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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
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Generating case...
Building a realistic clinical presentation
Guided Case
Western Clinical Lens
Pathology, red flags, investigations and clinical reasoning
Patient summary
Objective findings Exam
Labs / investigations Lab
Essential examinations Exam
Red flags Red flag
Referral Referral
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:
Referral:
—%
✓ Your answers vs Model
Model answer
Diagnosis match
Key evidence missed
Investigations
Key supporting findings
Red flags / safety concerns
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Clinical reasoning practice
Case Practice
Build diagnostic reasoning through generated Chinese medicine cases.
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Your path
Five Element mastery
Generate a clinical case
Choose a difficulty and clinical system. Your selections stay in place if you need to retry.
Case workflow
Work through a case in four steps
1Review the presentation
2Identify the pattern
3Build your treatment plan
4Compare your reasoning
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Classical Formula Lens
🔒 private test mode
Shang Han Lun / classical formula exploration.
Loading SHL index...
Sample formula entries
Generating classical case...
Applying Shang Han Lun pattern analysis
Classical Formula Lens
Key signs
Pulse signs
Answer this case
1. Stage identification
Select the six-stage pattern for this case.
2. Formula selection
Choose the best formula for this presentation.
3. Key signs
Select the signs that support your formula-pattern choice.
4. Treatment strategy
Describe the treatment principle (briefly).
5. Differential reasoning
Why is your chosen formula better than a close alternative?
Classical feedback
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out of 100
Model reasoning
Stage
Pattern
Formula
Treatment strategy
Key signs
Differential formulas
Teaching summary
Needs verification
Generating case study...
Building pattern and presentation
Guided Case
··
Stage 2 · Clinical case
Clinical presentation
Key clues
Presenting complaint & history
Tongue
Pulse
Stage 3 · Build your answer
Your assessment
Herbal medicineInclude the herbal formula step in this attempt and score.
Case score0/100
Clinical runStart the run
Case progress0 / 5
1
Pattern diagnosis RequiredChoose 1
Select the pattern hierarchy that best explains the case.
2
Treatment principle RequiredChoose 2
Choose the treatment goals that follow from your diagnosis.
Choose the best treatment principles.
3
Acupuncture points RequiredChoose 4
Choose the best core points.
1
Pattern diagnosis Required
State the primary and secondary patterns, including eight-principle analysis.
2
Treatment principle
State the therapeutic direction in concise clinical language.
3
Acupuncture prescription
List canonical point codes with a brief rationale.
4
Lifestyle advice RequiredChoose 3
Which practical recommendations fit this patient?
Choose the recommendations that best support this case.
5
Herbal medicine RequiredChoose 1
Select the most appropriate formula for this case.
6
Advanced clinical reasoning
Explain your pattern differentiation and clinical reasoning.
✓
Review and submit
Each answer is final when checked. Your first checked choices determine the case score. Advanced reasoning can be left blank.
Discard this answer?
Your current pattern, point, and reasoning selections will be cleared.
Case review
Your feedback
Case complete
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Overall result
Review the original clinical case
Submitted answerCompare your first answers with the reference.Learn more
Your answer
Reference answer
Pattern diagnosisPrimary and secondary pattern reasoning.Learn why
Treatment principlesHow the treatment direction matched.Learn why
Acupuncture pointsCorrect, supported, missed, and extra selections.Learn why
Reference prescription
Lifestyle advicePractical recommendations for this case.Learn why
Herbal medicineFormula choice and case fit.Learn why
Advanced reasoningYour written clinical reasoning.Review
Key learning pointOne concise takeaway from this case.Open
Start with the dominant pattern, then test each treatment choice against the same evidence.
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Carry this momentum into another clinical challenge.
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Chinese materia medica
Herbs
Search the clinical library, compare similar herbs, or move into a focused review session.
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Herb review
Due herbs use the same server-scheduled review queue as the Study section.
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Study
A focused daily review of Chinese medicine.
Recommended today
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Account
Your progress, history, and subscription.
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Active Element pathYour progress
Reference sections
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TCM Theory
Clinical
Formulas
TCM Diagnosis
Five Elements
Explore the correspondences, physiology, pathology, and clinical relationships of Wood, Fire, Earth, Metal, and Water.
Acupuncture points
Search the existing reference by point code, Pinyin, channel, action, or indication.
Select a point
Choose a result to read its location, actions, indications, and high-yield categories where available.
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. Select an entry to see full clinical significance and associated patterns.
Tongue body colour
Tongue body shape
Tongue coat
Tongue moisture
Formulas
Core classical formulas. Select a 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.
