Shen Study
Mode TCM
System Any system
Difficulty Tutorial
0
Cases
Avg
0
Streak
Weak
Guided mode
Step-by-step
Tutorial
Work through a case with full guidance — ideal if you're new to clinical reasoning or want to understand the framework.
How it works
1
You're shown a patient presentation and labs
2
You pick the most likely diagnosis from options
3
The case is walked through step by step with explanations
4
Key reasoning patterns are highlighted so they stick
Mode

Clinical
case practice

Realistic case practice across all 16 body systems. Select a system or randomise.

Select body system
Any system
Randomised across all 16
Endocrine
Diabetes, thyroid, adrenal
Cardiovascular
IHD, heart failure, arrhythmias
Respiratory
Asthma, COPD, pneumonia, PE
Gastrointestinal
GORD, IBD, liver, pancreas
Haematology
Anaemias, leukaemia, lymphoma
Renal
CKD, UTI, nephrotic, stones
Musculoskeletal
OA, RA, gout, osteoporosis
Neurological
Migraine, stroke, MS, Parkinson's
Reproductive
PCOS, endometriosis, AUB
Immunological / Skin
SLE, eczema, psoriasis
Infectious
Sepsis, meningitis, hepatitis
Mental health
Depression, anxiety, bipolar
Paediatric
Asthma, febrile illness, growth
Geriatric
Delirium, falls, polypharmacy
Oncology
Lung, breast, colorectal, lymphoma
Case history
Click any case to review it
Favourites
Cases you have starred for review
Generating case...
Building a realistic clinical presentation
Tutorial mode
Western Clinical Lens
Pathology, red flags, investigations and clinical reasoning
Patient summary
Labs / investigations Lab
Answer this case
Choose the diagnosis best supported by the presentation and pathology.
Select 1-3 alternatives still worth considering.
Choose the key physical examinations to prioritise.
Pick the lab or bedside findings that matter most.
Select the findings that push this toward urgent action.
Rank most to least likely, 3-4. Include brief justification.
Name the exam, technique, and expected findings.
What do the abnormal findings indicate?
Findings requiring urgent referral.
Diagnosis revealed
Essential exams:
Red flags:
%
✓ Your answers vs Model
Model answer
Diagnosis match
Key evidence missed
Investigations
Key supporting findings
Red flags / safety concerns
AI study tools

TCM pattern
diagnosis

Guided TCM case practice. Differentiate patterns, prescribe points and formulas.

Select body system
Any system
Randomised across all systems
Liver & Gallbladder
Qi stagnation, Blood stasis, Damp-Heat
Spleen & Stomach
Qi/Yang deficiency, Damp, food stagnation
Lung & Large Intestine
Qi deficiency, Wind invasion, Dryness
Kidney & Bladder
Yin/Yang deficiency, Damp-Heat
Heart & Small Intestine
Blood deficiency, Fire, Phlegm
Exterior conditions
Wind-Cold, Wind-Heat, Summer Heat
Blood disorders
Blood deficiency, stasis, Heat in Blood
Phlegm & Damp
Phlegm-Heat, Cold-Phlegm, Damp obstruction

Classical Formula
Lens

🔒 private test mode

Shang Han Lun / classical formula exploration.

Loading SHL index…
Generating classical case...
Applying Shang Han Lun pattern analysis
Classical Formula Lens
Key signs
Pulse signs
Generating TCM case...
Building pattern and presentation
TCM Tutorial
Patient presentation
Tongue & pulse findings
Tongue
Pulse
Your TCM assessment
Choose the best treatment principles.
Choose the best core points.
State your primary pattern and any secondary patterns. Use 8 principle analysis (interior/exterior, hot/cold, excess/deficiency, yin/yang).
List your points with brief rationale. Include channel, point number, and function.
Name your formula and key herbs. Include modifications if appropriate.
TCM dietary recommendations and lifestyle modifications for this pattern.
%
High-yield first
Nature
Flavour
🌿
Select an herb
Click any card to view its full profile
Herb Review
Due herbs
Review herbs scheduled for today.
All herbs
Study across the materia medica.
Starred herbs
Review herbs you've saved.
Advanced category practice

Focus on a specific herb category.

Review Library
Formulas
Composition, actions & indications
Tongue & Pulse
Tongue signs & pulse qualities
TCM Patterns
Pattern differentiation & formulas
Herbs
Materia medica & clinical usage

Account

Your progress, history, and subscription.

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🏆
Progress & Badges
Element rewards and case stats
📋
Case History
All your completed cases
Favourites
Your starred cases
🔑
Subscription
Manage your plan & billing
⚙️
Settings
Account details & sign out
Reference sections
Swipe
TCM Theory
◯ Five Elements
Clinical
❤ Pulse atlas
👓 Tongue atlas
Formulas
🍪 Formula library
TCM Diagnosis
☯ Pattern reference
☰ Pattern index

Five Elements

Tap any element to explore its correspondences, physiology, pathology, and all five-element relationships.

Sheng (generating)
Ke (controlling)

Pulse atlas

All 28 pulse qualities with clinical significance and associated patterns.

Rate
Depth
Strength
Width & shape
Quality & rhythm

Tongue atlas

Systematic tongue diagnosis reference. Click any entry to see full clinical significance and associated patterns.

Tongue body colour
Tongue body shape
Tongue coat
Tongue moisture

Formulas

Core classical formulas. Click any formula to expand composition, actions and indications.

Pattern reference

TCM pattern differentiation by organ system. Each pattern includes key symptoms, tongue, pulse, treatment principle, and representative formula.

Pattern index

All TCM case generation patterns organized by system, including cross-system categories like Blood and Phlegm-Damp. Patterns with reference data are marked with a book icon.

Study