pian Tou Tong)
    Syndrome Pattern:
        Liver Yang rising with Phlegm-Dampness and Blood stasis

(2) 中医诊断:

    疾病名称：

        偏头痛

    证候类型：

        肝阳上亢夹痰瘀证

TCM Diagnosis:

中医诊断:

(3) TCM Treatment Principle:
        Pacify the Liver and subdue Yang, transform Phlegm and activate Blood, extinguish Wind and stop pain

(3) 中医治则:

        平肝潜阳，化痰活血，熄风止痛

TCM Treatment Principle：

中医治则：

(4) Herbal Prescription
    Prescription Name: 
        Modified Tianma Gouteng Yin
    Herbal Composition: 
        Tian Ma 10g, Gou Teng 15g, Shi Jue Ming 20g, Zhi Zi 10g, Huang Qin 10g, Chuan Niu Xi 12g, Du Zhong 10g, Yi Mu Cao 15g, Sang Ji Sheng 15g, Ye Jiao Teng 15g, Fu Shen 15g, Ban Xia 10g, Chen Pi 10g, Fu Ling 15g, Dan Shen 15g, Chuan Xiong 10g, Bai Zhi 10g
    Decoction Method: 
        Decoct in water twice, combine the liquid, take warm in two divided doses daily

(4) 中药方剂:

    方剂名称：

        天麻钩藤饮加减

    药物组成：

        天麻10g 钩藤15g 石决明20g 栀子10g 黄芩10g 川牛膝12g 杜仲10g 益母草15g 桑寄生15g 夜交藤15g 茯神15g 半夏10g 陈皮10g 茯苓15g 丹参15g 川芎10g 白芷10g

    煎服方法：

        水煎两次，合并药液，分两次温服，每日一剂

Herbal Prescription:

中药方剂：

(5) Preventive Care:
        Maintain regular sleep schedule and manage stress through relaxation techniques; avoid cold exposure and excessive fatty foods.

(5) 预防调护:

        保持规律作息，调畅情志；避免受寒，少食肥甘厚味。

Preventive Care:

预防调护：

Case Report ( English Version)
Patient Profile
Female, 26 years old. Initial consultation on March 13, 2019.
Chief Complaint
Recurrent headache for 6 years, with acute exacerbation lasting 5 hours.
Present Illness History
The patient began experiencing headaches 6 years ago without any obvious trigger. Prior to the onset of pain, she typically perceives circular scintillating scotomas lasting approximately 2 minutes. This is followed by intense, pulsating pain in the right frontotemporal region, described as unbearable. Attacks are accompanied by photophobia, vomiting of frothy saliva, and typically last about 3 days. Pain is slightly alleviated with rest and oral ibuprofen. Episodes occur 2 to 3 times per month.
Associated symptoms include irritability, insomnia with vivid dreams, and dysmenorrhea, most severe on the first day of menstruation. Menstrual flow is scant and dark purple. The patient is overweight and reports a relatively low dietary intake.
Five hours prior to this visit, she developed circular dark scintillating spots in both visual fields, followed by severe pulsating pain in the right temporal region, along with photophobia and phonophobia. Oral ibuprofen was taken but failed to relieve the symptoms. She reported exposure to cold weather the day before symptom onset. Cranial CT and MRI showed no significant abnormalities. Her mother has a history of migraine.
Current Symptoms
Right-sided frontotemporal pulsating headache, aggravated by light and sound, accompanied by vomiting of frothy sputum, occasional aversion to wind, chest tightness. Tongue is dark red with a white greasy coating. A dark purple ecchymosis strip (~1 cm) is visible on both sides of the tongue. Sublingual veins are tortuous and dark purple black. Pulse is wiry and choppy.


Please rate the models' performance based on your expertise or experience using a 5-point Likert scale
1: Completely inaccurate, irrelevant, or inappropriate
2: Mostly inaccurate, irrelevant, or inappropriate
3: Partially accurate, relevant, or appropriate
4: Mostly accurate, relevant, or appropriate
5: Completely accurate, highly relevant, or highly appropriate


病案 (中文版)
患者，女，26岁，2019年3月13日初诊。主诉：头痛反复发作6年，再发加重5 h。现病史：患者6年前无明显诱因出现头痛，头痛发作前眼前常浮现圆形闪光点，约2 min后右侧额颞部出现剧烈疼痛，呈搏动样疼痛，难以忍受，伴畏光，呕吐痰涎，每次发作持续约3天，安静休息后头痛稍减轻，发作时口服布洛芬可缓解。每月发作2或3次，伴情绪急躁，失眠多梦，痛经，尤以经期第1天为甚，经量少，色紫暗。患者体型偏胖，平素饮食偏少。此次患者5 h前双眼呈现圆形闪光暗点后右颞部搏动性剧烈疼痛，伴畏光、畏声，自行口服布洛芬后症状未缓解，发病前1天有外出受凉史。查颅脑CT及MR未见明显异常。其母亲有偏头痛病史。刻下症见：右侧额颞部搏动性头痛，见光闻声加重，伴呕吐痰涎，偶有恶风，胸闷，舌质暗红、苔白腻，舌体两边可见长约1 cm的黯紫色瘀条，舌下络脉迂曲，色紫黑，脉弦涩。



请根据您的专业知识或个人经验，使用5分制李克特量表对模型的表现进行评分：
1分：完全不准确、不相关或不适宜
2分：大多不准确、不相关或不适宜
3分：部分准确、相关或适宜
4分：大多准确、相关或适宜
5分：完全准确、高度相关或非常适宜


Result 5
(1) Western Medical Diagnosis:
        Migraine with aura 
(1) 西医诊断:
        有先兆偏头痛

Diagnoses-Western Medicine

西医诊断：

(2) TCM Diagnosis:
    Disease Name: 
        Migraine headache (Pian tou tong)
    Syndrome Pattern: 
        Liver qi stagnation with blood stasis and phlegm obstruction (Gan yu xue yu tan zu)

(2) 中医诊断:
    疾病名称：
        偏头痛
    证候类型：
        肝郁血瘀痰阻

TCM Diagnosis:

中医诊断:

(3) TCM Treatment Principle:
        Soothe the liver and regulate qi, invigorate blood and resolve stasis, dispel phlegm and unblock collaterals.
(3) 中医治则:
        疏肝理气，活血化瘀，祛痰通络。

TCM Treatment Principle：

中医治则：

(4) Herbal Prescription:
    Prescription Name: 
        Modified Xue Fu Zhu Yu Tang
    Herbal Composition: 
        Tao ren 10g, Hong hua 9g, Chuan xiong 12g, Chi shao 15g, Dang gui 10g, Sheng di huang 15g, Chai hu 6g, Zhi qiao 10g, Jie geng 6g, Chuan niu xi 10g, Gan cao 6g, Ban xia 10g, Chen pi 10g
    Decoction Method: 
        Decoct the herbs in water twice, combine the decoctions, and take orally in two divided doses daily.
(4) 中药方剂:
    方剂名称：
        血府逐瘀汤加减
    药物组成：
        桃仁10g，红花9g，川芎12g，赤芍15g，当归10g，生地黄15g，柴胡6g，枳壳10g，桔梗6g，川牛膝10g，甘草6g，半夏10g，陈皮10g
    煎服方法：
        水煎服，每日1剂，分2次服用。

Herbal Prescription:

中药方剂：

(5) Preventive Care:
        Maintain a regular sleep schedule and avoid cold exposure. Practice stress-reduction techniques like meditation
(5) 预防调护:
        保持规律作息，避免寒冷暴露。练习冥想等减压技巧。

Preventive Care:

预防调护：

Case Report ( English Version)
Patient Profile
Female, 26 years old. Initial consultation on March 13, 2019.
Chief Complaint
Recurrent headache for 6 years, with acute exacerbation lasting 5 hours.
Present Illness History
The patient began experiencing headaches 6 years ago without any obvious trigger. Prior to the onset of pain, she typically perceives circular scintillating scotomas lasting approximately 2 minutes. This is followed by intense, pulsating pain in the right frontotemporal region, described as unbearable. Attacks are accompanied by photophobia, vomiting of frothy saliva, and typically last about 3 days. Pain is slightly alleviated with rest and oral ibuprofen. Episodes occur 2 to 3 times per month.
Associated symptoms include irritability, insomnia with vivid dreams, and dysmenorrhea, most severe on the first day of menstruation. Menstrual flow is scant and dark purple. The patient is overweight and reports a relatively low dietary intake.
Five hours prior to this visit, she developed circular dark scintillating spots in both visual fields, followed by severe pulsating pain in the right temporal region, along with photophobia and phonophobia. Oral ibuprofen was taken but failed to relieve the symptoms. She reported exposure to cold weather the day before symptom onset. Cranial CT and MRI showed no significant abnormalities. Her mother has a history of migraine.
Current Symptoms
Right-sided frontotemporal pulsating headache, aggravated by light and sound, accompanied by vomiting of frothy sputum, occasional aversion to wind, chest tightness. Tongue is dark red with a white greasy coating. A dark purple ecchymosis strip (~1 cm) is visible on both sides of the tongue. Sublingual veins are tortuous and dark purple black. Pulse is wiry and choppy.


Please rate the models' performance based on your expertise or experience using a 5-point Likert scale
1: Completely inaccurate, irrelevant, or inappropriate
2: Mostly inaccurate, irrelevant, or inappropriate
3: Partially accurate, relevant, or appropriate
4: Mostly accurate, relevant, or appropriate
5: Completely accurate, highly relevant, or highly appropriate


病案 (中文版)
患者，女，26岁，2019年3月13日初诊。主诉：头痛反复发作6年，再发加重5 h。现病史：患者6年前无明显诱因出现头痛，头痛发作前眼前常浮现圆形闪光点，约2 min后右侧额颞部出现剧烈疼痛，呈搏动样疼痛，难以忍受，伴畏光，呕吐痰涎，每次发作持续约3天，安静休息后头痛稍减轻，发作时口服布洛芬可缓解。每月发作2或3次，伴情绪急躁，失眠多梦，痛经，尤以经期第1天为甚，经量少，色紫暗。患者体型偏胖，平素饮食偏少。此次患者5 h前双眼呈现圆形闪光暗点后右颞部搏动性剧烈疼痛，伴畏光、畏声，自行口服布洛芬后症状未缓解，发病前1天有外出受凉史。查颅脑CT及MR未见明显异常。其母亲有偏头痛病史。刻下症见：右侧额颞部搏动性头痛，见光闻声加重，伴呕吐痰涎，偶有恶风，胸闷，舌质暗红、苔白腻，舌体两边可见长约1 cm的黯紫色瘀条，舌下络脉迂曲，色紫黑，脉弦涩。


请根据您的专业知识或个人经验，使用5分制李克特量表对模型的表现进行评分：
1分：完全不准确、不相关或不适宜
2分：大多不准确、不相关或不适宜
3分：部分准确、相关或适宜
4分：大多准确、相关或适宜
5分：完全准确、高度相关或非常适宜

Result 6
(1) Western Medical Diagnosis:
        Migraine

(1) 西医诊断：

        偏头痛

Diagnoses-Western Medicine

西医诊断：

(2) TCM Diagnosis:
    Disease Name: 
        Headache
    Syndrome Pattern: 
        Obstruction by wind-cold and phlegm, liver qi stagnation
(2) 中医诊断：
    疾病名称：
        头痛
    证候类型：
        风寒痰阻，肝郁气滞

TCM Diagnosis:

中医诊断:

(3) TCM Treatment Principle:
        Dispel wind and scatter cold to resolve phlegm, soothe the liver and regulate qi to relieve pain
(3) 中医治则：
        疏风散寒化痰，疏肝理气止痛

TCM Treatment Principle：

中医治则：

(4) Herbal Prescription:
    Prescription Name: 
        Chuanxiong Chatiaosan combined with modified Tianma Gouteng Yin
    Herbal Composition: 
        Chuanxiong (Ligusticum chuanxiong) 9g, Gouteng (Uncaria rhynchophylla) 15g, Tianma (Gastrodia elata) 15g, Juhua (Chrysanthemum morifolium) 9g,
Wuzhuyu (Evodia rutaecarpa) 6g, Chaihu (Bupleurum chinense) 15g, Banxia (Pinellia ternata, prepared) 12g, Shengjiang (Zingiber officinale, fresh ginger) 12g,Chenpi (Citrus reticulata peel) 9g, Xixin (Asarum heterotropoides) 3g, Qianghuo (Notopterygium incisum) 12g, Cu Xiangfu (Cyperus rotundus, vinegar-prepared) 9g,Fangfeng (Saposhnikovia divaricata) 9g, Bohe (Mentha haplocalyx) 9g
     Decoction Method: 
        Decoct with water, one dose per day, divided into two portions for oral administration.

(4) 中药方剂：

        方剂名称：川芎茶调散与天麻钩藤饮加减
        药物组成：川芎 9g 钩藤15g 天麻15g 菊花9g 吴茱萸6g 柴胡15g 法半夏 12g 生姜12g 陈皮9g 细辛3g 羌活12g 醋香附9g 防风9g 薄荷9g

        煎服方法：水煎服，日一剂，分两次服；

Herbal Prescription:

中药方剂：

(5) Preventive Care:
        Avoid wind and cold, regulate emotions, ensure adequate sleep, and avoid eating raw, cold, or greasy foods.
(5) 预防调护：
        避风寒，调畅情志，保证睡眠，避免口服生冷粘腻之物。

Preventive Care:

预防调护：

Case Report ( English Version)
Patient Profile
Female, 26 years old. Initial consultation on March 13, 2019.
Chief Complaint
Recurrent headache for 6 years, with acute exacerbation lasting 5 hours.
Present Illness History
The patient began experiencing headaches 6 years ago without any obvious trigger. Prior to the onset of pain, she typically perceives circular scintillating scotomas lasting approximately 2 minutes. This is followed by intense, pulsating pain in the right frontotemporal region, described as unbearable. Attacks are accompanied by photophobia, vomiting of frothy saliva, and typically last about 3 days. Pain is slightly alleviated with rest and oral ibuprofen. Episodes occur 2 to 3 times per month.
Associated symptoms include irritability, insomnia with vivid dreams, and dysmenorrhea, most severe on the first day of menstruation. Menstrual flow is scant and dark purple. The patient is overweight and reports a relatively low dietary intake.
Five hours prior to this visit, she developed circular dark scintillating spots in both visual fields, followed by severe pulsating pain in the right temporal region, along with photophobia and phonophobia. Oral ibuprofen was taken but failed to relieve the symptoms. She reported exposure to cold weather the day before symptom onset. Cranial CT and MRI showed no significant abnormalities. Her mother has a history of migraine.
Current Symptoms
Right-sided frontotemporal pulsating headache, aggravated by light and sound, accompanied by vomiting of frothy sputum, occasional aversion to wind, chest tightness. Tongue is dark red with a white greasy coating. A dark purple ecchymosis strip (~1 cm) is visible on both sides of the tongue. Sublingual veins are tortuous and dark purple black. Pulse is wiry and choppy.


Please rate the models' performance based on your expertise or experience using a 5-point Likert scale
1: Completely inaccurate, irrelevant, or inappropriate
2: Mostly inaccurate, irrelevant, or inappropriate
3: Partially accurate, relevant, or appropriate
4: Mostly accurate, relevant, or appropriate
5: Completely accurate, highly relevant, or highly appropriate


病案 (中文版)
患者，女，26岁，2019年3月13日初诊。主诉：头痛反复发作6年，再发加重5 h。现病史：患者6年前无明显诱因出现头痛，头痛发作前眼前常浮现圆形闪光点，约2 min后右侧额颞部出现剧烈疼痛，呈搏动样疼痛，难以忍受，伴畏光，呕吐痰涎，每次发作持续约3天，安静休息后头痛稍减轻，发作时口服布洛芬可缓解。每月发作2或3次，伴情绪急躁，失眠多梦，痛经，尤以经期第1天为甚，经量少，色紫暗。患者体型偏胖，平素饮食偏少。此次患者5 h前双眼呈现圆形闪光暗点后右颞部搏动性剧烈疼痛，伴畏光、畏声，自行口服布洛芬后症状未缓解，发病前1天有外出受凉史。查颅脑CT及MR未见明显异常。其母亲有偏头痛病史。刻下症见：右侧额颞部搏动性头痛，见光闻声加重，伴呕吐痰涎，偶有恶风，胸闷，舌质暗红、苔白腻，舌体两边可见长约1 cm的黯紫色瘀条，舌下络脉迂曲，色紫黑，脉弦涩。


请根据您的专业知识或个人经验，使用5分制李克特量表对模型的表现进行评分：
1分：完全不准确、不相关或不适宜
2分：大多不准确、不相关或不适宜
3分：部分准确、相关或适宜
4分：大多准确、相关或适宜
5分：完全准确、高度相关或非常适宜

Result 7
(1) Western Medical Diagnosis:
        Migraine without aura (ICHD-3: 1.1)
(1)西医诊断:
        无先兆偏头痛 (ICHD-3: 1.1)

Diagnoses-Western Medicine

西医诊断：

(2) TCM Diagnosis:
    Disease Name:
         Headache (头痛)
    Syndrome Pattern: 
        Liver Yang Rising (肝阳上虚) with Spleen Qi Deficiency (脾气虚)
(2) 中医诊断:
    疾病名称：
        头痛
    证候类型：
        肝阳上虚，脾气虚

TCM Diagnosis:

中医诊断:

(3) TCM Treatment Principle:
        Nourish the Spleen, subdue Liver Yang, and resolve Wind-Phlegm.
(3) 中医治则:
        益脾，镇肝阳，化风痰。

TCM Treatment Principle：

中医治则：

(4) Herbal Prescription:
    Prescription Name: 

        Modified Chai Hu Shu Gan Tang (柴胡疏肝汤)
    Herbal Composition: 

        Chai Hu (Bupleurum) 9g, Da Huang (Rhubarb) 6g, Huang Qin (Scutellaria) 6g, Yan Hu Suo (Corydalis) 9g, Zhi Ke (Citrus) 6g, Fu Ling (Poria) 12g, Shen Qu (Massa Fermentata) 15g

    Decoction Method: 

        Boil herbs in 2000ml water for 1 hour. Strain and drink in 2-3 divided doses throughout the day.

(4) 中药方剂:
    方剂名称： 

        改订 柴胡疏肝汤

    药物组成：

        柴胡 9克 大黄 6克, 黄芩 6克, 延胡索 9克, 枳实 6克, 茯苓 12克, 神曲 15克
    煎服方法：

        将中药材放入锅中，加水2000毫升，煎煮1小时。 滤取药汁，分2-3次饮用。

Herbal Prescription:

中药方剂：

(5) Preventive Care:
        Avoid triggers such as cold weather, stress, and excessive screen time. Maintain a balanced diet and regular sleep schedule.
(5) 预防调护:
        避免受凉、压力过大、过度用眼等诱因， 保持均衡饮食和规律作息。

Preventive Care:

预防调护：

Case Report ( English Version)
Patient Profile
Female, 26 years old. Initial consultation on March 13, 2019.
Chief Complaint
Recurrent headache for 6 years, with acute exacerbation lasting 5 hours.
Present Illness History
The patient began experiencing headaches 6 years ago without any obvious trigger. Prior to the onset of pain, she typically perceives circular scintillating scotomas lasting approximately 2 minutes. This is followed by intense, pulsating pain in the right frontotemporal region, described as unbearable. Attacks are accompanied by photophobia, vomiting of frothy saliva, and typically last about 3 days. Pain is slightly alleviated with rest and oral ibuprofen. Episodes occur 2 to 3 times per month.
Associated symptoms include irritability, insomnia with vivid dreams, and dysmenorrhea, most severe on the first day of menstruation. Menstrual flow is scant and dark purple. The patient is overweight and reports a relatively low dietary intake.
Five hours prior to this visit, she developed circular dark scintillating spots in both visual fields, followed by severe pulsating pain in the right temporal region, along with photophobia and phonophobia. Oral ibuprofen was taken but failed to relieve the symptoms. She reported exposure to cold weather the day before symptom onset. Cranial CT and MRI showed no significant abnormalities. Her mother has a history of migraine.
Current Symptoms
Right-sided frontotemporal pulsating headache, aggravated by light and sound, accompanied by vomiting of frothy sputum, occasional aversion to wind, chest tightness. Tongue is dark red with a white greasy coating. A dark purple ecchymosis strip (~1 cm) is visible on both sides of the tongue. Sublingual veins are tortuous and dark purple black. Pulse is wiry and choppy.


Please rate the models' performance based on your expertise or experience using a 5-point Likert scale
1: Completely inaccurate, irrelevant, or inappropriate
2: Mostly inaccurate, irrelevant, or inappropriate
3: Partially accurate, relevant, or appropriate
4: Mostly accurate, relevant, or appropriate
5: Completely accurate, highly relevant, or highly appropriate


病案 (中文版)
患者，女，26岁，2019年3月13日初诊。主诉：头痛反复发作6年，再发加重5 h。现病史：患者6年前无明显诱因出现头痛，头痛发作前眼前常浮现圆形闪光点，约2 min后右侧额颞部出现剧烈疼痛，呈搏动样疼痛，难以忍受，伴畏光，呕吐痰涎，每次发作持续约3天，安静休息后头痛稍减轻，发作时口服布洛芬可缓解。每月发作2或3次，伴情绪急躁，失眠多梦，痛经，尤以经期第1天为甚，经量少，色紫暗。患者体型偏胖，平素饮食偏少。此次患者5 h前双眼呈现圆形闪光暗点后右颞部搏动性剧烈疼痛，伴畏光、畏声，自行口服布洛芬后症状未缓解，发病前1天有外出受凉史。查颅脑CT及MR未见明显异常。其母亲有偏头痛病史。刻下症见：右侧额颞部搏动性头痛，见光闻声加重，伴呕吐痰涎，偶有恶风，胸闷，舌质暗红、苔白腻，舌体两边可见长约1 cm的黯紫色瘀条，舌下络脉迂曲，色紫黑，脉弦涩。


请根据您的专业知识或个人经验，使用5分制李克特量表对模型的表现进行评分：
1分：完全不准确、不相关或不适宜
2分：大多不准确、不相关或不适宜
3分：部分准确、相关或适宜
4分：大多准确、相关或适宜
5分：完全准确、高度相关或非常适宜

Result 8

(1) Western Medical Diagnosis:

        Migraine with aura (ICHD-3 code: 1.2.1)

(1) 西医诊断:

        偏头痛伴先兆 (ICHD-3 code: 1.2.1)

Diagnoses-Western Medicine

西医诊断：

(2) TCM Diagnosis:
        Disease Name: Head Wind (头风)
        Syndrome Pattern: Liver Yang Ascending with Blood Stasis and Phlegm Obstruction (肝阳上亢, 瘀血阻络, 痰浊内扰)

(2) 中医诊断:

        疾病名称：头风

        证候类型：肝阳上亢，瘀血阻络，痰浊内扰

TCM Diagnosis:

中医诊断:

(3) TCM Treatment Principle:
        Pacify the Liver to subdue Yang, activate blood to resolve stasis, transform phlegm to unblock collaterals.

(3) 中医治则:

        平肝潜阳，活血化瘀，化痰通络

TCM Treatment Principle：

中医治则：

(4) Herbal Prescription:
    Prescription Name: 

        Modified Tian Ma Gou Teng Yin 
    Herbal Composition: 

        Tian Ma 6g, Gou Teng 12g, Shi Jue Ming 15g, Sang Ji Sheng 12g, Du Zhong 10g, Niu Xi 12g, Yi Mu Cao 15g, Chuan Xiong 9g, Dan Shen 12g, Ban Xia 9g, Fu Ling 12g, Chen Pi 6g

    Decoction Method: 

        Decoct herbs in water for 30 minutes. Add Gou Teng in the last 5 minutes. Take 150ml warm twice daily.

(4) 中药方剂:

    方剂名称：

        天麻钩藤饮加减

    药物组成：

        天麻6g，钩藤12g，石决明15g，桑寄生12g，杜仲10g，牛膝12g，益母草15g，川芎9g，丹参12g，半夏9g，茯苓12g，陈皮6g

    煎服方法：

        水煎服30分钟，钩藤后下煎5分钟。每日2次，每次150ml温服。

Herbal Prescription:

中药方剂：

(5) Preventive Care:
        Avoid cold exposure and emotional stress; maintain regular sleep.

(5) 预防调护:

        避风寒，调情志，保持规律作息。

Preventive Care:

预防调护：

Case Report ( English Version)
Patient Profile
Female, 26 years old. Initial consultation on March 13, 2019.
Chief Complaint
Recurrent headache for 6 years, with acute exacerbation lasting 5 hours.
Present Illness History
The patient began experiencing headaches 6 years ago without any obvious trigger. Prior to the onset of pain, she typically perceives circular scintillating scotomas lasting approximately 2 minutes. This is followed by intense, pulsating pain in the right frontotemporal region, described as unbearable. Attacks are accompanied by photophobia, vomiting of frothy saliva, and typically last about 3 days. Pain is slightly alleviated with rest and oral ibuprofen. Episodes occur 2 to 3 times per month.
Associated symptoms include irritability, insomnia with vivid dreams, and dysmenorrhea, most severe on the first day of menstruation. Menstrual flow is scant and dark purple. The patient is overweight and reports a relatively low dietary intake.
Five hours prior to this visit, she developed circular dark scintillating spots in both visual fields, followed by severe pulsating pain in the right temporal region, along with photophobia and phonophobia. Oral ibuprofen was taken but failed to relieve the symptoms. She reported exposure to cold weather the day before symptom onset. Cranial CT and MRI showed no significant abnormalities. Her mother has a history of migraine.
Current Symptoms
Right-sided frontotemporal pulsating headache, aggravated by light and sound, accompanied by vomiting of frothy sputum, occasional aversion to wind, chest tightness. Tongue is dark red with a white greasy coating. A dark purple ecchymosis strip (~1 cm) is visible on both sides of the tongue. Sublingual veins are tortuous and dark purple black. Pulse is wiry and choppy.

Please rate the models' performance based on your expertise or experience using a 5-point Likert scale
1: Completely inaccurate, irrelevant, or inappropriate
2: Mostly inaccurate, irrelevant, or inappropriate
3: Partially accurate, relevant, or appropriate
4: Mostly accurate, relevant, or appropriate
5: Completely accurate, highly relevant, or highly appropriate


病案 (中文版)
患者，女，26岁，2019年3月13日初诊。主诉：头痛反复发作6年，再发加重5 h。现病史：患者6年前无明显诱因出现头痛，头痛发作前眼前常浮现圆形闪光点，约2 min后右侧额颞部出现剧烈疼痛，呈搏动样疼痛，难以忍受，伴畏光，呕吐痰涎，每次发作持续约3天，安静休息后头痛稍减轻，发作时口服布洛芬可缓解。每月发作2或3次，伴情绪急躁，失眠多梦，痛经，尤以经期第1天为甚，经量少，色紫暗。患者体型偏胖，平素饮食偏少。此次患者5 h前双眼呈现圆形闪光暗点后右颞部搏动性剧烈疼痛，伴畏光、畏声，自行口服布洛芬后症状未缓解，发病前1天有外出受凉史。查颅脑CT及MR未见明显异常。其母亲有偏头痛病史。刻下症见：右侧额颞部搏动性头痛，见光闻声加重，伴呕吐痰涎，偶有恶风，胸闷，舌质暗红、苔白腻，舌体两边可见长约1 cm的黯紫色瘀条，舌下络脉迂曲，色紫黑，脉弦涩。



请根据您的专业知识或个人经验，使用5分制李克特量表对模型的表现进行评分：
1分：完全不准确、不相关或不适宜
2分：大多不准确、不相关或不适宜
3分：部分准确、相关或适宜
4分：大多准确、相关或适宜
5分：完全准确、高度相关或非常适宜

Result 9
(1) Western Medical Diagnosis:
        Migraine with Aura (ICHD-3: 1.2 Migraine with typical aura). Diagnostic code: G43.1.

(1) 西医诊断: 

        偏头痛伴有典型先兆（ICHD-3：1.2 典型先兆偏头痛）。诊断编码：G43.1。

Diagnoses-Western Medicine

西医诊断：

(2) TCM Diagnosis:
    Disease Name: 
        Migraine (Xian Tong)
    Syndrome Pattern: 
        Liver Yang Rising with Blood Stasis (Gan Yang Shang Kang Yu Xue Zheng)
(2) 中医诊断:
    疾病名称：
        偏头痛（弦痛）
    证候类型：
        肝阳上亢兼血瘀证

TCM Diagnosis:

中医诊断:

(3) TCM Treatment Principle:
        Soothe Liver, extinguish Wind, invigorate Blood, resolve Stasis, and harmonize Shao Yang.
(3) 中医治则:
        平肝潜阳，活血化瘀，调和少阳。

TCM Treatment Principle：

中医治则：

(4) Herbal Prescription:
    Prescription Name: 
        Modified Chuan Xiong Cha Tiao San
    Herbal Composition: 
        Chuan Xiong 12g, Bai Zhi 9g, Jing Jie 9g, Xi Xin 3g, Tao Ren 10g, Hong Hua 6g, Tian Ma 10g, Gou Teng 15g, Bai Shao 12g, Gan Cao 6g.
    Decoction Method:  
        Soak herbs in 600ml water for 30 minutes. Boil over medium heat for 30 minutes. Strain and divide into two doses; take warm once in the morning and evening.
(4) 中药方剂:
    方剂名称：
        川芎茶调散加减
    药物组成：
        川芎 12g，白芷 9g，荆芥 9g，细辛 3g，桃仁 10g，红花 6g，天麻 10g，钩藤 15g，白芍 12g，甘草 6g。
    煎服方法: 
        药物用冷水600ml浸泡30分钟，武火煮沸后文火煎30分钟，滤取药液分两次温服，早晚各一次。

Herbal Prescription:

中药方剂：

(5) Preventive Care:
        Avoid cold exposure; practice stress reduction through gentle exercise (e.g., Tai Chi).
(5) 预防调护:
        避风寒，调情志，适度练习太极等舒缓运动。

Preventive Care:

预防调护：

Case Report ( English Version)
Patient Profile
Female, 26 years old. Initial consultation on March 13, 2019.
Chief Complaint
Recurrent headache for 6 years, with acute exacerbation lasting 5 hours.
Present Illness History
The patient began experiencing headaches 6 years ago without any obvious trigger. Prior to the onset of pain, she typically perceives circular scintillating scotomas lasting approximately 2 minutes. This is followed by intense, pulsating pain in the right frontotemporal region, described as unbearable. Attacks are accompanied by photophobia, vomiting of frothy saliva, and typically last about 3 days. Pain is slightly alleviated with rest and oral ibuprofen. Episodes occur 2 to 3 times per month.
Associated symptoms include irritability, insomnia with vivid dreams, and dysmenorrhea, most severe on the first day of menstruation. Menstrual flow is scant and dark purple. The patient is overweight and reports a relatively low dietary intake.
Five hours prior to this visit, she developed circular dark scintillating spots in both visual fields, followed by severe pulsating pain in the right temporal region, along with photophobia and phonophobia. Oral ibuprofen was taken but failed to relieve the symptoms. She reported exposure to cold weather the day before symptom onset. Cranial CT and MRI showed no significant abnormalities. Her mother has a history of migraine.
Current Symptoms
Right-sided frontotemporal pulsating headache, aggravated by light and sound, accompanied by vomiting of frothy sputum, occasional aversion to wind, chest tightness. Tongue is dark red with a white greasy coating. A dark purple ecchymosis strip (~1 cm) is visible on both sides of the tongue. Sublingual veins are tortuous and dark purple black. Pulse is wiry and choppy.


Please rate the models' performance based on your expertise or experience using a 5-point Likert scale
1: Completely inaccurate, irrelevant, or inappropriate
2: Mostly inaccurate, irrelevant, or inappropriate
3: Partially accurate, relevant, or appropriate
4: Mostly accurate, relevant, or appropriate
5: Completely accurate, highly relevant, or highly appropriate


病案 (中文版)
患者，女，26岁，2019年3月13日初诊。主诉：头痛反复发作6年，再发加重5 h。现病史：患者6年前无明显诱因出现头痛，头痛发作前眼前常浮现圆形闪光点，约2 min后右侧额颞部出现剧烈疼痛，呈搏动样疼痛，难以忍受，伴畏光，呕吐痰涎，每次发作持续约3天，安静休息后头痛稍减轻，发作时口服布洛芬可缓解。每月发作2或3次，伴情绪急躁，失眠多梦，痛经，尤以经期第1天为甚，经量少，色紫暗。患者体型偏胖，平素饮食偏少。此次患者5 h前双眼呈现圆形闪光暗点后右颞部搏动性剧烈疼痛，伴畏光、畏声，自行口服布洛芬后症状未缓解，发病前1天有外出受凉史。查颅脑CT及MR未见明显异常。其母亲有偏头痛病史。刻下症见：右侧额颞部搏动性头痛，见光闻声加重，伴呕吐痰涎，偶有恶风，胸闷，舌质暗红、苔白腻，舌体两边可见长约1 cm的黯紫色瘀条，舌下络脉迂曲，色紫黑，脉弦涩。


请根据您的专业知识或个人经验，使用5分制李克特量表对模型的表现进行评分：
1分：完全不准确、不相关或不适宜
2分：大多不准确、不相关或不适宜
3分：部分准确、相关或适宜
4分：大多准确、相关或适宜
5分：完全准确、高度相关或非常适宜


Result 10
(1) Western Medical Diagnosis:
        Migraine with typical aura (ICHD-3: 1.2.1)
(1) 西医诊断：
        偏头痛伴有典型先兆 (ICHD-3: 1.2.1)

Diagnoses-Western Medicine

西医诊断：

(2) TCM Diagnosis:
    Disease Name: 
        Headache
    Syndrome Pattern: 
        Liver Qi Stagnation and Blood Stasis, complicated by Phlegm and Wind Obstructing the Collaterals
(2) 中医诊断
    疾病名称：
        头痛
    证候类型：
        肝郁血瘀，风痰阻络

TCM Diagnosis:

中医诊断:

(3) TCM Treatment Principle:
        Soothe the Liver, invigorate Blood, transform Phlegm, and expel Wind to stop pain.
(3) 中医治则：
        疏肝理气，活血化瘀，祛风化痰通络止痛。

TCM Treatment Principle：

中医治则：

(4) Herbal Prescription:
    Prescription Name: 
        Jia Wei Xue Fu Zhu Yu Tang (Modified Drive Out Stasis from the Mansion of Blood Decoction)
    Herbal Composition: 
        Chai Hu 12g, Zhi Ke 10g, Tao Ren 10g, Hong Hua 6g, Chuan Xiong 12g, Dang Gui 12g, Sheng Di Huang 15g, Niu Xi 12g, Fa Ban Xia 12g, Tian Ma 12g, Gou Teng 15g, Bai Zhi 10g, Gan Cao 6g.
   Decoction Method: 
        Add all herbs to a pot with 6 cups of water. Bring to a boil, then simmer for 30-40 minutes until 2 cups remain. Strain and drink one cup twice daily.
(4) 中药方剂
    方剂名称：
        加味血府逐瘀汤
    药物组成：
        柴胡 12克, 枳壳 10克, 桃仁 10克, 红花 6克, 川芎 12克, 当归 12克, 生地黄 15克, 牛膝 12克, 法半夏 12克, 天麻 12克, 钩藤 15克, 白芷 10克, 甘草 6克。
    煎服方法：
        每日一剂，水煎两次，取药汁混合后分早晚温服。

Herbal Prescription:

中药方剂：

(5) Preventive Care:
        Manage stress through regular exercise or meditation. Avoid exposure to cold wind and limit consumption of greasy foods to reduce migraine frequency and severity.

(5) 预防调护：

        保持情绪舒畅，避免风寒及油腻食物，有助于减少偏头痛发作。

Preventive Care:

预防调护：

Case Report ( English Version)
Patient Profile
Female, 26 years old. Initial consultation on March 13, 2019.
Chief Complaint
Recurrent headache for 6 years, with acute exacerbation lasting 5 hours.
Present Illness History
The patient began experiencing headaches 6 years ago without any obvious trigger. Prior to the onset of pain, she typically perceives circular scintillating scotomas lasting approximately 2 minutes. This is followed by intense, pulsating pain in the right frontotemporal region, described as unbearable. Attacks are accompanied by photophobia, vomiting of frothy saliva, and typically last about 3 days. Pain is slightly alleviated with rest and oral ibuprofen. Episodes occur 2 to 3 times per month.
Associated symptoms include irritability, insomnia with vivid dreams, and dysmenorrhea, most severe on the first day of menstruation. Menstrual flow is scant and dark purple. The patient is overweight and reports a relatively low dietary intake.
Five hours prior to this visit, she developed circular dark scintillating spots in both visual fields, followed by severe pulsating pain in the right temporal region, along with photophobia and phonophobia. Oral ibuprofen was taken but failed to relieve the symptoms. She reported exposure to cold weather the day before symptom onset. Cranial CT and MRI showed no significant abnormalities. Her mother has a history of migraine.
Current Symptoms
Right-sided frontotemporal pulsating headache, aggravated by light and sound, accompanied by vomiting of frothy sputum, occasional aversion to wind, chest tightness. Tongue is dark red with a white greasy coating. A dark purple ecchymosis strip (~1 cm) is visible on both sides of the tongue. Sublingual veins are tortuous and dark purple black. Pulse is wiry and choppy.


Please rate the models' performance based on your expertise or experience using a 5-point Likert scale
1: Completely inaccurate, irrelevant, or inappropriate
2: Mostly inaccurate, irrelevant, or inappropriate
3: Partially accurate, relevant, or appropriate
4: Mostly accurate, relevant, or appropriate
5: Completely accurate, highly relevant, or highly appropriate


病案 (中文版)
患者，女，26岁，2019年3月13日初诊。主诉：头痛反复发作6年，再发加重5 h。现病史：患者6年前无明显诱因出现头痛，头痛发作前眼前常浮现圆形闪光点，约2 min后右侧额颞部出现剧烈疼痛，呈搏动样疼痛，难以忍受，伴畏光，呕吐痰涎，每次发作持续约3天，安静休息后头痛稍减轻，发作时口服布洛芬可缓解。每月发作2或3次，伴情绪急躁，失眠多梦，痛经，尤以经期第1天为甚，经量少，色紫暗。患者体型偏胖，平素饮食偏少。此次患者5 h前双眼呈现圆形闪光暗点后右颞部搏动性剧烈疼痛，伴畏光、畏声，自行口服布洛芬后症状未缓解，发病前1天有外出受凉史。查颅脑CT及MR未见明显异常。其母亲有偏头痛病史。刻下症见：右侧额颞部搏动性头痛，见光闻声加重，伴呕吐痰涎，偶有恶风，胸闷，舌质暗红、苔白腻，舌体两边可见长约1 cm的黯紫色瘀条，舌下络脉迂曲，色紫黑，脉弦涩。


请根据您的专业知识或个人经验，使用5分制李克特量表对模型的表现进行评分：
1分：完全不准确、不相关或不适宜
2分：大多不准确、不相关或不适宜
3分：部分准确、相关或适宜
4分：大多准确、相关或适宜
5分：完全准确、高度相关或非常适宜

Result 11
(1) Western Medical Diagnosis:
        Migraine with typical aura （ICHD-3：1.2）
(1) 西医诊断:
        偏头痛伴典型先兆 （ICHD-3：1.2）

Diagnoses-Western Medicine

西医诊断：

(2) TCM Diagnosis:

    Disease Name: 

        Toutong (Headache)

    Syndrome Pattern: 

        Blood stasis obstructing collaterals, complicated by liver qi stagnation and cold invasion

(2) 中医诊断:

    疾病名称：

        头痛
    证候类型：

        瘀血阻络，兼肝气郁结、寒邪侵袭

TCM Diagnosis:

中医诊断:

(3) TCM Treatment Principle:
        Activate blood, resolve stasis, unblock collaterals, soothe liver, and dispel cold
(3) 中医治则:
        活血化瘀，通络止痛，疏肝散寒

TCM Treatment Principle：

中医治则：

(4) Herbal Prescription:
        Prescription Name: 
        Modified Xuefu Zhuyu Tang
        Herbal Composition: 
        Chuanxiong (Rhizoma Chuanxiong) 10g, Taoren (Semen Persicae) 12g, Honghua (Flos Carthami) 10g, Danggui (Radix Angelicae Sinensis) 12g, Chishao (Radix Paeoniae Rubra) 10g, Shengdi (Radix Rehmanniae) 15g, Zhechong (Eupolyphaga Seu Steleophaga) 6g, Muxiang (Radix Aucklandiae) 6g, Zhike (Fructus Aurantii) 10g, Guizhi (Ramulus Cinnamomi) 6g, Gancao (Radix Glycyrrhizae) 6g
        Decoction Method: 
        Soak herbs in water for 30 minutes, boil then simmer for 30 minutes; take 200ml warm twice daily

(4) 中药方剂:
    方剂名称：

        血府逐瘀汤加减
    药物组成：

        川芎 10g，桃仁 12g，红花 10g，当归 12g，赤芍 10g，生地 15g，䗪虫 6g，木香 6g，枳壳 10g，桂枝 6g，甘草 6g

    煎服方法：

        上药加水浸泡 30 分钟，煮沸后文火煎煮 30 分钟，取汁 200ml，每日 2 次，温服

Herbal Prescription:

中药方剂：

(5) Preventive Care:
        Avoid cold exposure, manage stress; maintain regular meals.

(5) 预防调护: 

        避风寒，调情志，规律饮食。

Preventive Care:

预防调护：

Case Report ( English Version)
Patient Profile
Female, 26 years old. Initial consultation on March 13, 2019.
Chief Complaint
Recurrent headache for 6 years, with acute exacerbation lasting 5 hours.
Present Illness History
The patient began experiencing headaches 6 years ago without any obvious trigger. Prior to the onset of pain, she typically perceives circular scintillating scotomas lasting approximately 2 minutes. This is followed by intense, pulsating pain in the right frontotemporal region, described as unbearable. Attacks are accompanied by photophobia, vomiting of frothy saliva, and typically last about 3 days. Pain is slightly alleviated with rest and oral ibuprofen. Episodes occur 2 to 3 times per month.
Associated symptoms include irritability, insomnia with vivid dreams, and dysmenorrhea, most severe on the first day of menstruation. Menstrual flow is scant and dark purple. The patient is overweight and reports a relatively low dietary intake.
Five hours prior to this visit, she developed circular dark scintillating spots in both visual fields, followed by severe pulsating pain in the right temporal region, along with photophobia and phonophobia. Oral ibuprofen was taken but failed to relieve the symptoms. She reported exposure to cold weather the day before symptom onset. Cranial CT and MRI showed no significant abnormalities. Her mother has a history of migraine.
Current Symptoms
Right-sided frontotemporal pulsating headache, aggravated by light and sound, accompanied by vomiting of frothy sputum, occasional aversion to wind, chest tightness. Tongue is dark red with a white greasy coating. A dark purple ecchymosis strip (~1 cm) is visible on both sides of the tongue. Sublingual veins are tortuous and dark purple black. Pulse is wiry and choppy.


Please rate the models' performance based on your expertise or experience using a 5-point Likert scale
1: Completely inaccurate, irrelevant, or inappropriate
2: Mostly inaccurate, irrelevant, or inappropriate
3: Partially accurate, relevant, or appropriate
4: Mostly accurate, relevant, or appropriate
5: Completely accurate, highly relevant, or highly appropriate


病案  (中文版)
患者，女，26岁，2019年3月13日初诊。主诉：头痛反复发作6年，再发加重5 h。现病史：患者6年前无明显诱因出现头痛，头痛发作前眼前常浮现圆形闪光点，约2 min后右侧额颞部出现剧烈疼痛，呈搏动样疼痛，难以忍受，伴畏光，呕吐痰涎，每次发作持续约3天，安静休息后头痛稍减轻，发作时口服布洛芬可缓解。每月发作2或3次，伴情绪急躁，失眠多梦，痛经，尤以经期第1天为甚，经量少，色紫暗。患者体型偏胖，平素饮食偏少。此次患者5 h前双眼呈现圆形闪光暗点后右颞部搏动性剧烈疼痛，伴畏光、畏声，自行口服布洛芬后症状未缓解，发病前1天有外出受凉史。查颅脑CT及MR未见明显异常。其母亲有偏头痛病史。刻下症见：右侧额颞部搏动性头痛，见光闻声加重，伴呕吐痰涎，偶有恶风，胸闷，舌质暗红、苔白腻，舌体两边可见长约1 cm的黯紫色瘀条，舌下络脉迂曲，色紫黑，脉弦涩。


请根据您的专业知识或个人经验，使用5分制李克特量表对模型的表现进行评分：
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3分：部分准确、相关或适宜
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5分：完全准确、高度相关或非常适宜

Result 12
(1) Western Medical Diagnosis:
        Acute Migraine
(1) 西医诊断:
        偏头痛急性期

Diagnoses-Western Medicine

西医诊断：

(2) TCM Diagnosis:
    Disease Name: 
        Piantoufeng (Migraine)
    Syndrome Pattern: 
        Combined pattern of wind, phlegm, and blood stasis
(2) 中医诊断:
    疾病名称：
        偏头风
    证候类型：
        风、痰、瘀夹杂为患

TCM Diagnosis:

中医诊断:

(3) TCM Treatment Principle:
        Dispel wind and resolve phlegm, extinguish wind and transform blood stasis, unblock channels and relieve pain
(3) 中医治则:
        治宜疏风豁痰，熄风化瘀，通络止痛

TCM Treatment Principle：

中医治则：

(4) Herbal Prescription:
    Prescription Name: 
        Yushu Tianzhitong Decoction
    Herbal Composition: 
        Chuanxiong (Ligusticum chuanxiong) 10 g, Qianghuo (Notopterygium incisum) 10 g, Baizhi (Angelica dahurica) 10 g, Baishao (Paeonia lactiflora) 12 g, Danggui (Angelica sinensis) 12 g, Xixin (Asarum heterotropoides) 3 g, Tianma (Gastrodia elata) 10 g, Gou Teng (Uncaria rhynchophylla, added later) 12 g, Danshen (Salvia miltiorrhiza) 30 g, Banxia (Pinellia ternata, prepared) 9 g, Chenpi (Citrus reticulata peel) 10 g, Jiangcan (Bombyx batryticatus) 10 g, Quanxie (Buthus martensii, scorpion) 3 g, Wugong (Scolopendra, centipede) 3 pieces, Gancao (Glycyrrhiza uralensis, licorice) 6 g
    Decoction Method: 
        Prepare 3 doses. Take 1 dose daily, decoct the herbs in water, divide into two portions, and take orally in the morning and evening.

(4) 中药方剂:
    方剂名称：

        予舒天止痛汤
    药物组成: 

        川芎10 g，羌活10 g，白芷10 g，白芍12 g，当归12 g，细辛3 g，天麻10 g，钩藤12 g（后下），丹参30 g，法半夏9 g，陈皮10 g，僵蚕10 g，全蝎3 g，蜈蚣3条，甘草6 g

    煎服方法：

        3剂，每日1剂，水煎分早晚两次口服

Herbal Prescription:

中药方剂：

(5) Preventive Care:
        Avoid wind and cold, maintain a calm and relaxed mood.
(5) 预防调护:
        嘱避风寒，畅情志。

Preventive Care:

预防调护：

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