Question Bank

Liver overacting on Spleen

A 44-year-old man presents with poor appetite, loose stools, fatigue, and abdominal distention for 8 months. Symptoms are clearly worse during periods of work stress. He also reports frequent sighing and a feeling of fullness in the chest and hypochondrium. Tongue is pale with a thin white coating. Pulse is weak on the right and wiry on the left. What is the most likely diagnosis?

q-l4-003

Heart Yin Deficiency

A 36-year-old woman presents with insomnia, palpitations, anxiety, and vivid dreaming. She also reports dry mouth at night and occasional night sweating. Appetite is normal, and she denies significant fatigue. Tongue is red with little coating at the tip. Pulse is thin and rapid. What is the most likely diagnosis?

q-l4-004

Kidney Yang Deficiency

A 67-year-old man presents with chronic low back soreness, weak knees, frequent nocturnal urination, and reduced hearing. He also complains of dizziness and occasional dry throat at night. However, he strongly prefers warmth and reports cold feet. Tongue is pale and swollen. Pulse is deep and weak. What is the primary diagnosis?

q-l4-005

Liver Qi Stagnation transforming into Heat

A 32-year-old woman presents with irregular menstruation, breast distention, irritability, and a feeling of heat in the chest before menstruation. Her periods are not especially heavy. Tongue is slightly red with thin yellow coating. Pulse is wiry. What is the most likely diagnosis?

q-l4-006

Phlegm-Heat obstructing the Lung

A 53-year-old man presents with cough for 10 days. It began after an external attack with fever and chills, but now the fever is mild while the cough is frequent and produces thick yellow sputum. He has chest oppression and thirst. Tongue is red with greasy yellow coating. Pulse is slippery and rapid. What is the most likely diagnosis?

q-l4-007

Blood deficiency causing intestinal dryness

A 58-year-old woman presents with chronic constipation. Stools are dry and difficult to pass, but she does not complain of significant abdominal fullness. She also reports dizziness, palpitations, dry skin, and a pale complexion. Tongue is pale and dry. Pulse is choppy. What is the most likely diagnosis?

q-l4-008

Phlegm misting the Heart orifices

A 41-year-old man presents with chest oppression, palpitations, insomnia, and abundant sputum. He feels mentally foggy and occasionally nauseated. Tongue is swollen with greasy coating. Pulse is slippery. What is the most likely diagnosis?

q-l4-009

Liver Blood Deficiency

A 39-year-old woman presents with dizziness, blurred vision, numbness of the limbs, and scant menstrual flow. She also reports dry hair and brittle nails. Tongue is pale. Pulse is thin. What is the most likely diagnosis?

q-l4-010

Liver Fire Blazing

A 46-year-old man presents with severe irritability, red eyes, bitter taste in the mouth, constipation, and headaches. He also reports some dizziness. Tongue is red with yellow coating. Pulse is wiry and forceful. What is the most likely diagnosis?

q-mx-001

Pattern: Liver overacting on Spleen

A 47-year-old woman presents with chronic fatigue, loose stools, and abdominal distention. Symptoms worsen with stress. She also reports irritability and frequent sighing. Tongue is pale with teeth marks. Pulse is wiry on the left and weak on the right. What is the most likely diagnosis?

q-mx-002

Pattern: Liver Yang Rising with Yin Deficiency

A 50-year-old man presents with dizziness, tinnitus, irritability, and headaches. He also reports occasional night sweating. Tongue is red with little coating. Pulse is wiry and thin. What is the most likely diagnosis?

q-mx-003

Pattern: Intestinal Heat Accumulation

A patient presents with constipation, abdominal fullness, irritability, and thirst. Tongue is red with thick yellow coating. Pulse is rapid and forceful. What is the most likely diagnosis?

q-mx-004

Pattern: Heart Blood Deficiency

A 34-year-old woman presents with insomnia, palpitations, anxiety, and poor memory. She feels fatigued but has no heat signs. Tongue is pale. Pulse is thin. What is the most likely diagnosis?

q-mx-005

Pattern: Phlegm obstruction

A patient presents with chest oppression, nausea, heavy sensation, and dizziness. Tongue is greasy. Pulse is slippery. What is the most likely diagnosis?

q-n1-001

Liver Qi Stagnation core pattern

A 32-year-old woman reports distending pain in the hypochondrium, frequent sighing, depressed mood, and irregular menstruation aggravated by stress. Tongue is slightly red, pulse is wiry. What is the most likely diagnosis?

q-n1-002

Kidney Yang Deficiency hallmark

An older man has low back soreness, cold limbs, aversion to cold, and frequent night urination. Tongue is pale and swollen, pulse is deep and slow. What is the best diagnosis?

q-n1-003

Heart Blood Deficiency vs Heart–Spleen Deficiency

A woman has palpitations, insomnia, poor memory, pale complexion, poor appetite, and marked fatigue. Tongue is pale, pulse is thin and weak. Which diagnosis fits best?

q-n1-004

Lung Qi Deficiency vs Lung Yin Deficiency

A patient has recurrent colds, spontaneous sweating, shortness of breath, weak voice, and a pale tongue. Which diagnosis is most likely?

q-n1-011

Dry cough with deficiency heat

A patient has dry cough with scant sputum, dry throat, afternoon tidal heat, a red tongue with scant coat, and a thin rapid pulse. What is the most likely diagnosis?

q-n1-012

Heart Blood Deficiency core pattern

A patient has palpitations, insomnia, dream-disturbed sleep, forgetfulness, pale lips, and a thin pulse, but appetite is normal. What is the best diagnosis?

Treatment Principle

7 items

q-mx-006

Treatment: Soothe Liver and strengthen Spleen

A patient presents with Liver Qi stagnation affecting Spleen. What is the best treatment principle?

q-mx-007

Treatment: Tonify Kidney Yang and promote water metabolism

A patient has Kidney Yang deficiency with cold limbs and edema. What is the best treatment principle?

q-mx-008

Treatment: Clear heat and transform phlegm

A patient presents with Phlegm-Heat in Lung. What is the best treatment principle?

q-mx-009

Treatment: Move blood and resolve stasis

A patient presents with Blood stasis causing chest pain. What is the best treatment principle?

q-mx-010

Treatment: Nourish Yin and calm Shen

A patient presents with Heart Yin deficiency. What is the best treatment principle?

q-n1-005

Treatment for Liver Qi Stagnation

The treatment principle for Liver qi stagnation is:

q-n1-006

Treatment for Kidney Yang Deficiency

The treatment principle for Kidney yang deficiency is:

Formula Selection

7 items

q-mx-011

Formula: Si Jun Zi Tang

Spleen Qi deficiency with loose stools and fatigue. Which formula is most appropriate?

q-mx-012

Formula: Xiao Yao San

Liver Qi stagnation with mild heat signs. Which formula is most appropriate?

q-mx-013

Formula: Liu Wei Di Huang Wan

Kidney Yin deficiency with night sweats. Which formula is most appropriate?

q-mx-014

Formula: Qing Qi Hua Tan Wan

Phlegm-Heat in Lung. Which formula is most appropriate?

q-mx-015

Formula: Xue Fu Zhu Yu Tang

Blood stasis with fixed pain. Which formula is most appropriate?

q-n1-007

Formula for Heart–Spleen Deficiency

A classic formula for Heart–Spleen deficiency is:

q-n1-008

Formula for Kidney Yang Deficiency

A representative formula for Kidney yang deficiency is:

Point Selection

7 items

q-mx-016

Point: LI4

Best point for general Qi movement and pain relief?

q-mx-017

Point: ST36

Best point to tonify Spleen and Stomach?

q-mx-018

Point: HT7

Best point for calming the Shen?

q-mx-019

Point: KD3

Best point for Kidney deficiency?

q-mx-020

Point: LI11

Best point for clearing heat?

q-n1-009

Point choice for Lung Qi Deficiency

An appropriate point combination for Lung qi deficiency is:

q-n1-010

Point choice for Liver Qi Stagnation

Which point set best fits Liver qi stagnation?

Case-Based · Pattern

26 items

q-case001-1

Case 1: Pattern

A 46-year-old woman presents with a 1-year history of episodic headaches. The pain is distending and worsens with emotional stress. Recently, she has experienced dizziness, tinnitus, irritability, and difficulty sleeping. She denies strong thirst. Tongue is red on the sides with scanty coating. Pulse is wiry and slightly rapid. What is the most likely diagnosis?

q-case002-1

Case 2: Pattern

A 42-year-old woman presents with 8 months of fatigue, loose stools, poor appetite, and a sensation of heaviness. Symptoms worsen on rainy days and after overwork. She reports mild abdominal distention, a sticky taste in the mouth, and no strong thirst. Tongue is pale and enlarged with a white greasy coating. Pulse is soft and slippery. What is the most likely pattern?

q-case003-1

Case 3: Pattern

A 57-year-old man presents with 2 weeks of cough producing thick yellow sputum after an initial cold. He now has chest oppression, mild fever, thirst, and a red tongue with greasy yellow coating. Pulse is slippery and rapid. What is the most likely pattern?

q-case004-1

Lung Qi Deficiency case pattern identification

An 11-year-old boy catches colds easily. He sweats spontaneously, speaks softly, becomes short of breath on exertion, and his tongue is pale with a weak pulse. What is the most likely pattern diagnosis?

q-case005-1

Liver Qi Stagnation case pattern identification

A 24-year-old woman feels depressed and sighs often. She has distending hypochondriac pain and irregular menstruation that worsens with stress. Tongue edges are slightly red; pulse is wiry. What is the most likely pattern diagnosis?

q-case006-1

Heart–Spleen Deficiency case pattern identification

A 32-year-old woman has palpitations, insomnia, dream-disturbed sleep, poor memory, poor appetite, and fatigue. Tongue is pale; pulse is thin and weak. What is the most likely pattern diagnosis?

q-case007-1

Kidney Yang Deficiency case pattern identification

A 67-year-old man has aversion to cold, cold limbs, low back soreness, and frequent night urination. Tongue is pale and swollen; pulse is deep and slow. What is the most likely pattern diagnosis?

q-case008-1

Heart Blood Deficiency case pattern identification

A 73-year-old woman has palpitations, insomnia with many dreams, forgetfulness, pale lips, and a thin pulse. Appetite is fair and fatigue is mild. What is the most likely pattern diagnosis?

q-case009-1

Child with Recurrent Colds and Spontaneous Sweating: Pattern

An 11-year-old boy has had recurrent colds for six months. He sweats easily with mild activity, speaks with a low voice, and is easily fatigued. Over the last two weeks he has morning nasal congestion with clear discharge but no obvious sore throat. Tongue is pale with a thin white coat. Pulse is weak. What is the most likely pattern?

q-case010-1

Chronic Dry Cough with Dry Throat: Pattern

An 18-year-old young man has coughed for one month after an exterior illness. The cough is short and dry with scant sticky sputum, worse in the afternoon with throat dryness and occasional hoarseness. He has no obvious aversion to cold or fever. Tongue is red with scant coat. Pulse is thin and rapid. What is the most likely pattern?

q-case011-1

Palpitations, Insomnia, and Pale Complexion: Pattern

A 24-year-old woman has had palpitations and difficulty falling asleep for three months. She becomes dizzy with slight exertion, and her menses are scanty and pale. Her complexion is lusterless and lips are pale. Tongue is pale. Pulse is thin and weak. What is the most likely pattern?

q-case012-1

Poor Appetite, Loose Stool, and Fatigue: Pattern

A 29-year-old woman has had poor appetite for six months, abdominal distention after meals, loose stool, and fatigue of the limbs that worsens after work. Her complexion is sallow. Tongue is pale and slightly swollen with white coat. Pulse is slow and weak. What is the most likely pattern?

q-case013-1

Premenstrual Breast Distention and Hypochondriac Pain: Pattern

A 32-year-old woman has had premenstrual breast distention and hypochondriac fullness for six months. Symptoms worsen with emotional upset and she often sighs. Menses are irregular. Tongue edges are slightly red. Pulse is wiry. What is the most likely pattern?

q-case014-1

Low-Back Weakness and Night Sweating: Pattern

A 36-year-old man has had sore low back and knees for eight months. Dry throat is worse in the afternoon and evening, with night sweating during sleep and occasional tinnitus. He feels heat in the palms and soles. Tongue is red with scant coat. Pulse is thin and rapid. What is the most likely pattern?

q-case015-1

Headache, Red Eyes, and Bitter Taste: Pattern

A 41-year-old man has recurrent distending headaches with red eyes, bitter taste, irritability, constipation, and dark urine. Tongue is red with yellow coat. Pulse is wiry and rapid. What is the most likely pattern?

q-case016-1

Phlegm, Chest Oppression, and Clouded Mind: Pattern

A 45-year-old man presents with chest oppression, abundant phlegm, a heavy cloudy head sensation, slowed speech and response, and restless sleep. Tongue coat is thick and greasy. Pulse is slippery. What is the most likely pattern?

q-case017-1

Poor Memory, Insomnia, and Poor Appetite: Pattern

A 52-year-old woman developed palpitations, poor memory, insomnia with many dreams, reduced appetite, loose stool, and sallow complexion after prolonged overwork. Tongue is pale. Pulse is thin and weak. What is the most likely pattern?

q-case018-1

Cold Aversion, Nocturia, and Cold Legs: Pattern

A 58-year-old man has had pronounced aversion to cold for one year, sore low back and knees, cold legs, frequent clear nocturia, and low energy. Tongue is pale and swollen with white coat. Pulse is deep and slow. What is the most likely pattern?

q-case019-1

Afternoon Low-Grade Fever and Five-Center Heat: Pattern

A 63-year-old woman has had low-grade afternoon fever for two months with night sweating, dry mouth and throat, and heat in the palms and soles, but no high fever or intense thirst. Tongue is red with scant coat. Pulse is thin and rapid. What is the most likely pattern?

q-case020-1

Dizziness, Blurred Vision, and Numbness: Pattern

A 68-year-old woman has had dizziness, blurred vision, and occasional limb numbness for six months. Her complexion is pale and her nails are light in color. Tongue is pale. Pulse is thin. What is the most likely pattern?

q-case021-1

Vertigo, Tinnitus, and Distending Headache: Pattern

A 73-year-old man has had recurrent distending headaches, vertigo, and tinnitus for half a year. He is irritable and sleeps poorly, but has no clear bitter taste or constipation. Tongue is red with scant coat. Pulse is wiry, thin, and slightly rapid. What is the most likely pattern?

q-case022-1

Chronic Cough Worse in the Afternoon: Pattern

A 14-year-old girl has coughed for two months, worse in the afternoon, with scant sputum, dry throat, and a preference for sipping warm water. She occasionally has malar flush. Tongue is red with little fluid. Pulse is thin and rapid. What is the most likely pattern?

q-case023-1

Bloating and Loose Stool after Overwork: Pattern

A 34-year-old man develops poor appetite, abdominal bloating, unformed stool, fatigue, and dull complexion after long-term sedentary overwork. Tongue is pale with white coat. Pulse is weak. What is the most likely pattern?

q-case024-1

Insomnia and Poor Memory after Overwork: Pattern

A 47-year-old woman developed insomnia, dream-disturbed sleep, forgetfulness, palpitations, poor appetite, and fatigue after years of caregiving stress. Her menses are also scanty. Tongue is pale. Pulse is thin and weak. What is the most likely pattern?

q-case025-1

Heavy Phlegm with Chest Oppression and Disturbed Sleep: Pattern

A 56-year-old overweight man reports chest oppression, abundant phlegm, a heavy wrapped-head sensation, restless sleep, and a sticky mouth on waking. Tongue coat is thick and greasy. Pulse is slippery. What is the most likely pattern?

q-case026-1

Tinnitus, Low-Back Weakness, and Tidal Heat: Pattern

A 65-year-old woman has recurrent tinnitus, sore low back and knees, dry mouth at night, and occasional tidal heat with night sweating. Tongue is red with scant coat. Pulse is thin and rapid. What is the most likely pattern?

Case-Based · Treatment

26 items

q-case001-2

Case 1: Treatment Principle

A 46-year-old woman presents with a 1-year history of episodic headaches. The pain is distending and worsens with emotional stress. Recently, she has experienced dizziness, tinnitus, irritability, and difficulty sleeping. She denies strong thirst. Tongue is red on the sides with scanty coating. Pulse is wiry and slightly rapid. What is the best treatment principle?

q-case002-2

Case 2: Treatment

A 42-year-old woman presents with 8 months of fatigue, loose stools, poor appetite, and a sensation of heaviness. Symptoms worsen on rainy days and after overwork. She reports mild abdominal distention, a sticky taste in the mouth, and no strong thirst. Tongue is pale and enlarged with a white greasy coating. Pulse is soft and slippery. What is the best treatment principle?

q-case003-2

Case 3: Treatment

A 57-year-old man presents with 2 weeks of cough producing thick yellow sputum after an initial cold. He now has chest oppression, mild fever, thirst, and a red tongue with greasy yellow coating. Pulse is slippery and rapid. What is the best treatment principle?

q-case004-2

Lung Qi Deficiency treatment principle

An 11-year-old boy catches colds easily. He sweats spontaneously, speaks softly, becomes short of breath on exertion, and his tongue is pale with a weak pulse. Which treatment principle is most appropriate?

q-case005-2

Liver Qi Stagnation treatment principle

A 24-year-old woman feels depressed and sighs often. She has distending hypochondriac pain and irregular menstruation that worsens with stress. Tongue edges are slightly red; pulse is wiry. Which treatment principle is most appropriate?

q-case006-2

Heart–Spleen Deficiency treatment principle

A 32-year-old woman has palpitations, insomnia, dream-disturbed sleep, poor memory, poor appetite, and fatigue. Tongue is pale; pulse is thin and weak. Which treatment principle is most appropriate?

q-case007-2

Kidney Yang Deficiency treatment principle

A 67-year-old man has aversion to cold, cold limbs, low back soreness, and frequent night urination. Tongue is pale and swollen; pulse is deep and slow. Which treatment principle is most appropriate?

q-case008-2

Heart Blood Deficiency treatment principle

A 73-year-old woman has palpitations, insomnia with many dreams, forgetfulness, pale lips, and a thin pulse. Appetite is fair and fatigue is mild. Which treatment principle is most appropriate?

q-case009-2

Child with Recurrent Colds and Spontaneous Sweating: Treatment Principle

An 11-year-old boy has had recurrent colds for six months. He sweats easily with mild activity, speaks with a low voice, and is easily fatigued. Over the last two weeks he has morning nasal congestion with clear discharge but no obvious sore throat. Tongue is pale with a thin white coat. Pulse is weak. What is the best treatment principle?

q-case010-2

Chronic Dry Cough with Dry Throat: Treatment Principle

An 18-year-old young man has coughed for one month after an exterior illness. The cough is short and dry with scant sticky sputum, worse in the afternoon with throat dryness and occasional hoarseness. He has no obvious aversion to cold or fever. Tongue is red with scant coat. Pulse is thin and rapid. What is the best treatment principle?

q-case011-2

Palpitations, Insomnia, and Pale Complexion: Treatment Principle

A 24-year-old woman has had palpitations and difficulty falling asleep for three months. She becomes dizzy with slight exertion, and her menses are scanty and pale. Her complexion is lusterless and lips are pale. Tongue is pale. Pulse is thin and weak. What is the best treatment principle?

q-case012-2

Poor Appetite, Loose Stool, and Fatigue: Treatment Principle

A 29-year-old woman has had poor appetite for six months, abdominal distention after meals, loose stool, and fatigue of the limbs that worsens after work. Her complexion is sallow. Tongue is pale and slightly swollen with white coat. Pulse is slow and weak. What is the best treatment principle?

q-case013-2

Premenstrual Breast Distention and Hypochondriac Pain: Treatment Principle

A 32-year-old woman has had premenstrual breast distention and hypochondriac fullness for six months. Symptoms worsen with emotional upset and she often sighs. Menses are irregular. Tongue edges are slightly red. Pulse is wiry. What is the best treatment principle?

q-case014-2

Low-Back Weakness and Night Sweating: Treatment Principle

A 36-year-old man has had sore low back and knees for eight months. Dry throat is worse in the afternoon and evening, with night sweating during sleep and occasional tinnitus. He feels heat in the palms and soles. Tongue is red with scant coat. Pulse is thin and rapid. What is the best treatment principle?

q-case015-2

Headache, Red Eyes, and Bitter Taste: Treatment Principle

A 41-year-old man has recurrent distending headaches with red eyes, bitter taste, irritability, constipation, and dark urine. Tongue is red with yellow coat. Pulse is wiry and rapid. What is the best treatment principle?

q-case016-2

Phlegm, Chest Oppression, and Clouded Mind: Treatment Principle

A 45-year-old man presents with chest oppression, abundant phlegm, a heavy cloudy head sensation, slowed speech and response, and restless sleep. Tongue coat is thick and greasy. Pulse is slippery. What is the best treatment principle?

q-case017-2

Poor Memory, Insomnia, and Poor Appetite: Treatment Principle

A 52-year-old woman developed palpitations, poor memory, insomnia with many dreams, reduced appetite, loose stool, and sallow complexion after prolonged overwork. Tongue is pale. Pulse is thin and weak. What is the best treatment principle?

q-case018-2

Cold Aversion, Nocturia, and Cold Legs: Treatment Principle

A 58-year-old man has had pronounced aversion to cold for one year, sore low back and knees, cold legs, frequent clear nocturia, and low energy. Tongue is pale and swollen with white coat. Pulse is deep and slow. What is the best treatment principle?

q-case019-2

Afternoon Low-Grade Fever and Five-Center Heat: Treatment Principle

A 63-year-old woman has had low-grade afternoon fever for two months with night sweating, dry mouth and throat, and heat in the palms and soles, but no high fever or intense thirst. Tongue is red with scant coat. Pulse is thin and rapid. What is the best treatment principle?

q-case020-2

Dizziness, Blurred Vision, and Numbness: Treatment Principle

A 68-year-old woman has had dizziness, blurred vision, and occasional limb numbness for six months. Her complexion is pale and her nails are light in color. Tongue is pale. Pulse is thin. What is the best treatment principle?

q-case021-2

Vertigo, Tinnitus, and Distending Headache: Treatment Principle

A 73-year-old man has had recurrent distending headaches, vertigo, and tinnitus for half a year. He is irritable and sleeps poorly, but has no clear bitter taste or constipation. Tongue is red with scant coat. Pulse is wiry, thin, and slightly rapid. What is the best treatment principle?

q-case022-2

Chronic Cough Worse in the Afternoon: Treatment Principle

A 14-year-old girl has coughed for two months, worse in the afternoon, with scant sputum, dry throat, and a preference for sipping warm water. She occasionally has malar flush. Tongue is red with little fluid. Pulse is thin and rapid. What is the best treatment principle?

q-case023-2

Bloating and Loose Stool after Overwork: Treatment Principle

A 34-year-old man develops poor appetite, abdominal bloating, unformed stool, fatigue, and dull complexion after long-term sedentary overwork. Tongue is pale with white coat. Pulse is weak. What is the best treatment principle?

q-case024-2

Insomnia and Poor Memory after Overwork: Treatment Principle

A 47-year-old woman developed insomnia, dream-disturbed sleep, forgetfulness, palpitations, poor appetite, and fatigue after years of caregiving stress. Her menses are also scanty. Tongue is pale. Pulse is thin and weak. What is the best treatment principle?

q-case025-2

Heavy Phlegm with Chest Oppression and Disturbed Sleep: Treatment Principle

A 56-year-old overweight man reports chest oppression, abundant phlegm, a heavy wrapped-head sensation, restless sleep, and a sticky mouth on waking. Tongue coat is thick and greasy. Pulse is slippery. What is the best treatment principle?

q-case026-2

Tinnitus, Low-Back Weakness, and Tidal Heat: Treatment Principle

A 65-year-old woman has recurrent tinnitus, sore low back and knees, dry mouth at night, and occasional tidal heat with night sweating. Tongue is red with scant coat. Pulse is thin and rapid. What is the best treatment principle?

Case-Based · Formula

26 items

q-case001-3

Case 1: Formula

A 46-year-old woman presents with a 1-year history of episodic headaches. The pain is distending and worsens with emotional stress. Recently, she has experienced dizziness, tinnitus, irritability, and difficulty sleeping. She denies strong thirst. Tongue is red on the sides with scanty coating. Pulse is wiry and slightly rapid. Which formula is most appropriate?

q-case002-3

Case 2: Formula

A 42-year-old woman presents with 8 months of fatigue, loose stools, poor appetite, and a sensation of heaviness. Symptoms worsen on rainy days and after overwork. She reports mild abdominal distention, a sticky taste in the mouth, and no strong thirst. Tongue is pale and enlarged with a white greasy coating. Pulse is soft and slippery. Which formula is most appropriate?

q-case003-3

Case 3: Formula

A 57-year-old man presents with 2 weeks of cough producing thick yellow sputum after an initial cold. He now has chest oppression, mild fever, thirst, and a red tongue with greasy yellow coating. Pulse is slippery and rapid. Which formula is most appropriate?

q-case004-3

Lung Qi Deficiency formula selection

An 11-year-old boy catches colds easily. He sweats spontaneously, speaks softly, becomes short of breath on exertion, and his tongue is pale with a weak pulse. Which formula is the best match?

q-case005-3

Liver Qi Stagnation formula selection

A 24-year-old woman feels depressed and sighs often. She has distending hypochondriac pain and irregular menstruation that worsens with stress. Tongue edges are slightly red; pulse is wiry. Which formula is the best match?

q-case006-3

Heart–Spleen Deficiency formula selection

A 32-year-old woman has palpitations, insomnia, dream-disturbed sleep, poor memory, poor appetite, and fatigue. Tongue is pale; pulse is thin and weak. Which formula is the best match?

q-case007-3

Kidney Yang Deficiency formula selection

A 67-year-old man has aversion to cold, cold limbs, low back soreness, and frequent night urination. Tongue is pale and swollen; pulse is deep and slow. Which formula is the best match?

q-case008-3

Heart Blood Deficiency formula selection

A 73-year-old woman has palpitations, insomnia with many dreams, forgetfulness, pale lips, and a thin pulse. Appetite is fair and fatigue is mild. Which formula is the best match?

q-case009-3

Child with Recurrent Colds and Spontaneous Sweating: Formula

An 11-year-old boy has had recurrent colds for six months. He sweats easily with mild activity, speaks with a low voice, and is easily fatigued. Over the last two weeks he has morning nasal congestion with clear discharge but no obvious sore throat. Tongue is pale with a thin white coat. Pulse is weak. Which formula is most appropriate?

q-case010-3

Chronic Dry Cough with Dry Throat: Formula

An 18-year-old young man has coughed for one month after an exterior illness. The cough is short and dry with scant sticky sputum, worse in the afternoon with throat dryness and occasional hoarseness. He has no obvious aversion to cold or fever. Tongue is red with scant coat. Pulse is thin and rapid. Which formula is most appropriate?

q-case011-3

Palpitations, Insomnia, and Pale Complexion: Formula

A 24-year-old woman has had palpitations and difficulty falling asleep for three months. She becomes dizzy with slight exertion, and her menses are scanty and pale. Her complexion is lusterless and lips are pale. Tongue is pale. Pulse is thin and weak. Which formula is most appropriate?

q-case012-3

Poor Appetite, Loose Stool, and Fatigue: Formula

A 29-year-old woman has had poor appetite for six months, abdominal distention after meals, loose stool, and fatigue of the limbs that worsens after work. Her complexion is sallow. Tongue is pale and slightly swollen with white coat. Pulse is slow and weak. Which formula is most appropriate?

q-case013-3

Premenstrual Breast Distention and Hypochondriac Pain: Formula

A 32-year-old woman has had premenstrual breast distention and hypochondriac fullness for six months. Symptoms worsen with emotional upset and she often sighs. Menses are irregular. Tongue edges are slightly red. Pulse is wiry. Which formula is most appropriate?

q-case014-3

Low-Back Weakness and Night Sweating: Formula

A 36-year-old man has had sore low back and knees for eight months. Dry throat is worse in the afternoon and evening, with night sweating during sleep and occasional tinnitus. He feels heat in the palms and soles. Tongue is red with scant coat. Pulse is thin and rapid. Which formula is most appropriate?

q-case015-3

Headache, Red Eyes, and Bitter Taste: Formula

A 41-year-old man has recurrent distending headaches with red eyes, bitter taste, irritability, constipation, and dark urine. Tongue is red with yellow coat. Pulse is wiry and rapid. Which formula is most appropriate?

q-case016-3

Phlegm, Chest Oppression, and Clouded Mind: Formula

A 45-year-old man presents with chest oppression, abundant phlegm, a heavy cloudy head sensation, slowed speech and response, and restless sleep. Tongue coat is thick and greasy. Pulse is slippery. Which formula is most appropriate?

q-case017-3

Poor Memory, Insomnia, and Poor Appetite: Formula

A 52-year-old woman developed palpitations, poor memory, insomnia with many dreams, reduced appetite, loose stool, and sallow complexion after prolonged overwork. Tongue is pale. Pulse is thin and weak. Which formula is most appropriate?

q-case018-3

Cold Aversion, Nocturia, and Cold Legs: Formula

A 58-year-old man has had pronounced aversion to cold for one year, sore low back and knees, cold legs, frequent clear nocturia, and low energy. Tongue is pale and swollen with white coat. Pulse is deep and slow. Which formula is most appropriate?

q-case019-3

Afternoon Low-Grade Fever and Five-Center Heat: Formula

A 63-year-old woman has had low-grade afternoon fever for two months with night sweating, dry mouth and throat, and heat in the palms and soles, but no high fever or intense thirst. Tongue is red with scant coat. Pulse is thin and rapid. Which formula is most appropriate?

q-case020-3

Dizziness, Blurred Vision, and Numbness: Formula

A 68-year-old woman has had dizziness, blurred vision, and occasional limb numbness for six months. Her complexion is pale and her nails are light in color. Tongue is pale. Pulse is thin. Which formula is most appropriate?

q-case021-3

Vertigo, Tinnitus, and Distending Headache: Formula

A 73-year-old man has had recurrent distending headaches, vertigo, and tinnitus for half a year. He is irritable and sleeps poorly, but has no clear bitter taste or constipation. Tongue is red with scant coat. Pulse is wiry, thin, and slightly rapid. Which formula is most appropriate?

q-case022-3

Chronic Cough Worse in the Afternoon: Formula

A 14-year-old girl has coughed for two months, worse in the afternoon, with scant sputum, dry throat, and a preference for sipping warm water. She occasionally has malar flush. Tongue is red with little fluid. Pulse is thin and rapid. Which formula is most appropriate?

q-case023-3

Bloating and Loose Stool after Overwork: Formula

A 34-year-old man develops poor appetite, abdominal bloating, unformed stool, fatigue, and dull complexion after long-term sedentary overwork. Tongue is pale with white coat. Pulse is weak. Which formula is most appropriate?

q-case024-3

Insomnia and Poor Memory after Overwork: Formula

A 47-year-old woman developed insomnia, dream-disturbed sleep, forgetfulness, palpitations, poor appetite, and fatigue after years of caregiving stress. Her menses are also scanty. Tongue is pale. Pulse is thin and weak. Which formula is most appropriate?

q-case025-3

Heavy Phlegm with Chest Oppression and Disturbed Sleep: Formula

A 56-year-old overweight man reports chest oppression, abundant phlegm, a heavy wrapped-head sensation, restless sleep, and a sticky mouth on waking. Tongue coat is thick and greasy. Pulse is slippery. Which formula is most appropriate?

q-case026-3

Tinnitus, Low-Back Weakness, and Tidal Heat: Formula

A 65-year-old woman has recurrent tinnitus, sore low back and knees, dry mouth at night, and occasional tidal heat with night sweating. Tongue is red with scant coat. Pulse is thin and rapid. Which formula is most appropriate?

Case-Based · Points

26 items

q-case001-4

Case 1: Points

A 46-year-old woman presents with a 1-year history of episodic headaches. The pain is distending and worsens with emotional stress. Recently, she has experienced dizziness, tinnitus, irritability, and difficulty sleeping. She denies strong thirst. Tongue is red on the sides with scanty coating. Pulse is wiry and slightly rapid. Which point combination is most appropriate?

q-case002-4

Case 2: Points

A 42-year-old woman presents with 8 months of fatigue, loose stools, poor appetite, and a sensation of heaviness. Symptoms worsen on rainy days and after overwork. She reports mild abdominal distention, a sticky taste in the mouth, and no strong thirst. Tongue is pale and enlarged with a white greasy coating. Pulse is soft and slippery. Which point combination is most appropriate?

q-case003-4

Case 3: Points

A 57-year-old man presents with 2 weeks of cough producing thick yellow sputum after an initial cold. He now has chest oppression, mild fever, thirst, and a red tongue with greasy yellow coating. Pulse is slippery and rapid. Which point combination is most appropriate?

q-case004-4

Lung Qi Deficiency point selection

An 11-year-old boy catches colds easily. He sweats spontaneously, speaks softly, becomes short of breath on exertion, and his tongue is pale with a weak pulse. Which point combination is most appropriate?

q-case005-4

Liver Qi Stagnation point selection

A 24-year-old woman feels depressed and sighs often. She has distending hypochondriac pain and irregular menstruation that worsens with stress. Tongue edges are slightly red; pulse is wiry. Which point combination is most appropriate?

q-case006-4

Heart–Spleen Deficiency point selection

A 32-year-old woman has palpitations, insomnia, dream-disturbed sleep, poor memory, poor appetite, and fatigue. Tongue is pale; pulse is thin and weak. Which point combination is most appropriate?

q-case007-4

Kidney Yang Deficiency point selection

A 67-year-old man has aversion to cold, cold limbs, low back soreness, and frequent night urination. Tongue is pale and swollen; pulse is deep and slow. Which point combination is most appropriate?

q-case008-4

Heart Blood Deficiency point selection

A 73-year-old woman has palpitations, insomnia with many dreams, forgetfulness, pale lips, and a thin pulse. Appetite is fair and fatigue is mild. Which point combination is most appropriate?

q-case009-4

Child with Recurrent Colds and Spontaneous Sweating: Points

An 11-year-old boy has had recurrent colds for six months. He sweats easily with mild activity, speaks with a low voice, and is easily fatigued. Over the last two weeks he has morning nasal congestion with clear discharge but no obvious sore throat. Tongue is pale with a thin white coat. Pulse is weak. Which point combination is most appropriate?

q-case010-4

Chronic Dry Cough with Dry Throat: Points

An 18-year-old young man has coughed for one month after an exterior illness. The cough is short and dry with scant sticky sputum, worse in the afternoon with throat dryness and occasional hoarseness. He has no obvious aversion to cold or fever. Tongue is red with scant coat. Pulse is thin and rapid. Which point combination is most appropriate?

q-case011-4

Palpitations, Insomnia, and Pale Complexion: Points

A 24-year-old woman has had palpitations and difficulty falling asleep for three months. She becomes dizzy with slight exertion, and her menses are scanty and pale. Her complexion is lusterless and lips are pale. Tongue is pale. Pulse is thin and weak. Which point combination is most appropriate?

q-case012-4

Poor Appetite, Loose Stool, and Fatigue: Points

A 29-year-old woman has had poor appetite for six months, abdominal distention after meals, loose stool, and fatigue of the limbs that worsens after work. Her complexion is sallow. Tongue is pale and slightly swollen with white coat. Pulse is slow and weak. Which point combination is most appropriate?

q-case013-4

Premenstrual Breast Distention and Hypochondriac Pain: Points

A 32-year-old woman has had premenstrual breast distention and hypochondriac fullness for six months. Symptoms worsen with emotional upset and she often sighs. Menses are irregular. Tongue edges are slightly red. Pulse is wiry. Which point combination is most appropriate?

q-case014-4

Low-Back Weakness and Night Sweating: Points

A 36-year-old man has had sore low back and knees for eight months. Dry throat is worse in the afternoon and evening, with night sweating during sleep and occasional tinnitus. He feels heat in the palms and soles. Tongue is red with scant coat. Pulse is thin and rapid. Which point combination is most appropriate?

q-case015-4

Headache, Red Eyes, and Bitter Taste: Points

A 41-year-old man has recurrent distending headaches with red eyes, bitter taste, irritability, constipation, and dark urine. Tongue is red with yellow coat. Pulse is wiry and rapid. Which point combination is most appropriate?

q-case016-4

Phlegm, Chest Oppression, and Clouded Mind: Points

A 45-year-old man presents with chest oppression, abundant phlegm, a heavy cloudy head sensation, slowed speech and response, and restless sleep. Tongue coat is thick and greasy. Pulse is slippery. Which point combination is most appropriate?

q-case017-4

Poor Memory, Insomnia, and Poor Appetite: Points

A 52-year-old woman developed palpitations, poor memory, insomnia with many dreams, reduced appetite, loose stool, and sallow complexion after prolonged overwork. Tongue is pale. Pulse is thin and weak. Which point combination is most appropriate?

q-case018-4

Cold Aversion, Nocturia, and Cold Legs: Points

A 58-year-old man has had pronounced aversion to cold for one year, sore low back and knees, cold legs, frequent clear nocturia, and low energy. Tongue is pale and swollen with white coat. Pulse is deep and slow. Which point combination is most appropriate?

q-case019-4

Afternoon Low-Grade Fever and Five-Center Heat: Points

A 63-year-old woman has had low-grade afternoon fever for two months with night sweating, dry mouth and throat, and heat in the palms and soles, but no high fever or intense thirst. Tongue is red with scant coat. Pulse is thin and rapid. Which point combination is most appropriate?

q-case020-4

Dizziness, Blurred Vision, and Numbness: Points

A 68-year-old woman has had dizziness, blurred vision, and occasional limb numbness for six months. Her complexion is pale and her nails are light in color. Tongue is pale. Pulse is thin. Which point combination is most appropriate?

q-case021-4

Vertigo, Tinnitus, and Distending Headache: Points

A 73-year-old man has had recurrent distending headaches, vertigo, and tinnitus for half a year. He is irritable and sleeps poorly, but has no clear bitter taste or constipation. Tongue is red with scant coat. Pulse is wiry, thin, and slightly rapid. Which point combination is most appropriate?

q-case022-4

Chronic Cough Worse in the Afternoon: Points

A 14-year-old girl has coughed for two months, worse in the afternoon, with scant sputum, dry throat, and a preference for sipping warm water. She occasionally has malar flush. Tongue is red with little fluid. Pulse is thin and rapid. Which point combination is most appropriate?

q-case023-4

Bloating and Loose Stool after Overwork: Points

A 34-year-old man develops poor appetite, abdominal bloating, unformed stool, fatigue, and dull complexion after long-term sedentary overwork. Tongue is pale with white coat. Pulse is weak. Which point combination is most appropriate?

q-case024-4

Insomnia and Poor Memory after Overwork: Points

A 47-year-old woman developed insomnia, dream-disturbed sleep, forgetfulness, palpitations, poor appetite, and fatigue after years of caregiving stress. Her menses are also scanty. Tongue is pale. Pulse is thin and weak. Which point combination is most appropriate?

q-case025-4

Heavy Phlegm with Chest Oppression and Disturbed Sleep: Points

A 56-year-old overweight man reports chest oppression, abundant phlegm, a heavy wrapped-head sensation, restless sleep, and a sticky mouth on waking. Tongue coat is thick and greasy. Pulse is slippery. Which point combination is most appropriate?

q-case026-4