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HESHOUTANG ONLINE PATIENT SYMPTOMS ANALYSIS FORM

Please fill out the questionnaire below carefully for the best estimation of your health situation.
Before you submit the questionnaire, you need to fill out a Heshoutang Member ID, if you do not have one, please check Heshoutang Members List.
Heshoutang Experts will conduct personal assessments with Heshoutang Natural Health System which has been proved to be effective and safe.
The related Heshoutang Member will give a reply within 24 hours since you submitted the form.(Note: Your correct email address or phone is required.)

Personal Information


Please check the boxes below relevant to your symptoms:

Spleen & Stomach:

Appetite

Stomach Pain

Around Belly Button

Stomach Bloating

Burning Stomach

Acid Reflux

Taste in your mouth

Vomiting

Often Thirsty

Easily hungry

Prefer foods


Lung & Large Intestine

Cough

With Phlegm/Mucus

Asthma

Nose Problem

Throat Problem

Easily Sweating

Skin problems


Kidney & Bladder

Sore Pain

Sharp Pain

Urine

Urine Color

Stool Problem

Sex Desire

Erectile Failure

Sex Time

Infertility


Liver & Gall bladder

Body Sides Suffering

Easily angry

Anxiety & Depression

Numbness

Shaking Body

Headache

Eyes problem

Vertigo


Heart & Small Intestine

Palpitation

Arrhythmia

Chest Pain

Insomnia

Dreamful

Dizziness

Heart attack history


For women only

Menstrual Cycle

Menstrual Duration

Menstrual Amount

Menstrual Clot

Menstrual Color

Painful Period


Other problems

Calculus(Stone)

Hair Problem

Joints Problem

Face Color

Body Temperature

Edema

Teeth Problems

Ulcer

Hernia

Pictures

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  • Heshoutang does not diagnose or prescribe, nor is it our purpose to replace the services of your doctor or traditional medicine. We offer information along with our products and suggested wellness programs to those who are willing to share responsibility for their own health with their physicians. In the event our client uses this information, and goes off their prescriptions without the approval of a physician, he/she assumes full responsibility for it.
  • It should not be misconstrued to mean, imply, or indicate that the products or programs described cure anything, as no such claims are made. ONLY THE BODY CAN HEAL ITSELF, so the dietary supplements are not offered as a cure, but rather as aids to the body in re-establishing normal functions. The body is very complex, and providing a clean diet and one hundred percent nutrition can optimize one’s health. Results may vary.
  • If your doctor indicates that dietary supplement is not important and attempts to treat you with drugs only, we suggest you obtain a second opinion from a diet conscious physician who is more aware of natural methods of biological medicine, because - after all – it is your health!