Welcome to Shen Study

What would you like to practise today?

Your Five Element garden

    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
    Select a case to review it
    Favourites
    Cases you have starred for review
    Generating case...
    Building a realistic clinical presentation
    Guided Case
    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
    Clinical Path

    Case Practice

    Develop your clinical reasoning with realistic patient cases.

    Start a new case

    Recommended starting point

    Your first case starts here.

    Meet your patient. Find the clues. Build your reasoning.

    Quick case
    Your case Easy · Any system · about 4 min
    Custom case Easy · Any system Customize

    Get feedback as you go.

    MeetReasonReflect
    Case workflow

    Work through a case in four steps

    1. 1Review the presentation
    2. 2Identify the pattern
    3. 3Build your treatment plan
    4. 4Compare your reasoning

    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 case study...
    Building pattern and presentation
    Guided Case
    Read the case

    Clinical presentation

    Key clues

    Presenting complaint & history

    Tongue

    Pulse

    Build your answer

    Your assessment

    Answer optionsGuided · Herbs on
    Herbal medicineInclude a formula question.
    Case details
    Score 0/100
    Streak 0
      0 / 5
      1

      Pattern diagnosis Choose 1

      Tap the primary pattern first, then the secondary. You can swap them before you check.

      2

      Treatment principle Choose 2

      Choose the treatment goals that follow from your diagnosis.

      Choose the best treatment principles.
      3

      Acupuncture points Choose 4

      Choose the best core points.

      1

      Pattern diagnosis

      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 Choose 3

      Which practical recommendations fit this patient?

      Choose the recommendations that best support this case.
      5

      Herbal medicine Choose 1

      Select the most appropriate formula for this case.

      6

      Advanced clinical reasoning

      Explain your pattern differentiation and clinical reasoning.

      Case score
      —%
      Overall result
      Herbal Path

      Herbs

      High-yield herbs first

      Filters

      Loading herbs

      Study

      A focused daily review of Chinese medicine.

      Recommended today

      Checking review queue

      Checking your herb review queue.

      Herb review
      —reviews due
      —new available
      0reviewed today

      Choose a study set

      Account

      Your progress, history, and subscription.

      Your Progress

      What you know, and how well it holds.

      Contact

      Send feedback or report a bug. Messages go to Jack at jack@shenstudy.com.

      What is it about?
      Reference sections
      Swipe
      TCM Theory
      Clinical
      TCM Diagnosis

      Five Elements

      Explore the correspondences, physiology, pathology, and clinical relationships of Wood, Fire, Earth, Metal, and Water.