“I catch a cold every three weeks and never fully recover.”
Four colds this winter
There is no single episode to look at, there is a frequency: the defence opens too often, and the question is where.
- Patient
- Woman, 36
- Occupation
- Assistant in a nursery for two- to three-year-olds
- Medication
- None prescribed. Vitamin C when she remembers.
- History
- Blood work two months ago, unremarkable.
- Habits
- Eats standing between shifts. Late, light dinners.
- Vitals
- BP 104/64 · afebrile
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“«The colds are the children's: runny noses and that is it. I have never had a high fever or one lasting over a week. And I weigh the same as last year.»”
Mark the warning signs present:
What do you do?
7 · The treatment
Principle
Strategy
Points (choose 4)
Case solved
Reasoned solution
Pattern: Defensive Qi deficiency (Lung and Spleen). Supporting signs: Sweats by day without exertion, Catches cold the moment the weather turns, Low voice, little inclination to talk, Pale tongue with tooth marks, Weak pulse, especially in the Lung position.
The deciding clue: Sweats by day, without exertion: Sitting still and not warm, her back gets damp. Yin-deficient sweating happens at night..
Safety: Ordinary colds in someone working with sixteen children, with no weight loss and no unexplained fever: this is defensive Qi, reinforced between episodes.
Treatment: Tonify Lung Qi, Strengthen defensive Qi; Tonify between episodes. Points: LU9, ST36, BL13, BL20.
More patients are waiting in the app, with voice, a real timer and a history of your decisions.
See the solution without playing
Pattern: Defensive Qi deficiency (Lung and Spleen). Supporting signs: Sweats by day without exertion, Catches cold the moment the weather turns, Low voice, little inclination to talk, Pale tongue with tooth marks, Weak pulse, especially in the Lung position.
The deciding clue: Sweats by day, without exertion: Sitting still and not warm, her back gets damp. Yin-deficient sweating happens at night..
Safety: Ordinary colds in someone working with sixteen children, with no weight loss and no unexplained fever: this is defensive Qi, reinforced between episodes.
Treatment: Tonify Lung Qi, Strengthen defensive Qi; Tonify between episodes. Points: LU9, ST36, BL13, BL20.
Teaching case. Fictional patient for study purposes. If you have real symptoms, consult a healthcare professional.
