Dr. Jie Shen

Lic. Acupuncturist in NY, NJ & PA, M.D. in China

15-year Experience in Acupuncture Services

Serve Bergen County NJ and Orange and Rockland County NY

 

 

 

 

 

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Frequent Ask Questions

On Traditional Chinese Medicine & Acupuncture

 

  1. Traditional Chinese Medicine (TCM)

  2. Acupuncture

  3. Chinese Herbal Medicine

  4. Chinese Medical Diagnosis

 

1. Questions and Answers on Traditional Chinese Medicine
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What is Traditional Chinese Medicine (TCM)?

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Isn’t Chinese Medicine just a system of folk healing?

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How does Chinese Medicine Work?

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How Does The Chinese Medical Practitioner Determine What Is Out Of Balance?

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How is this rebalancing accomplished?

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What methods are used to re-establish balance within one’s body?

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What is Chinese medicine good for?

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Is Chinese medicine safe?

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Does Chinese medicine only work for Chinese?

 

Q: What is Traditional Chinese Medicine (TCM)?

Top  Q&A on TCM

 

A: Chinese Medicine is the oldest, professional, continually practiced, literate medicine in the world. This medical system’s written literature stretches back almost 2,500 years. And Currently ¼ of the world’s population makes use of it. One can say that modern Western and traditional Chinese medicines are the two dominant medical systems in the world today.

 

Q: Isn’t Chinese Medicine just a system of folk healing?

Top  Q&A on TCM

 

A: No. This system has been created by some of the best-educated and brightest scholars in Chinese history. These scholars have recorded their theories and clinical experiences from generation to generation in literally thousands of books. It is estimated that there are between 30-40,0000 books on Chinese medicine still in existence that were written before the turn of the century. Since then, thousands more books and articles in professional journals have been written and published in the People’s Republic of China, Taiwan, Singapore, and Hong Kong.

 

Q: How does Chinese Medicine Work?  Top  Q&A on TCM

 

A: Chinese medicine works by re-establishing balance and harmony within the body. This means balance between yin an yang, balance between the five phases, balance between the viscera and bowels, and balance between the qi, blood, and body fluids. This balance is reestablished by supporting the body’s healthy or righteous energy and attacking any unhealthy or evil energy.

 

Q: How Does The Chinese Medical Practitioner Determine What Is Out Of Balance?  Top  Q&A on TCM

 

A: Practitioners of Chinese medicine diagnose what is out of balance in the person’s body by employing four basic examinations. The first is questioning about one’s signs and symptoms, medical history and course of disease. The second is visually inspecting one’s face, body, and especially one’s tongue and its coating. The third is listening to one’s voice and the sound of one’s breathing as well as smelling any odors emanating from one’s body or excretions. And the fourth is palpating various areas of the body and especially the pulse at both wrists. Using a combination of one’s sighs and symptoms, tongue diagnosis, and pulse diagnosis, the practitioner can determine the pattern of disharmony which requires rebalancing.

 

Q: How is this rebalancing accomplished?  Top  Q&A on TCM

 

A: If something is too hot, the practitioner seeks to cool it down. If something is too cool, they try to warm it up. If something is too wet, they try to dry it, while if something is too dry, they try to moisten it. If something is too much, they try to make it less. And if something is too little, they try to build it up. If something is stuck, they try to move it, and if something is flowing inappropriately, they try to make it flow in the right direction and amount.

 

Q: What methods are used to re-establish balance within one’s body?  Top  Q&A on TCM

 

A: The main professionally applied methods of re-establishing balance are Chinese herbal medicine and acupuncture-moxibustion. Chinese herbal medicine may be prescribed internally or applied externally. Acupuncture and moxibution seek to regulate the flow of qi and blood within the body by either inserting fine, sterile needles at certain acupoints or warming certain acupoints by various methods. In addition, they counsel their patients on diet and lifestyle, all according to the theories of Chinese medicine.

 

Q: What is Chinese medicine good for?  Top  Q&A on TCM

 

A: Chinese medicine is a complete medical system which attempts to treat the full range of disease, acute and chronic, traumatic, infectious, and internally generated. That being said, if a disease is extremely virulent or far advanced, and especially if there are serous changes in organic tissue, Chinese medicine by itself is sometimes not powerful enough or too slow. In particular, Chinese medicine is an excellent and effective choice at the beginning of any disease or for diseases which modern Western medicine either does not understand or for which it has no effective treatment. Furthermore, Chinese medicine can also speed up the healing process when use in conjunction with modern Western medicine.

 

Q: Is Chinese medicine safe?  Top  Q&A on TCM

 

A: Very. When practiced correctly by trained, qualified professional practitioners, acupuncture and Chinese herbal medicine are extremely safe. In fact, when practiced correctly, they have no side effects and produce no iatrogenic or doctor-caused disease. If a patient reports side effects from a Chinese medical treatment, the practitioner modifies the treatment until there is healing without side effects. This is because Chinese medicine seeks to restore balance to the entire person, not just a piece or part. Side effects mean there is imbalance which needs to be corrected.

 

Q: Does Chinese medicine only work for Chinese?

Top  Q&A on TCM

 

A: Chinese medicine has worked for thousands of year on literally billions of people. Because of the diverse population of China and its varied geography, Chinese medicine have proven itself effective on all sorts of ethnic groups in all sorts of climates and lifestyles. In fact, Chinese medicine is so universally effective that the World Health Organization has selected it for world-wide propagation. At this time, thousands of practitioners around the world are proving every day that Chinese medicine works no matter where one lives or what race one belongs to.

 

 

 

2. Questions & Answers on Acupuncture
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What is acupuncture?

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How does acupuncture work?

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Is acupuncture safe?

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Does it hurt?

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Are the acupuncture needles clean?

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How many treatments will I need?

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What criteria should I use in choosing an acupuncturist?

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What should I know about the proposed treatments?

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Is there anything I need to do before receiving an acupuncture treatment?

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Is there anything I need to do while receiving acupuncture?

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What can I expect after treatment?

 

Q: What is acupuncture?  Top  ►Q&A on Acupuncture

 

A: Acupuncture is one of the modalities of Oriental medicine. Although what is called acupuncture in the West comprises several different therapies (such as moxibustion and cupping), mostly is consists of the insertion of fine needles into the body at specific points shown to be effective in the treatment of specific health problems. The Chinese has mapped these points over a period of tow thousand years, and there are 361 regular used acupoints. In the past three decades, electromagnetic research has confirmed the existence and location of these points.

 

Q: How does acupuncture work? Top  ►Q&A on Acupuncture

 

A: Modern Western medicine explain it works in such ways: acupuncture raises levels of hormone, white blood cells counts, and antibody to help increase immune function; Acupuncture stimulates the secretion of endorphin in the body which blocks the transmission of pain signal; Acupuncture dilates blood vessel, and helps circulation; Finally, acupuncture stimulates certain type of motor neurons which help muscle stretch.

 

Traditional Chinese acupuncture is based on ancient Chinese theories of the flow of qi (a fine, essential substance which nourishes and constructs the body) Through distinct channels that cover the body somewhat like the nerves and blood vessels. According to this theory acupuncture adjusts the flow of qi in the body, leading it to areas where it is insufficient and draining it from areas where it is stuck and/or super-abundant. In this way, acupuncture restores the harmonious balance of the body and its parts. In Chinese, there is a saying, “ if there is pain, there is no free flow; if there is free flow, there is no pain.” Acupuncture promotes and reestablishes the free flow of qi.

 

Q: Is acupuncture safe?  Top  ►Q&A on Acupuncture

 

A: When performed by a competently trained, licensed professional, acupuncture is extremely safe. All licensed acupuncturists today use individually package, sterile, disposable needles. So there is virtually no chance of infection or contagion.

 

Q: Does it hurt?  Top  ►Q&A on Acupuncture

 

A: Acupuncture needles are typically not much thicker than a hair, and their insertion is practically painless. It is nothing like receiving an ordinary injection. In some cases, you will not even know the needles are in place. Then, you will feel some tingling, warmth, heaviness, or a feeling of the energy moving up and down the channel. Most people find acupuncture extremely relaxing and many fall asleep during treatment.

 

Q: Are the acupuncture needles clean?  Top  ►Q&A on Acupuncture

 

A: Of course. The best practice among acupuncturists in USA today is to use sterilized, individually package, disposable needles. Needles should not be saved and reused for later treatments. This eliminates the possibility of transmitting some kind of communicable diseases by contaminated needles.

 

Q: How many treatments will I need?  Top  ►Q&A on Acupuncture

 

A: That depends on the duration, severity, and nature of your complaint. You may need only a single treatment for an acute condition. A series of 5~10 treatment may resolve many chronic problems. Some degenerative conditions may require many treatments over time. To help reduce the number of treatments, your practitioner may suggest dietary modification, specific exercise regimes, self-massage, and/or Chinese herbal medicines, all of which may help to increase the efficacy of acupuncture.

 

Q: What criteria should I use in choosing an acupuncturist?

Top  ►Q&A on Acupuncture

 

A: Prospective patients should ask about where the practitioner trained and for how long he or she has been in practice, and mostly important, what experience the practitioner has had in treating your specific ailment. Acupuncture is a licensed and regulated health care profession in over 40 states in the U.S. In addition, the National commission for the Certification of Acupuncture &Oriental Medicine (NCCAOM) certifies both acupuncturists and Chinese herbal practitioners. Acupuncturists who have at least 3~4 years’ training and passed the NCCAOM exam are entitled to add Dipl.Ac. (Diplomat of Acupuncture) after their names.

 

Q: What should I know about the proposed treatments?

Top  ►Q&A on Acupuncture

 

A: Your practitioner will explain the nature of your problem in Chinese medical terms and what treatment he or she is recommending. Your practitioner will tell you what benefits there are to the proposed treatment and what other treatment options are available to you through this practitioner or by referral to another practitioner or physician.

 

Q: Is there anything I need to do before receiving an acupuncture treatment?  Top  ►Q&A on Acupuncture

 

A: Avoid treatment when excessively fatigued, hungry, full, or shortly after exercise will help you get the maximum benefits from your treatment.

 

Q: Is there anything I need to do while receiving acupuncture?

Top  ►Q&A on Acupuncture

 

A: Relax. There is no need to be frightened. Ask your practitioner any questions you have along the way so that your can get the most benefit possible from the treatment.
Do not change your position or move suddenly. If you are uncomfortable, tell your practitioner.

 

Q: What can I expect after treatment?

Top  ►Q&A on Acupuncture

 

A: Patients often experience dramatic results in the first treatment. Some patients experience an immediate total or partial relief of their pain or other symptoms. This relief may last or some pain may return. In a few cases, there may be no immediate relief only to notice the pain diminish over the next couple of hours. Generally, you should expect to feel better.

 

 

 

3. Questions & Answers About Chinese Herbal Medicine
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What is the difference between Western folk herbalism and Chinese herbal medicine?

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Are all the “herb” vegetable in origin?

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Do all the herbs come from China?

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Does Chinese herbal medicine work for Western patients?

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How are Chinese herbal medicines taken?

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What are the benefits of drinking Chinese herb medicines in liquid form?

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Why do liquid herbal medicines taste so bad?

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What are the benefits of pills and powders?

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Do Chinese herbal medicines have side effects?

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What is Chinese herbal medicine good for?

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Can pregnant women take Chinese herbs?

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Can Children take Chinese herbal medicine?

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How long does it take to see results with Chinese herbal medicine?

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How do I know if a practitioner is professionally trained in Chinese herbal medicine?

Herbal medicine is the main treatment method within Traditional Chinese Medicine (TCM). TCM is the world’s oldest, continually practiced professional medicine. Its written history stretches back over 2,500 years and its practice is probably much older than that.

 

Although acupuncture was the first Chinese method of treatment to gain wide acceptance in the West, Chinese herbal medicine is quickly establishing itself as one of the most popular and effective alternative therapies in the West.

 

Q: What is the difference between Western folk herbalism and Chinese herbal medicine?  Top  ►Q&A on Chinese Herbal

 

A: Western folk herbalism primarily treats diseases or symptoms, such as headaches, runny nose, menstrual pain, etc. Chinese herbal medicine, when practiced as a part of TCM, is based on an individualized pattern diagnosis as well as a disease diagnosis. Your pattern is made up of your signs and symptoms, your emotional temperament and the overall composition of your body; The TCM patient receives a custom written herbal prescription designed to treat their individual pattern as well as the symptom or disease.

 

Western folk herbalism usually focuses on one symptom or disease at a time and use a single herb or groups of herbs for treatment; TCM formulas are crafted to treat your entire pattern as well as the symptoms or disease that prompted you to seek treatment. TCM formulas may include six to eighteen herbs to treat the symptoms or disease as well as you entire pattern.

 

Q: Are all the “herb” vegetable in origin? Top  ►Q&A on Chinese Herbal

 

A: Chinese herbal medicine may include vegetable, animal, and mineral ingredients. However, the majority of ingredients are from vegetable sources. Leaves, flowers, twigs, stems, roots, tuber, rhizomes, and bark are among the parts of the vegetable used.

 

Q: Do all the herbs come from China?   Top  ►Q&A on Chinese Herbal

 

A: The Chinese adopted and incorporated herbs from all over the world. Fifteen to twenty percent of the 500 ingredients considered standard originated from outside China. What makes these “Chinese” herbs is that they are prescribed according to Chinese medial theory and a TCM pattern diagnosis.

 

Q: Does Chinese herbal medicine work for Western patients?

Top  ►Q&A on Chinese Herbal

 

A: Yes, Chinese herbal medicine works as well for Westerners as it does for Chinese. Chinese herbal medicine has been used successfully the North and Sough America, Europe, Africa, Australia, New Zealand, and all throughout Asia.

 

Q: How are Chinese herbal medicines taken?

Top  ►Q&A on Chinese Herbal

 

A: The most common method of taking Chinese herbal medicine is drinking a liquid, prepared by boiling the selected herbs. There are also herbal pills, tinctures, and powdered extracts for those who do not have the time or taste for drinking the more traditional liquid form.

 

Q: What are the benefits of drinking Chinese herb medicines in liquid form?  Top  ►Q&A on Chinese Herbal

 

A: This method allows the practitioner maximum flexibility in writing a prescription. They can put in just what is necessary in just the right amounts. The formula can be changed frequently, if necessary, and the liquid forms tend be more potent than other means of administration.

 

Q: Why do liquid herbal medicines taste so bad?

Top  ►Q&A on Chinese Herbal

 

A: Chinese herbal teas tend to taste very bitter because they are made mostly from roots and bark where the strongest medicinal ingredients are found.

 

Q: What are the benefits of pills and powders?

Top  ►Q&A on Chinese Herbal

 

A: Pills and powders are good for:

  1. Prolonged administration, like for chronic disease

  2. Where formulas do not need to be very potent

  3. Where formulas do not need to be changed very often

  4. Pills and powders are also commonly used to continue therapeutic results after a successful initial treatment with liquid herbal medicine.

Q: Do Chinese herbal medicines have side effects?

Top  ►Q&A on Chinese Herbal

 

A: Most of the components pf Chinese herbal medicine have a very low toxicity compared to even common, over-the-counter Western drugs. When they are prescribed according to a correct TCM pattern diagnosis, they should have few, if any, side effects, only beneficial healing results.

 

If you experience any discomfort while taking Chinese herbal medicine, tell your practitioner who will modify the formula until there are no side effects.

 

Q: What is Chinese herbal medicine good for?

Top  ►Q&A on Chinese Herbal

 

A: Chinese herbal medicine treats the full range of human disease. It is used to treat:

  1. Acute disease, like intestinal flu and the common cold

  2. Chronic disease, such as allergies, gynecological disorder, autoimmune disease, and chronic viral diseases

  3. Degenerative diseases due to aging

  4. Chinese herbal medicine is especially good for promoting the body’s ability to heal and recover from illness.

Q: Can pregnant women take Chinese herbs?

Top  ►Q&A on Chinese Herbal

 

A: A professional TCM practitioner can write prescriptions that are appropriate for pregnant women and lactating mothers.

 

Q: Can Children take Chinese herbal medicine?

Top  ►Q&A on Chinese Herbal

 

A: Yes again. Pediatrics is a specialty within TCM and children can be given reduced dosages. There are also specially prepared pediatric medicines in pill and powder form. Chinese herbal medicine can treat colic, the fussiness of teething, earache, diarrhea, cough, and fever in babies and children.

 

Q: How long does it take to see results with Chinese herbal medicine?  Top  ►Q&A on Chinese Herbal

 

A: In acute conditions, results may occur in a matter of minutes. Chronic conditions, some results should be seen within one week. Although chronic conditions may require taking Chinese herbal medicine for long time, signs that the medicine is working should be apparent to the patient and practitioner alike almost form the very start.

 

Q: How do I know if a practitioner is professionally trained in Chinese herbal medicine?  Top  ►Q&A on Chinese Herbal

 

A: Although Chinese herbal medicines are safe when prescribed by a trained, knowledgeable practitioner, they are strong medicine. Patients should ask about where the practitioner trained, how long the training was, how long he or she has been in practice, and what experience the practitioner has had in treating the patient’s specific ailment.

 

Chinese herbal medicine may be part of the testing done where acupuncture is a licensed and regulated healthcare profession. Ask your practitioner if your state requires a license to practice; about half the states do. In states that do not currently require licensing, patients should ask their practitioner if they are certified by the National Commission for the Certification of Acupuncture & Oriental Medicine (NCCAOM). NCCAOM has created a certification process for Chinese herbal medicine. Practitioners who have passed that certification are entitled to add the abbreviation Dipl.C.H. (Diplomat of Chinese Herbs) after their names.

 

 

 

4. Chinese Medical Diagnosis
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Looking

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Listening-smelling

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Palpation

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Questioning

In addition to your physician’s Western medical diagnosis, Chinese medicine has its own system of personalized pattern discrimination. A Chinese medical pattern is a professionally recognized grouping of signs and symptoms. These sighs and symptoms are collected by the practitioner by what in Chinese medicine are called the “four examinations.” These four examinations are looking, listening-smelling, palpation, and questioning.

 

Looking  Top  ►Chinese Medical Diagnosis

 

Looking means looking at the patient with normal eyesight. Your practitioner looks at the brightness and clarity of your eyes, the color and luster of your complexion, your facial expression, and your posture and movement. He or she will also visually inspect any problem areas you report. For instance, if you have a skin rash, your practitioner will want to see its shape, color, location, and size. Similarly, if you say that your elbow hurts, your practitioner will also visually inspect your elbow and its surrounding tissue to look for swelling, changes in color, and/or changes in shape.

Looking also means looking at the tongue. It is believed that changes in the internal organs manifest in changes in the shape, color, and fur or coating of the tongue. Each area of the tongue corresponds to one of the viscera or bowels of Chinese medicine. Therefore, changes in shape, color, or fur in these areas is believed to reflect changes in these organs. In modern Chinese medicine, tongue examination if extremely important, and your practitioner will typically spend some time checking and rechecking your tongue.

 

Listening-smelling  Top  ►Chinese Medical Diagnosis

 

In ancient Chinese, there is a single verb, which covers both listening and smelling. Your practitioner will listen to the sound of your voice and the clarity of your communication. He or she will also listen to the sound of your breathing and the sound of any coughing or wheezing. In terms of smelling, these days this is mostly covered under questioning, where your practitioner may ask you about bad breath, unusual body odor, or the smell of your feces, urine, and/or vaginal discharges.

 

Palpation  Top  ►Chinese Medical Diagnosis

 

Palpation means feeling with one’s hands. There are tow divisions to palpation examination in Chinese medicine. The first of these is general palpation of any area of pain or discomfort. For instance, if you have sprained your wrist, your practitioner will want to feel the wrist. Likewise, if you say you have abdominal pain, your practitioner will want to palpate every patient’s abdomen on a routine basis.

 

The other main type of palpation in Chinese medicine is palpation of the pulse. This primarily means feeling the radial arteries at the wrists of both hands. Chinese doctors have believed for at least 2,000 years that one can diagnose all the main visceral and bowels through palpation of these arteries. Although there are several different styles of pulse palpation currently in use, all are based on the division of this section of these arteries into three areas, which correspond to three areas of the human body and their organs. By exerting different degrees of pressure at these three areas on the wrist, we believe one can detect pathological changes in all the main viscera and bowels of Chinese medicine. In order to describe and record the feelings under their fingertips, Chinese doctors use 28 different pulse images or feelings. One or more of these pulse images may combine together, thus forming a large number of possible variables. Pulse examination is the seemingly most arcane of the four Chinese medical examinations. However, it is based on definite standards and it has proven its worth in over 2,000 years of recorded clinical history.

 

Questioning  Top  ►Chinese Medical Diagnosis

 

Questioning is, in many ways, the most important of the four examinations. Your practitioner may question you in either or both of two ways:
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by written in-take form

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by oral questioning

You will typically find that Chinese medical practitioners ask many more questions than Western MDs do. This is because Chinese medical patterns describe the whole person, not just their disease or major complaint. We want to know about your appetite, diet, elimination, energy, sleep, mood, perspiration, body temperature, menstrual cycle, reproductive history, medical history, and as many details as possible about your main complaints. By the time your Chinese medical practitioner is through asking you questions, he or she should have a pretty complete picture of you as and individual person. Of course, all answers to these questions are protected by professional confidentiality.

 

Although there are four examinations, for the purposes of professional pattern discrimination, the information gathered by these four examinations is summarized under three main headings: general signs and symptoms, tongue signs, and pulse signs. It is the confluence of these three groups of information that establish a Chinese medical pattern. When treatment is given based on a combination of both your Western disease diagnosis and a Chinese medical pattern discrimination, you can be sure you are receiving the most comprehensive, holistic care available in the world today.

 

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