Send us a Text Message. In this episode, Yefim Gamgoneishvili and Jason Robertson discuss the centrality of placing a 'primary symptom' (主 症 zhǔ zhèng) at the heart of the diagnostic process. Dr. Wang Juyi would often emphasize that the careful choice of a primary symptom was the crucial first step in the process of perceiving symptom-pattern-structure (症候结构 zhèng hòu jié gòu). While many students and practitioners learn this concept early in their training, we all can ...