Did/do Chinese physicians really smell their patients' feces?

[BrainGlutton]

There's a scene in the Bertolucci film The Last Emperor: Two-year-old Pu Yi has just been crowned emperor of China and is spending his first night in the palace. While he is reluctantly having his bath, a court physicians sniffs the crap in Pu Yi's chamber pot and orders, "No bean curd!" Meaning, I presume, that for medical reasons the palace cooks shouldn't feed the emperor any bean curd until further notice.

Did traditional Chinese physicians really use the smell of a patients' feces as a diagnostic tool? Do they still? Would it really provide any useful information? Unlike acupuncture, this practice seems never to have caught on in the West.

[Xgemina]

I believe that the smell of feces has been and still is used by physicians everywhere.

For exampe: according to Medfriendly.com-- http://www.medfriendly.com/feces.html
[quote]To diagnose various medical problems, feces are often examined for their smell, color, quantity, and consistency...[/b]

[Marley23]

I think I'll mention this the next time my grandparents ask me why I didn't become a doctor.

[j.c.]

It's certainly common for vets, and conscientious animals owners, to keep on out on what comes out.

[Qadgop the Mercotan]

Frankly, I don't go around sniffing patient's feces, but I can tell the scent of melanotic stool (digested blood), along with fatty stool, from ordinary stool.

I can also diagnose trichomonas in a female patient by scent alone in a lot of cases (altho I also send it to the lab to make sure).

Anaerobic abscesses are easy to diagnose by smell, as is wet gangrene. And diabetics in keto-acidosis give off a characteristic fruity odor.

Hazard of the profession. Anyone still think we get paid too much? :D

QtM, MD

[j.c.]

If pay scales are based on the ookiness factor, doctors should be on the low end!

[China Guy]

no doctor in China has ever smelled my poop. I'm sure it can happen, but it's not part of the normal exam.

[Dr_Paprika]

I can smell pretty much what Qadgop can, plus maybe some liver disease, pneumonia, strep throat and urine infections. If I'm going to smell a patient's stool, though, they'd probably need to be on their way to a more glamorous "throne" than the one you're heading for :).

[CrazyCatLady]

Seems perfectly reasonable to me. Smell can be an incredibly useful diagnostic tool. I can diagnose parvo or other HGE's by smell, as well as parasite infestations, yeast infection of the ears, hotspots and other skin ailments. Heck, one of the women I work with can usually tell you what type of parasites an animal has just by smelling the poop. I can usually only recognize coccidia smell, though.

[shijinn]

and i know when a person have had papaya..

[Mith]

I saw a Dateline special.... or maybe it was 20/20, where women suffering from breast cancer were seen by a Chinese doctor. he was dressed as a buddhist monk, I remember.

Part of his examination included stirring the women's urine sample and smelling it, as well as noting it's foamabitlity or lack there of.

He didn't use the aid of a mamoghram or biopsy, and then proceeded to give them herbs and special diets.

Very interesting.