关键词: 白带；阴道分泌物；淋病；应激, 心理学；全科医生；临床5问思维法；RICE问诊

Abstract: We reported the diagnostic process of a case of abnormal leucorrhea using John Murtagh's safe diagnostic strategy-a method of five clinical questions was adopted：（1）What most common diseases can cause abnormal leucorrhea？（2）What serious problems can not be ignored？（3）Could the patient have an underlying disease？（4）What conditions are easily missed？（5）Is the patient trying to say something？ The patient was diagnosed with gonorrhea with physiological response to stress based on a comprehensive analysis of medical history，physical examination，auxiliary examination and consultation with the safe diagnostic strategy as well as RICE（Reason-Idea-Concern-Expectation）skills.The merits derived from this diagnosis are as follows：（1）When encountering a abnormal leucorrhea patient with psychological problems，besides giving medication for somatic problems，the general practitioner should attentively listen to the patienttrategy as well as RICE（Reason-Idea-Concern-Expectation）skills. The merits derived from this diagnosis are as c support by the patient.（2）Just like the auscultation with a stethoscope，by the consultation using RICE skills，the causes of healthcare seeking can be acquired，and the patient's current health problems can be identified by using the bio-psycho-social approach，showing the features of whole-person care.

Key words: Leukorrhea；Vaginal discharge；Gonorrhea；Stress, psychological；General practitioners；Clinical 5-question thinking method；RICE inquiring