Conditions

Internal medicine

biàn zhèng

Digestion, sleep, stress and mood, energy, allergies, skin, men's health and children's care. Here the classical lens leads. We read your pattern first and treat it with herbal formulas and acupuncture on the channels.

Book a visit

Read through

Where people often start

Two lenses, one plan

Here the classical lens leads: differential pattern diagnosis decides the treatment, with the Western picture as context.

The Western lensAnatomy, physiology, biomechanics

The conventional workup comes first

Digestion, sleep, mood, energy, the cycle and the immune response are regulated partly by the nervous and hormonal systems, and they affect one another. Your physician's workup tells us what has been ruled out. When tests come back normal and the symptoms stay, a label such as functional or idiopathic is often where pattern reading has the most to add.

What the workup is for
Blood tests, imaging and specialist exams find conditions that need medical treatment. Bring your results: they belong in the picture, and anything that needs a medical workup stays with your physician.
The stress response
The autonomic nervous system switches between alert and rest. When the alert side stays on for months, sleep, digestion and the cycle often feel it first.
Daily rhythm
The body runs on a roughly 24-hour clock set by light, meals and routine. Many internal complaints follow a time of day, which both lenses notice.

The classical lensChannels, patterns, the five phases

Differential pattern diagnosis

Here the classical lens leads. Patterns are read through the Eight Principles, the Five Phases and the Six Conformations, from pulse, tongue and history, and they can often be read well before a problem becomes fixed or structural.

How a pattern is read
Pulse and tongue, and questions about sleep, appetite, digestion, temperature, thirst, energy and the cycle. Together they point to a pattern such as Liver qi constraint or Spleen qi deficiency.
The center
The Spleen and Stomach are the root of the qi the body makes after birth, so digestion sits near the center of most internal cases, even when the complaint is somewhere else.
Mixed patterns
Most people carry two or three patterns at once. Reading that mix precisely decides which formulas to use and in what order to work through the layers.
A formula for you
When herbs are part of the plan, a practitioner selects a named classical formula from your pattern, never a catalog product or a proprietary blend, and reviews your medication and supplement list first. When your condition changes, the medicine changes with you.
The five phases and the organ clock
Each pattern sits somewhere in the five phases, and many keep time on the organ clock, such as waking between 1 and 3 am, the Liver window.

How we work: one plan

One reading, one plan: herbal formulas and channel acupuncture chosen from your pattern, with food, daily rhythm and seasonal advice drawn from the same reading. Functional medicine here is read through the classical lens, with no lab gatekeeping. Your physician's findings and any medication you take are part of the picture, and we never ask you to change a prescription.

Why pattern comes first here

Pain, the eyes and the nervous system lean on anatomy: a muscle, a nerve, the blood supply to the eye. Internal conditions are different. Bloating, broken sleep, a cycle that will not settle or the same allergy every spring rarely trace back to one structure. Classical medicine handles them through differential pattern diagnosis, 辨證 biàn zhèng: reading how the organs, qi, blood and fluids are working together, then treating that reading.

That is why two people with the same complaint can leave with different formulas, and why one formula can serve two different complaints that share a pattern.

Mixed patterns, and medicine that changes with you

Few people have one clean pattern. More often two or three overlap: constrained Liver qi on top of a tired Spleen, say, with some heat from the strain. The work is to identify that mix precisely, choose the formulas and the order in which to work through the layers, and revise the plan as each one shifts. When your condition changes, the medicine changes with you.

How a pattern is read

  1. Conversation. What you feel, when it is worse, and how you sleep, eat, digest, handle heat and cold, and how your energy runs through the day.
  2. Pulse and tongue. Both are read at every visit. They are how the pattern is confirmed and how we follow it as it changes.
  3. The pattern. A name such as Liver qi constraint or Spleen qi deficiency, which tells us what to move, what to support and what to clear.
  4. The plan. A classical formula matched to the pattern, acupuncture on the channels it involves, and advice on food and daily rhythm.

The five phases and the organ clock

Each pattern sits somewhere in the five phases, and many keep time. Waking between 1 and 3 am is the Liver window; heaviness and a slump after meals often point to Earth. The wheel and the organ clock on our home page show how these fit together.

Men's health and children's care

Men's health is read the same way, by pattern, from low energy and libido to male fertility. Children's care uses herbs, light Japanese-style needling or scalp acupuncture chosen by age and condition, with a parent or guardian present and alongside your pediatrician. Fertility and women's health has its own care area.

Questions people ask

Do I need a diagnosis from my doctor first?

No, but it helps. If you have a diagnosis, test results or a list of medications, bring them. They are part of the picture, and anything that needs a medical workup stays with your physician.

Can I take herbs with my medication?

Often, yes, and we check every formula against what you already take. We never ask you to stop or change a prescription; that conversation belongs to you and your prescribing physician.

How long before I notice anything?

It varies from person to person and pattern to pattern, so we do not give a timeline. We review your pattern at every visit, and when it changes, the formula changes with it.

This is general wellness information, not medical advice.

41 conditions in internal medicine

Each page reads the condition through both lenses. Not sure which fits? Search all 108 conditions.

Digestion

About this group
  • Digestion
  • IBS
  • Acid reflux
  • Recurrent loose stools
  • Constipation
  • Food sensitivities

Sleep, stress and mood

About this group
  • Stress and anxiety
  • Sleep trouble
  • Low mood
  • PMS and PMDD
  • Palpitations

Energy and fatigue

About this group
  • Hypothyroidism
  • Long COVID
  • Fatigue

Breathing and allergies

About this group
  • Allergies
  • Asthma
  • Sinusitis
  • Lingering cough
  • Hives

Skin

About this group
  • Acne
  • Eczema
  • Psoriasis
  • Rosacea

Immune and inflammation

About this group
  • Autoimmune
  • Chronic inflammation
  • Cancer care support

Metabolism and thyroid

About this group
  • Insulin resistance
  • Hyperthyroidism
  • PCOS

Heart and circulation

About this group
  • High blood pressure
  • Low blood pressure

Men's health

About this group
  • Fertility
  • Low libido
  • Male fertility

Bladder and urinary health

  • Recurrent UTIs

Children and teens

About this group
  • Retinitis pigmentosa
  • Stargardt disease
  • Myopia
  • Lazy eye
  • Scoliosis
  • Painful periods

From the journal

Ready when you are.

Book online in a couple of minutes, at either clinic.

Book a visit