With the development of modern medicine

integrated Chinese and western medicine is widely applied in clinical diagnosis and therapy

and the content of case reports in Chinese medicine changes. At present

many Chinese medicine case reports do not reasonably and fully summarize and report diagnosis and treatment information in Chinese and western medicine

in which the lack of important diagnosis and treatment information in Chinese and western medicine severely impact the scientificity

reality and academic levels of Chinese medicine case reports.Based on the summary and analysis of the questions in medical information reports in current Chinese medicine case reports

the authors proposed that diagnosis information is the basis of case reports

which is the objective guarantee of scientificity and reality of case reports. Treatment information is the core of case reports

which reflects the academic levels and value of case reports. Therapeutic effect evaluating information is the key to case reports

which is the basis of value evaluation of case reports. The authors hold that

based on correctly and fully recording the diagnosis

treatment and therapeutic effect evaluating information of Chinese and western medicine

by developing the Chinese medicine diagnostic characteristics

taking the advantages of Chinese medicine treatment and exploring Chinese medicine therapeutic effect evaluating methods

case reports may provide primary clinical data for doctors and medical researchers

and play a role in increasing clinical diagnosis and treatment level

broadening diagnosis and treatment thought and promoting the development and innovation of the theory.