"A few things came back flagged on my screening — can TCM help with those?" In the months after the annual company health screening, it is a question that comes up often.

The most important sentence goes first: the flagged numbers belong to your doctor. This article is not about how TCM brings figures down — that is not what a TCM consultation does. It is about what those reports are actually useful for in a consultation, and the 5 things worth telling a practitioner.

I. First: the report belongs to the doctor, the consultation to the practitioner

This has to be clear, because confusing the two costs time.

• Abnormal results need medical diagnosis and follow-up. Blood pressure, glucose, lipids, liver and kidney function — interpreting them, prescribing for them and scheduling repeat tests all belong to the medical side.
• A TCM consultation does not use those numbers to reach a TCM judgement. TCM assessment rests on history, observation and the tongue — not on test values.

So what is the report for? It tells the practitioner your full situation — what has already been established, what you are taking, and where extra care is needed. That directly shapes what they can suggest.

II. The 5 things worth telling a practitioner

• Which items were flagged, and roughly what the values were — a photo or screenshot is quickest; no need to memorise.
• What your doctor said, and what was prescribed — a photo of the packet is enough.
• When the repeat test is due — if your doctor set a date, keep it.
• Family history — whether parents or siblings have something similar.
• What you yourself have noticed — tiredness, thirst, waking to urinate, dizziness, palpitations. These subjective changes are the part a TCM consultation actually works with.

The fifth is the easiest to skip and the most important. The report is background; how you feel is the content.

III. What belongs to whom

This table deliberately does not say which readings TCM can improve. For anything already diagnosed by a doctor, follow your doctor's diagnosis and treatment.

A note: this section is general information only. For conditions like these, follow your doctor's diagnosis and treatment, and seek medical attention when you need it.

IV. Contact your doctor first in these situations

• The report says to return promptly, or your doctor contacts you — act on it, do not delay
• Chest pain, breathlessness, a cold sweat — call 999 immediately or go to the nearest hospital emergency department
• Sudden one-sided weakness, slurred speech or blurred vision — call 999 immediately or go to the nearest hospital emergency department
• Noticeable swelling, changes in urine output, foamy urine
• Unexplained weight loss
• Glucose-related abnormalities with thirst, frequent urination or blurred vision
• New symptoms while on medication — contact the doctor who prescribed it, and never stop or adjust it on your own

A note: this section is general information only. For conditions like these, follow your doctor's diagnosis and treatment, and seek medical attention when you need it.

V. Fitting it into life in Malaysia

• Your annual company screening. Keep the report. The same document serves both: your doctor reads the numbers, your practitioner reads the context.
• Photograph it into your phone. Showing it to the camera during the consultation is far more accurate than describing it from memory.
• Photograph the prescription too. The packet is enough; no need to copy down names.
• Tonics from family — especially anything marketed for blood pressure, sugar or cholesterol. Always mention these. Taking them alongside prescribed medication needs professional judgement.
• Don't skip the repeat test. A TCM consultation can be scheduled separately; it does not need to clash.

On preparing: what to prepare before an online consultation. On where things should go: when an online consultation is not the right choice.

In closing

✅ Worth remembering:

1. The numbers belong to your doctor — a TCM consultation does not use test values to reach its judgement.
2. Bringing the report lets the practitioner see your full situation, not interpret your figures.
3. Mention what was flagged, what your doctor said and prescribed, the repeat date, family history, and what you have noticed.
4. What you have noticed is the main material; the report is background.
5. A prompt-return flag, chest pain, sudden weakness — act immediately, do not wait.

❌ Better not to:

1. Expect a TCM consultation to bring your numbers down — that is not what it does.
2. Stop prescribed medication on your own because you have started TCM care.
3. Take products marketed for blood pressure, sugar or cholesterol without telling anyone.

👉 If you would like to set out your everyday health alongside your doctor's treatment, you are welcome to book an online consultation with HansMed, where a practitioner registered under the T&CM Act 2016 can assess it with you.

Reviewed by Mr. Siew Kuen Xian, a TCM practitioner registered with Malaysia's Traditional and Complementary Medicine Council under the T&CM Act 2016, practising in general TCM, internal medicine, pain management and TCM gynaecology.

Sit with a licensed TCM practitioner from wherever you are.

HansMed Modern TCM

「医师，我体检报告有几项红字，中医可以调理吗？」每年公司体检之后的那几个月，这是不少读者常问的一句话。

先把最重要的一句放前面：报告上的红字，属于医生的处理范围。 这篇不谈「中医怎么把数字降下来」——那不是中医问诊在做的事。这篇讲的是这些报告在问诊里有什么用、您该说明哪 5 件事。

一、先分清楚：报告归医生，问诊归医师

这一点必须先讲清楚，因为搞混了会耽误事。

• 数字异常需要医生的诊断与追踪。 血压、血糖、血脂、肝肾功能——这些的判读、用药与复查安排，属于西医的范围。
• 中医问诊不会用这些数字来做中医的判断。 中医的辨证依据是问诊、望诊与舌象，不是检验数值。

那报告在问诊里有什么用？它让医师知道您的完整状况——您已经确认了什么、正在服用什么、有哪些需要特别谨慎的地方。这直接影响医师能给什么建议。

二、该说明的 5 件事

• 哪几项异常，数值大概多少：拍照或截图最快，不必背。
• 医生怎么说、开了什么药：药名不必记，包装拍一张就好。
• 复查的时间：医生要您几个月后再验，请照着做。
• 家族史：父母或兄弟姐妹有没有类似情况。
• 您自己觉得的身体变化：疲倦、口渴、夜尿、头晕、心悸——这些主观感受才是中医问诊真正会用到的部分。

第五项最容易被略过，但它才是问诊的主要材料。报告是背景，您的感受是内容。

三、一张表看懂：什么归谁

这张表刻意不写「中医能改善哪些指数」。已由医生诊断的情况，请以西医的诊断与治疗为主。

小提醒：本段仅为一般知识说明。相关情况请以西医的诊断与治疗为主，并在需要时及时就医。

四、这些情况请先联络医生

• 报告上标示「需尽快复诊」或医生主动联络您——请照办，不要拖
• 胸痛、气促、冒冷汗——请立刻拨打 999 或前往最近的医院急诊部
• 突然的单侧无力、口齿不清、视线模糊——请立刻拨打 999 或前往最近的医院急诊部
• 明显水肿、尿量改变、泡沫尿
• 不明原因的体重下降
• 血糖相关的异常伴随口渴、频尿、视线模糊
• 正在服药却出现新的不适——请先联络开药的医生，切勿自行停药或自行加减

小提醒：本段仅为一般知识说明。相关情况请以西医的诊断与治疗为主，并在需要时及时就医。

五、大马生活里怎么安排

• 公司年度体检：报告别丢。同一份报告，医生看数字，医师看背景，两边都用得上。
• 报告拍照存手机：问诊时可以直接对着镜头指给医师看，比凭记忆说准确得多。
• 药单也拍一张：包装照片就够，不必抄药名。
• 家里长辈给的补品：尤其是标示「降三高」功能的——请务必说明。这类产品与医生开的药一起吃，需要专业判断。
• 复查别跳过：中医的问诊时段可以另外安排，不必和复查冲突。

关于问诊前的准备，可参考：线上问诊前该准备什么。关于什么情况需要先就医，可参考：哪些情况不适合线上问诊。

结语

✅ 记住这几点：

1. 报告上的数字归医生，中医问诊不会用数值来做中医的判断。
2. 带报告来，是让医师知道您的完整处境，不是请他解读数字。
3. 该说明异常项目、医生的说法与用药、复查时间、家族史、您自己的感受。
4. 您的主观感受才是问诊的主要材料，报告只是背景。
5. 标示需尽快复诊、胸痛气促、突然无力——立刻处理，别等。

❌ 不要这样做：

1. 不要期待中医问诊帮您把数字降下来——那不是它在做的事。
2. 不要因为开始中医调理就自行停掉医生开的药。
3. 不要自行服用标示「降三高」功能的产品而不告诉任何人。

👉 如果您想在医生的治疗之外，把日常的身体状况说给医师听，欢迎透过汉方中医的线上问诊，由依 2016 年 T&CM 法令注册的医师为您评估。

本文由 萧焜贤 医师 撰稿审阅。萧焜贤 医师依 2016 年 T&CM 法令于马来西亚传统与辅助医药理事会注册执业，专长为中医全科、内科、疼痛管理与妇科。

无论身在何处，与持证中医师对坐。

汉方现代中医