“The moment I finish a meal I have to run to the toilet.”
Urgency after eating
Months of loose bowels in someone who has already tried several things alone and is no better.
- Patient
- Man, 38
- Occupation
- Software developer, works from home
- Medication
- None. Over-the-counter probiotics for a month.
- Allergies
- None known
- History
- A trip to South-East Asia eight months ago.
- Habits
- Eats spicy food almost daily. Beer with lunch.
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
Patient update“«One more thing, I was not sure whether to mention it: for three weeks I have seen red blood on the paper and sometimes mixed in. And I have lost four kilos without trying.»”
Mark the warning signs present:
What do you do?
7 · The treatment
Principle
Strategy
Points (choose 4)
Case solved
Reasoned solution
Pattern: Damp-Heat in the Intestines. Supporting signs: Urgency that will not wait, Burning at the end, Strong smell, sticky stools, Yellow greasy coating, Slippery, rapid pulse.
The deciding clue: Burning at the end: It burns after passing stool. Deficient Yang does not burn: it comes out cold and forceless..
Safety: Blood in the stool with weight loss in an adult requires gastrointestinal work-up before any treatment, however clear the pattern.
Treatment: Clear Damp-Heat, Regulate the intestines; Drain and cool. Points: ST25, SP9, LI11, ST37.
More patients are waiting in the app, with voice, a real timer and a history of your decisions.
See the solution without playing
Pattern: Damp-Heat in the Intestines. Supporting signs: Urgency that will not wait, Burning at the end, Strong smell, sticky stools, Yellow greasy coating, Slippery, rapid pulse.
The deciding clue: Burning at the end: It burns after passing stool. Deficient Yang does not burn: it comes out cold and forceless..
Safety: Blood in the stool with weight loss in an adult requires gastrointestinal work-up before any treatment, however clear the pattern.
Treatment: Clear Damp-Heat, Regulate the intestines; Drain and cool. Points: ST25, SP9, LI11, ST37.
Teaching case. Fictional patient for study purposes. If you have real symptoms, consult a healthcare professional.
