Frequency | Severity | |||||||||
---|---|---|---|---|---|---|---|---|---|---|
Never | Rarely | Sometimes | Frequently | Always | No | Mild | Moderate | Severe | Catastrophic | |
1 | 2 | 3 | 4 | 5 | 1 | 2 | 3 | 4 | 5 | |
1. Feeling the earth spinning or shaking like on the boat (Dizziness) | ||||||||||
2. Feeling of being lightheaded, woozy, or unbalanced, and see stars (Dizzy vision) | ||||||||||
3. Feeling short of breath when you lie down (Night panting) | ||||||||||
4. Short of breath walking on the flat road in 5 min (Panting on exertion) | ||||||||||
5. Slight dyspnea of physical activity or when resting (Short of breath) | ||||||||||
6. Feeling not enough breath when speaking and need to take a deep breath. (Shortage of qi) | ||||||||||
7. Feel the heart beat suddenly become faster or slower (Palpitation) | ||||||||||
8. Oppression in the chest (Oppression in the chest) | ||||||||||
9. Pain felt anywhere in the chest area (Chest pain) | ||||||||||
10. Feeling cold in the extremities when cold (Cold limbs) | ||||||||||
11. Feel weakness in the arms and legs (Lack of strength in the limbs) | ||||||||||
12. Feeling sick and hardly think (Listlessness of essence-spirit) | ||||||||||
13. Feeling tired easily want to take a rest during a activity (Exhausted) | ||||||||||
14. No desire for motion (Fatigue) | ||||||||||
15. Feeling cold and wear more clothes than the others (Fear of cold) | ||||||||||
16. Forgetful; having a bad memory (Amnesia) | ||||||||||
17. Emotional instability have no patience for everything (Vexation and agitation) | ||||||||||
18. A relatively permanent state of worry and nervousness (Anxiety and preoccupation) | ||||||||||
19. Feel repress motions (Depression) | ||||||||||
20. Feel weakness and no desire to speak (Disinclination to talk) |