7TCM Online TCM Consultation

Please fill out the online TCM consultation form below, then send your tongue coating photo to the email address [email protected]. We will arrange for a professional TCM practitioner to reply to your consultation via email within 24 hours.
You can also download the online TCM consultation form, fill it out and send it to us via email.

For details about online TCM consultation fees, please refer to: 7TCM TCM Consultation Pricing

User Information
Full Name
Gender
Age
Country
Address
Email
Phone
Other Contact
Part 1: Basic Information
Physical Condition:
Height
Weight
Body Temp
Heart Rate
Blood Pressure
Work Nature:
Occupation
Sedentary Office
Manual Labor
Standing Work
Frequent Travel
Home-Based
Other
Marital & Parenting Status:
Single
Married
Planning Pregnancy
Has Children
Other
Living Environment:
Urban
Suburban
Rural
Coastal
Inland
Other
Chief Complaint & Health Goals
Main Symptoms
Past Medical History
Regimen Goals:
Symptoms completely resolve
Symptoms significantly improve
Improve constitution, prevent recurrence
Health preservation, anti-aging
Other
Expected Regimen Duration:
1 month (Short-term)
3 months (One constitution adjustment cycle)
6 months (Deep conditioning)
Long-term maintenance
Unsure
Cold, Heat & Sweat
3.1 Cold & Heat Sensation
Overall, do you feel more cold or hot?
Feel Cold
Feel Hot
Both明显
No明顯偏頗
Areas that feel cold:
Whole Body
Hands & Feet
Back
Abdomen
Knees
Other
Degree of feeling cold:
Dress more than others
Dress less than others
Need extra heating
Need long sleeves even in summer
Areas that feel hot:
Whole Body
Palms & Soles
Chest
Head
Other
Type of heat sensation:
None
Afternoon tidal fever
Five-palm heat
Paroxysmal flushing heat
Sensitive to AC/Fan?
No discomfort
Feel uncomfortable with draft
Must have it
Averse to wind
Hands and feet in winter:
Warm
Cold
History of frostbite
Hands and feet in summer:
Normal
Palms and soles feel hot
Sweaty palms
3.2 Sweating
Overall sweat amount:
Normal
Excessive
Scant
Almost never sweat
When do you sweat easily?
Profuse sweat with slight movement
Sweat while eating
Night sweats
Sweat during the day for no reason
Sweat when nervous
Location of sweat:
Whole body
Head & face
Palms & soles
Back
Chest
Underarms
Nature of sweat:
Thin and watery
Sticky
Yellowish
Foul odor
Feeling after sweating:
Comfortable
Averse to wind and cold
Fatigued
No special feeling
Head, Face & Spirit
4.1 Head
Do you have headaches?
No
Yes
Location of headache:
Forehead
Back of head
Temples
Top of head
Whole head
One side
Nature of headache:
Distending pain
Stabbing pain
Empty pain
Heavy pain
Dull pain
Throbbing pain
Timing of headache:
Morning
Afternoon
Evening
Irregular
After fatigue
After emotional fluctuation
Do you have dizziness?
No
Yes
Nature of dizziness:
Spinning sensation
Lightheadedness
Blackouts before eyes
Cloudy sensation
Timing of dizziness:
When getting up or lying down
When standing up after sitting
Persistent
4.3 Thirst & Drinking
Do you feel thirsty?
Not thirsty
Thirsty, want to drink
Thirsty but don't want to drink
Dry mouth but not thirsty
Preferred drink temperature:
Ice water
Cold water
Warm water
Hot water
No preference
Amount of water intake?
Normal
More than average
Less than average
Feeling after drinking water?
Quenches thirst
Still thirsty
Abdominal bloating
Increased urination
4.4 Ears & Hearing
Is your hearing normal?
Normal
Mildly decreased
Significantly decreased
Deaf
Do you have tinnitus?
No
Yes
Sound of tinnitus:
Cicada chirping
Buzzing sound
Machinery sound
Pulsing sound
Pattern of tinnitus?
Continuous
Intermittent
Worsens after fatigue
Do you have ear fullness?
No
Yes
4.5 Spirit & Mentality
Mental state:
Energetic
Easily fatigued
Sleepy
Irritable
Low mood
Anxious
Loss of interest
Poor concentration
Forgetful
Characteristics of fatigue:
Energetic in morning, tired in afternoon
Fatigued all day
Worsens after activity
Not relieved by rest
Other conditions:
Palpitations
Chest tightness, shortness of breath
Irritability
Timidity, easily startled
Frequent sighing
Memory:
Normal
Recent memory decline
Long-term memory decline
Sleep
Bedtime:
Wake-up time:
Number of night awakenings:
0 times
1-2 times
3-4 times
>4 times
Can you fall back asleep after waking?
Easily
With difficulty
Cannot fall asleep at all
Do you have many dreams?
No
Yes, occasionally
Yes, frequently
Many nightmares
Do you snore?
No
Mild
Severe
Sleep apnea (wake up gasping)
Morning feeling:
Refreshed
Still tired
Cloudy head
Dry mouth, bitter taste
Puffy eyelids
Daytime sleepiness level:
None
Mild
Moderate
Severe (involuntary nodding off)
Do you take naps?
Never
Occasionally
Frequently minutes
Do you take sleep aids?
No
Western medicine
Chinese medicine/Supplements
Diet & Taste
Appetite:
Normal
Increased appetite
Poor appetite
Feel full after a few bites
Hungry but don't feel like eating
Food intake:
Normal
More than average
Less than average
Post-meal reactions:
No discomfort
Abdominal bloating
Belching
Acid reflux
Nausea
Immediate sleepiness
Food regurgitation
Flavor preferences:
Like hot drinks
Like cold drinks
Like sweet
Like spicy
Like salty
Like sour
Like greasy food
No clear preference
Craving for specific foods?
No
Meat
Sweets
Fried food
Raw/cold food
Spicy food
Drinking habits:
Drink a lot
Drink little
Normal
Only drink when thirsty
Preferred type of water/drink:
Warm/hot water
Cold water
Ice water
Tea
Soft drinks
Do you feel thirsty?
No
Thirsty, want to drink
Thirsty but don't want to drink
Dry mouth but not thirsty
Do you have bitter taste in mouth?
No
In the morning
After meals
All day
Do you have bad breath?
No
Yes
Do you have acid reflux or heartburn?
No
Occasionally
Frequently
Bowel & Bladder
7.1 Bowel Movement (Stool)
Frequency:
Once daily
2-3 times daily
Once every 2 days
Once every 3+ days
>3 times daily
Usual time:
Morning
After meals
Irregular
Stool form:
Formed
Dry/hard
Loose/soft
Dry first, loose later
Watery
Sticky (clings to toilet)
Stool color:
Brownish-yellow
Black
Bloody
Green
Grayish-white
Sensation during defecation:
Smooth
Straining
Sensation of incomplete evacuation
Rectal tenesmus
Abdominal pain relieved by defecation?
No
Yes
Do you take laxatives?
No
Yes
7.2 Urination
Urine color:
Light yellow
Dark yellow
Clear like water
Reddish
Cloudy
Frequency:
Normal during day
Frequent during day
Night urination times/night
Sensation during urination:
Smooth
Burning sensation
Aching pain
Sensation of incomplete voiding
Foamy
Do you have enuresis/urinary incontinence?
No
Yes (with cough/sneeze/jump)
Nighttime enuresis
Chest, Abdomen, Back & Limbs
8.1 Chest
Do you have chest tightness?
No
Occasionally
Frequently
Do you have chest pain?
No
Yes
Location of chest pain:
Precordial area
Retrosternal area
Both sides
Do you have palpitations?
No
Yes
Triggers for palpitations:
Fatigue
Emotion
Fasting
No trigger
Do you have hypochondriac pain or distension?
No
Yes
Location of hypochondriac pain/distension:
Left side
Right side
Both sides
Related to emotions?
Yes
No
8.2 Abdomen
Do you have abdominal bloating?
No
After meals
All day
Relieved by passing gas
Do you have abdominal pain?
No
Yes
Location of abdominal pain:
Epigastric region
Periumbilical area
Lower abdomen
Whole abdomen
Nature of abdominal pain:
Dull pain
Distending pain
Stabbing pain
Cold pain
Is abdominal pain relieved or worsened by pressure?
Relieved by pressure
Worsened by pressure
No change
Does abdomen prefer warmth or coolness?
Prefers warmth
Prefers coolness
Do you have abdominal masses?
No
Yes
8.3 Back & Limbs
Do you have low back soreness or pain?
No
Yes
Nature of low back soreness/pain:
Aching
Painful
Cold sensation
Heaviness
Characteristics of back pain:
Worsens with fatigue
Relieved by rest
Worsens at night
Relieved by activity
Do you have upper back pain?
No
Yes
Location of back pain:
Upper back
Lower back
Sensation in limbs:
Normal
Numbness
Heaviness
Aching pain
Weakness
Joint condition:
Normal
Pain
Swelling
Limited movement
Do you have edema?
No
Yes
Location of edema:
Eyelids
Hands
Ankles
Calves
Timing of edema:
Morning
Afternoon
All day
Women's Health
Menstrual cycle:
Regular (___ days)
Short cycle
Long cycle
Completely irregular
Duration of bleeding:
Menstrual flow:
Normal
Heavy
Light
Prolonged spotting
Menstrual blood color:
Bright red
Dark red
Pale red
Dark brown/black
Menstrual blood consistency:
Normal
Thin, watery
Thick, sticky
Many clots
Dysmenorrhea (painful periods):
No
Yes (before period)
Yes (during period)
Yes (after period)
Mild
Moderate
Severe
Premenstrual syndrome (PMS):
No
Breast tenderness
Mood swings
Headache
Edema
Acne
Date of last menstrual period:
Vaginal discharge amount:
Normal
Increased
Decreased
Vaginal discharge color:
White
Yellow
Yellow-green
Blood-tinged
Vaginal discharge consistency:
Thin, watery
Thick, sticky
Curd-like
Frothy
Vaginal discharge odor:
No odor
Fishy odor
Foul odor
Are you pregnant or breastfeeding?
No
Pregnant (___ weeks)
Breastfeeding (___ months postpartum)
Gynecological history:
Medical History & Medications
12.1 Past Medical History
Past medical history:
None
Hypertension:
Hypertension years
Hypertension control:
Good
Fair
Poor
Diabetes:
Diabetes years
Diabetes control:
Good
Fair
Poor
Other conditions:
High cholesterol
Heart disease
Liver disease
Kidney disease
Thyroid disorder
Gout
Anemia
Stomach conditions:
Gastritis
Gastric ulcer
GERD
Emotional health:
Anxiety/Depression
Diagnosed
Under treatment
Tumor/Cancer:
Tumor
Surgery history:
Surgery history
Trauma history:
Trauma history
Allergy history:
Medication
Food
Pollen
Other
12.2 Current Medications
Medication 1:
Name
Dosage
Duration
Reason
Medication 2:
Name
Dosage
Duration
Reason
12.3 Supplements/Chinese Herbs
Supplements/Chinese Herbs:
Name
Dosage
Duration
Lifestyle Habits
13.1 Tobacco & Alcohol
Smoking:
Never
Occasionally
Regularly (, )
Alcohol:
Never
Occasionally ()
Regularly ()
13.2 Exercise
Exercise frequency:
Almost never
1-2 times/week
3-5 times/week
Daily
Exercise type:
Walking
Running
Swimming
Yoga
Gym
Ball sports
Tai Chi
Baduanjin
Other
Duration per session:
Exercise intensity:
Light
Moderate
Vigorous
13.3 Work & Stress
Average work hours:
Stress self-rating (1-10):
Main sources of stress:
Work
Family
Finances
Health
Relationships
Other
13.4 Other
Do you often stay up late?
Never
Occasionally
Frequently
Tongue Diagnosis
📌 Photo Guide: Take in natural light, no filters, open mouth and extend tongue fully to show the entire surface, best taken in the morning before eating or brushing teeth.
Tongue color:
Light red
Pale white
Red
Deep red
Purple-dark
Blue-purple
Tongue coating thickness:
Thin
Thick
Tongue coating color:
White
White and greasy
Yellow
Yellow and greasy
Gray-black
No coating
Tongue coating moisture:
Moist
Dry
Slippery
Greasy
Curdy-like
Peeled coating
Tongue body shape:
Normal
Swollen and large
Thin and small
Tooth-marked
Cracked
Prickly (strawberry tongue)
Deviated
Trembling
Sublingual veins:
Not prominent
Visible
Dilated/tortuous/blue-purple
Other description:
Tongue surface photo:
[Take photo]
Sublingual veins photo:
[Take photo]
Pulse Diagnosis
PositionLeft HandRight Hand
Cun (Heart/Lung)
Superficial
Middle
Deep
Slow
Moderate
Rapid
Very rapid
Forceful
Weak
Large
Thin
Taut/Wiry
Slippery
Choppy
Tense
Soft/Weak floating
Weak deep
Superficial
Middle
Deep
Slow
Moderate
Rapid
Very rapid
Forceful
Weak
Large
Thin
Taut/Wiry
Slippery
Choppy
Tense
Soft/Weak floating
Weak deep
Guan (Liver/Spleen)
Superficial
Middle
Deep
Slow
Moderate
Rapid
Very rapid
Forceful
Weak
Large
Thin
Taut/Wiry
Slippery
Choppy
Tense
Soft/Weak floating
Weak deep
Superficial
Middle
Deep
Slow
Moderate
Rapid
Very rapid
Forceful
Weak
Large
Thin
Taut/Wiry
Slippery
Choppy
Tense
Soft/Weak floating
Weak deep
Chi (Kidney/Kidney)
Superficial
Middle
Deep
Slow
Moderate
Rapid
Very rapid
Forceful
Weak
Large
Thin
Taut/Wiry
Slippery
Choppy
Tense
Soft/Weak floating
Weak deep
Superficial
Middle
Deep
Slow
Moderate
Rapid
Very rapid
Forceful
Weak
Large
Thin
Taut/Wiry
Slippery
Choppy
Tense
Soft/Weak floating
Weak deep
Overall pulse judgment:
Other Additional Information
Please describe any symptoms not covered, special circumstances, or your questions:
TCM Health Risk Assessment

⚠️ The following are "Red Alerts". If you experience any, it is recommended to seek immediate in-person medical attention:

  • Unexplained significant weight loss (>5% in 3 months)
  • Persistent fever (>38.5°C for over 3 days)
  • Night sweats with weight loss
  • Coughing up blood/Blood in stool/Black tarry stool
  • Chest pain radiating to left arm/jaw
  • Sudden severe headache ("thunderclap")
  • Weakness/numbness in one side of the body/drooping mouth corner
  • Difficulty breathing/wheezing
  • Altered consciousness/fainting
  • Suicidal thoughts (with a clear plan)
  • Pregnancy (especially first 3 months or last 3 months with complications)
  • Active malignancy
  • Severe liver or kidney dysfunction
Do you have any of the above?
No
Yes (please specify item number: )
⚠️ If you have any of the above, this regimen is for reference only. Please prioritize in-person medical attention.
Service Boundaries & Disclaimer
1. What this service does NOT replace
  • Does not replace emergency medical care (e.g., heart attack, stroke, trauma)
  • Does not replace specialized diagnosis (e.g., cancer diagnosis, surgical evaluation)
  • Does not replace psychiatric emergencies (e.g., severe suicide risk)
2. Limitations of this service
  • Remote diagnosis cannot perform pulse-taking, relies mainly on tongue diagnosis and inquiry
  • Remote assessment has limitations; regular in-person check-ups are recommended
  • Herbal suggestions in the regimen are for reference; consult a local TCM practitioner for specific medication
3. Client responsibility
  • Provide all information truthfully; withholding important medical history may affect regimen safety
  • Seek medical attention if new symptoms appear or existing symptoms worsen
  • Take ultimate responsibility for personal health decisions
4. Our responsibility
  • Provide personalized conditioning suggestions based on professional TCM theory
  • Protect client privacy, do not disclose information without authorization
  • Take responsibility for the professionalism of the regimen

This service is for TCM health conditioning and does not replace emergency medical care. In case of emergency, please go to the nearest medical facility immediately.