Review a realistic presentation
Identify the signs that matter across the history, tongue and pulse.
Wiry pulseTaut · even · resistant
TCM case practice for Chinese Medicine students
Practice real TCM cases
Think like a clinician.
Connect symptoms, tongue, pulse, patterns, points and formulas through guided cases designed to prepare you for clinic and exams.
TCM Case PracticeGuided case
1 · PresentationReview clues
Rib-side tightness, frequent sighing and premenstrual breast distension. Tongue edges are red; pulse is wiry.
2 · Your reasoningPattern selected
Liver Qi stagnationLiver FireSpleen Qi deficiency
Soothe Liver QiLR3PC6
3 · Structured feedbackReasoning compared
86%
Strong pattern choice. The wiry pulse, sighing and cyclical rib-side tension support constrained Liver Qi. Now connect the red edges to emerging Heat.
One complete guest caseNo sign-in or card before you begin
TCM-specific reasoningSymptoms, tongue, pulse, patterns, points and formulas
Built for studentsGuided practice for clinic and exam preparation
Try it yourself
Spot the pattern from the clues.
A one-question preview of the reasoning flow inside a full Shen Study case.
Pattern differentiation
A 27-year-old student comes in during exam week feeling tense, irritable and emotionally “stuck.” She has rib-side tightness, frequent sighing, breast tenderness before her period and a wiry pulse.
What is the most likely pattern?
Correct
The emotional constraint, rib-side tightness, sighing, premenstrual breast tenderness and wiry pulse point toward Liver Qi stagnation.
Not quite
Liver Qi stagnation fits more strongly. Notice the emotional constraint, rib-side tightness, sighing, cyclical breast tenderness and wiry pulse.
Step 2 · Choose the treatment principle
The principle should directly address the pattern you identified.
Correct
Soothing and moving Liver qi speaks directly to the constraint behind the tension, sighing and rib-side tightness.
Not quite
Good instinct — but any fire here is secondary. Without sustained heat signs (a flushed face, thirst, a red tongue or a rapid pulse), this stays a qi stagnation case.
Step 3 · Choose 4 of the 8 points
Select the four points that best express this treatment plan.
0 of 4 selected
You have completed the core of a case. Continue into a complete presentation, treatment plan and structured feedback.
Continue with a free caseHow Shen Study works
Build the reasoning chain, not just the recall.
Each case moves from evidence to a treatment plan, then shows where your reasoning aligned and where to look again.
Choose your treatment approach
Select the pattern, principles, points and formula that fit the same evidence.
Compare your clinical reasoning
Use structured feedback to understand why an answer fits and what to improve next.
Student pricing
More TCM cases, review and progress in one place.
Try one complete case without an account. Create a free account for three more, then upgrade when you want ongoing practice.
Monthly
$7/month
Lower commitment · cancel anytime
- 20 TCM cases per week
- Structured case feedback
- Case weak-spot review
- Herb and pattern study
- Saved history and progress
Best value · save 30%
Annual
$59/year
$4.92/month billed annually
- 20 TCM cases per week
- Structured case feedback
- Case weak-spot review
- Herb and pattern study
- Saved history and progress
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What you practise
Three skills that carry into clinic and exams.
Differentiate patterns
Connect the presentation, tongue and pulse to the dominant pattern and plausible differentials.
Build a coherent plan
Practise choosing treatment principles, acupuncture points and formula context from the same diagnosis.
Learn from each attempt
See diagnostic clues and structured comparisons while the reasoning is still fresh.
Before you start
Questions students usually ask.
What can I try for free?
Try one complete case without an account. Create a free account afterwards for three more full cases with structured feedback.
What does paid access add?
Paid access gives you 20 TCM cases per week, plus ongoing structured feedback, saved progress, weak-spot review and the wider study library.
Do I need a card for the free case?
No. The guest case and free account cases do not require a card.
Can I cancel?
Yes. Manage monthly or annual access through the secure billing portal. Access continues until the end of the paid period.
Is Shen Study clinical advice?
No. Shen Study is an educational practice tool and does not replace qualified clinical supervision or medical care.
Will a failed case use my allowance?
No. If loading, validation or feedback fails, you can retry without losing that case.
Start with one complete TCM case.
No account or card required. Create a free account afterwards for 3 more cases.
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