Wu Xiongzhi Six-Channel Clinical Reasoning

Problem

Wu Xiongzhi Six-Channel Clinical Reasoning addresses two recurring issues in TCM case work: unrepeatable pattern reasoning and premature prescription when four-examination data are incomplete. It turns six-channel diagnosis into a structured chain, moving from case classification and disease location to main pattern, concurrent patterns, and prescription direction, reducing symptom-stacking practice.

How It Works

After activation, it analyzes in the first person and follows different paths:
- Complete case: runs the six-step ladder, covering yin-yang, channel location, main pattern, form-energy-spirit, probable/concurrent patterns, and combined/mixed diseases.
- Incomplete data: first asks for pulse, tongue, cold-heat, stool/urine, and thirst; if still missing, it uses substitute reasoning with confidence notes.
- Complex case: filters through the treatment priority chain, such as epidemic, acute, interior rescue, cause-effect, menstrual, and routine cases, emphasizing one clear focus per visit.
- Prescription output: provides main formula, adjustment direction, and combined-formula proportion; when pulse and tongue are both missing, it gives direction only, not specific dosage.

Boundaries

This skill is useful for TCM teaching, case drills, pattern discussion, and clinical reasoning support. It does not replace licensed medical judgment. Dosages are general ranges, acute severe cases require integrated care, and conclusions from incomplete four-examination data are inferential, not equivalent to complete-diagnosis conclusions.