“Late in the day I get a dry cough that never quite clears.”
Dry cough late in the day
A brief consultation to explore a persistent cough that appears late in the day and is beginning to interfere with her work.
- Patient
- Woman, 38
- Occupation
- Primary-school teacher
- History
- Bronchitis three winters ago
- Habits
- Non-smoker. Speaks for six hours a day.
- Vitals
- BP 112/70 · 36.5 °C · SpO₂ 98%
1 · The consultation
You have 13 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“She says she saw a red streak on the tissue after coughing this morning.”
Mark the warning signs present:
What do you do?
7 · The treatment
Principle
Strategy
Points (choose 3)
Case solved
Reasoned solution
Pattern: Lung Yin deficiency. Supporting signs: Dry afternoon cough, Dry throat, Mild malar flush, Red dry tongue with scant coating.
The deciding clue: Red dry tongue: Red, dry body with very scant coating..
Safety: Haemoptysis requires medical assessment before any TCM treatment.
Treatment: Nourish Lung Yin, Moisten dryness; Gentle nourishment. Points: LU9, KI6, CV17.
More patients are waiting in the app, with voice, a real timer and a history of your decisions.
See the solution without playing
Pattern: Lung Yin deficiency. Supporting signs: Dry afternoon cough, Dry throat, Mild malar flush, Red dry tongue with scant coating.
The deciding clue: Red dry tongue: Red, dry body with very scant coating..
Safety: Haemoptysis requires medical assessment before any TCM treatment.
Treatment: Nourish Lung Yin, Moisten dryness; Gentle nourishment. Points: LU9, KI6, CV17.
Teaching case. Fictional patient for study purposes. If you have real symptoms, consult a healthcare professional.
