“Since yesterday I have been chilled and achy all over.”
Chilled since yesterday
A one-day picture still on the surface and still expellable; what has to be decided is what it is made of.
- Patient
- Man, 29
- Occupation
- Bicycle courier
- Medication
- None prescribed. One paracetamol last night.
- History
- No known conditions
- Habits
- Starts deliveries at six. It rained all yesterday afternoon.
- Vitals
- BP 124/76 · 37.3 °C · SpO₂ 98%
1 · The consultation
You have 18 minutes. Each question or examination costs 2. Choose carefully what to ask.
Questions
Examination
2 · The tongue
3 · The pulse
Describe the pulse on each axis.
4 · The pattern
5 · Differential diagnosis
You're torn between two patterns. Which is it?
Which finding decides it?
6 · Case twist
Before finishing“«I forgot: I took a paracetamol last night and by morning the temperature was gone. I breathe fine, it is just my nose.»”
Mark the warning signs present:
What do you do?
7 · The treatment
Principle
Strategy
Points (choose 4)
Case solved
Reasoned solution
Pattern: Wind-Cold invasion. Supporting signs: Chills stronger than fever, No sweating, Clear runny mucus, Stiff neck, Floating, tight pulse.
The deciding clue: Chills over fever: He shivers under a blanket with barely a temperature. In Wind-Heat the fever leads..
Safety: A one-day exterior pattern with no high fever and no breathing trouble is exactly what TCM treats best, and early.
Treatment: Release the exterior, Scatter Cold; Dispersion with gentle moxa. Points: LU7, BL12, GB20, LI4.
More patients are waiting in the app, with voice, a real timer and a history of your decisions.
See the solution without playing
Pattern: Wind-Cold invasion. Supporting signs: Chills stronger than fever, No sweating, Clear runny mucus, Stiff neck, Floating, tight pulse.
The deciding clue: Chills over fever: He shivers under a blanket with barely a temperature. In Wind-Heat the fever leads..
Safety: A one-day exterior pattern with no high fever and no breathing trouble is exactly what TCM treats best, and early.
Treatment: Release the exterior, Scatter Cold; Dispersion with gentle moxa. Points: LU7, BL12, GB20, LI4.
Teaching case. Fictional patient for study purposes. If you have real symptoms, consult a healthcare professional.
