“My knee becomes heavy and stiff whenever the weather changes.”
Swollen knee when it rains
Recurring pain, stiffness and swelling interfere with a physical job that continues through changing weather.
- Patient
- Man, 61
- Occupation
- Municipal gardener
- Medication
- Occasional ibuprofen
- History
- Sprain in that knee ten years ago
- Vitals
- BP 126/78 · afebrile
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
A detail he had not connected“He returned from a long flight yesterday and his right calf was more swollen and warm this morning.”
Mark the warning signs present:
What do you do?
7 · The treatment
Principle
Strategy
Points (choose 4)
Case solved
Reasoned solution
Pattern: Cold-Damp Bi in the knee. Supporting signs: Local heaviness and stiffness, Worse with rain and cold, Local swelling, Cold to touch, Deep tight pulse.
The deciding clue: No general coldness: No lumbar cold, fatigue or nocturia..
Safety: Recent flight plus a unilateral warm calf requires urgent assessment for thrombosis.
Treatment: Dispel Cold-Damp, Open channels; Warm and mobilise, Gentle local and distal. Points: ST35, SP9, GB34, ST36.
More patients are waiting in the app, with voice, a real timer and a history of your decisions.
See the solution without playing
Pattern: Cold-Damp Bi in the knee. Supporting signs: Local heaviness and stiffness, Worse with rain and cold, Local swelling, Cold to touch, Deep tight pulse.
The deciding clue: No general coldness: No lumbar cold, fatigue or nocturia..
Safety: Recent flight plus a unilateral warm calf requires urgent assessment for thrombosis.
Treatment: Dispel Cold-Damp, Open channels; Warm and mobilise, Gentle local and distal. Points: ST35, SP9, GB34, ST36.
Teaching case. Fictional patient for study purposes. If you have real symptoms, consult a healthcare professional.
