Name Date Diagnosis, Primary and Secondary Symptoms (description): Mark between 8 and 16 important symptoms that pertain to the current disease. Symptoms are changes during a disease that differ from the healthy state. Air/Weather/Temperature/Wrapping Desire for open air Increased Diminished Open air Improves Aggravates Room Improves Aggravates Weather / air, wet, damp Improves Aggravates Weather / air, dry Improves Aggravates Weather / air, cold Improves Aggravates Weather / air, warm Improves Aggravates Weather / air, wet-cold Improves Aggravates Cold in general Improves Aggravates Cold, when getting cold Improves Aggravates Warmth, in general Improves Aggravates Warmly, from wrapping up Improves Aggravates Uncovering Improves Aggravates Position Lying position Improves Aggravates Lying, on back Improves Aggravates Lying, on side Improves Aggravates Lying, on right side Improves Aggravates Lying, on left side Improves Aggravates Lying, on painful side Improves Aggravates Lying, on pain-free side Improves Aggravates Sitting Improves Aggravates Sitting, bent over Improves Aggravates Standing Improves Aggravates Lying down, after Improves Aggravates Rising from bed, after Improves Aggravates Rising from seat, after Improves Aggravates Hang down, letting arm/leg Improves Aggravates Movement Resting (not moving) Improves Aggravates Movement Desire Aversion Movement Improves Aggravates Movement, of affected parts Improves Aggravates Walking Improves Aggravates Running, jogging Aggravates Stepping hard Aggravates Physical effort Aggravates Raising affected limb Improves Aggravates Stretching out affected limb Improves Aggravates Bending over, while Improves Aggravates Sitting down, while Improves Aggravates Rising from bed, while Improves Aggravates Rising from seat, while Improves Aggravates Writing Aggravates Traveling Aggravates Perception Light (bright) Aggravates Looking, eyes strained Aggravates Reading Aggravates Touch Aggravates Pressure, external Improves Aggravates Rubbing Improves Aggravates Head Warmly, from wrapping up head Improves Aggravates Shaking head Aggravates Sneezing Aggravates Teething, during, in Children Aggravates Talking, speaking Aggravates Mental effort Aggravates Eating / Drinking Swallowing Improves Aggravates Chewing Aggravates Eating, before Aggravates Eating, during Improves Aggravates Eating, after Improves Aggravates Change of appetite Hunger No appetite Desire to drink Thirst No thirst Before breakfast, fasting Improves Aggravates After breakfast Improves Aggravates Food and drink, cold things Improves Aggravates Food and drink, warm things Improves Aggravates Drinking while Aggravates Drinking, after Aggravates Alcohol Aggravates Milk Aggravates Coffee Aggravates Saliva Increased Diminished Breathing Breathing Quickened Breathing, in (inspiration) Aggravates Breathing, out (expiration) Aggravates Heart-Circulation Pulse Hard Pulse Too fast Too slow Digestive Track Eructations (burping) Improves Aggravates Stool, before Aggravates Stool, during Aggravates Stool, after Improves Aggravates Flatus, after discharge of Improves Gynecology / Urology Menstruation Too Short Too Long Menstruation Profuse Too Weak Menstruation Too Often Too Rare Menstruation Blood Clotted (Lumpy) Menstruation Worse Before At Start Menstruation Worse During After Sexual Instinct Strong Weak Leucorrhea, acrid Mind and Intellect Urination Profuse Scanty Urination Frequent Infrequent Sleep Sleep, during Aggravates While falling asleep Aggravates While/after waking up Aggravates Irritability (anger, aggression) Unusual Sadness (dejection, inclined to weep) Unusual Solitude, being alone Improves Company of people Aggravates Consolation Aggravates Grinding teeth Understanding difficult Send
