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TCM Consultation

Body Consultation

Your body tells its own story. Your practitioner observes your build, posture and movement, and gently palpates areas of discomfort, acupuncture points and channels – finding tension, tenderness and temperature changes that show where Qi and Blood are not flowing freely.

Head & neck Yang channels, tension Shoulders & upper back Lungs, stress held in muscles Chest & ribs Heart, Lungs, Liver Abdomen Spleen, Stomach, womb Lower back Kidneys Joints & limbs Channels, pain, mobility
The concept

Reading the body

In Chinese medicine, how you hold and move your body reflects what is happening inside. Your practitioner looks at your build, posture and movement and feels the areas below – this is especially important for pain and musculoskeletal problems, and helps us find the most effective points to treat.

What we look for in each area

Head & neck

Yang channels, tension

Where the Yang channels meet – tension and heat rise here.

Possible signs
Stiff neck, tender points at the base of the skull
What it may suggest
Stress, headaches, poor sleep or rising Liver Yang.

Shoulders & upper back

Lungs, stress held in muscles

Posture, breathing, and where we hold stress.

Possible signs
Raised or rounded shoulders, knotted muscles
What it may suggest
Stress and Qi stagnation, desk posture, or weak Lung Qi.

Chest & ribs

Heart, Lungs, Liver

Breathing, emotions and the flow of Liver Qi.

Possible signs
Shallow breathing, tightness or tenderness under the ribs
What it may suggest
Anxiety, sighing, PMS breast tenderness or Liver Qi stagnation.

Abdomen

Spleen, Stomach, womb

Digestion, and in women the womb and cycle.

Possible signs
Soft and cold, bloated, or tender on pressure
What it may suggest
Weak digestion and dampness, cold in the womb, or Blood stasis.

Lower back

Kidneys

Energy reserves, hormones and fertility.

Possible signs
Weak, cold or aching lower back
What it may suggest
Kidney deficiency – especially when it is worse with tiredness.

Joints & limbs

Channels, pain, mobility

How Qi and Blood flow through the channels.

Possible signs
Stiffness, swelling, cold or hot joints, tender points
What it may suggest
Blockage in the channels – cold, damp, heat or stasis.

What we observe

Build

Slim or heavy, firm or soft – your build hints at your constitution.

Posture

Upright or slouched, raised shoulders, uneven hips – posture shows tension and weakness.

Movement

How you walk, sit and turn shows stiffness, pain and energy levels.

Skin & muscle

Muscle tone, skin texture, puffiness or dryness reflect Qi, Blood and fluids.

Touch

Gentle pressure finds tenderness, knots, and warm or cold areas along the channels.

Body types

The eight TCM body constitutions

Chinese medicine describes eight common body constitutions. Most people are a mix of two or three – knowing yours helps us tailor treatment, diet and lifestyle advice to you.

1

Balanced

平和体质 · Hourglass
Example: balanced body type, frontBalanced body type, side and back
Hourglass – even proportions

Well proportioned, with moderate muscle and a rosy, healthy complexion.

Often comes with
  • Plenty of energy
  • Good digestion
  • Normal sleep

Tongue & pulse: Pale red tongue, even pulse

This is the balance we work towards – seasonal treatment helps keep it that way.

2

Phlegm-dampness

痰湿体质 · Apple
Example: phlegm-dampness body type, frontPhlegm-dampness body type, side and back
Apple – heavier around the middle

A rounder build with a protruding belly, limbs that puff up easily and soft, loose muscles.

Often comes with
  • Tiring easily
  • Thick, greasy white tongue coating
  • Sticky stools
  • Oily skin, spots

Tongue & pulse: Swollen tongue, thick coating, slippery pulse

3

Damp-heat

湿热体质 · Pear
Example: damp-heat body type, frontDamp-heat body type, side and back
Pear – heavier hips and thighs

Carries more weight in the upper body and waist, with oily skin prone to spots, redness and sweating.

Often comes with
  • Bitter, sticky mouth
  • Spots, oily skin
  • Sticky stools or constipation
  • Irritability

Tongue & pulse: Red tongue, yellow greasy coating

4

Qi & Blood deficiency

气血亏虚 · Lean
Example: qi & blood deficiency body type, frontQi & Blood deficiency body type, side and back
Lean – slim with little muscle

A slim build with little muscle, a pale or sallow complexion, and cold hands and feet.

Often comes with
  • Tiring easily
  • Dizziness, palpitations
  • Light, pale periods
  • Light sleep

Tongue & pulse: Pale tongue, thin weak pulse

5

Qi stagnation

气滞体质 · Inverted triangle
Example: qi stagnation body type, frontQi stagnation body type, side and back
Inverted triangle – broader on top

Slim in the upper body but with a belly that bloats easily, tense neck and shoulders, and weight that goes up and down.

Often comes with
  • Low mood
  • Tight chest, rib-side tension
  • Bloating, wind
  • Irregular periods

Tongue & pulse: Tongue with red sides, wiry pulse

6

Blood stasis

血瘀体质 · Rectangle
Example: blood stasis body type, frontBlood stasis body type, side and back
Rectangle – few curves

Heavier in the lower body with thicker hips and thighs, stiff neck and shoulders, and skin that darkens easily.

Often comes with
  • Dull complexion
  • Bruising, dark circles
  • Dark periods with clots
  • Aching limbs

Tongue & pulse: Purple tongue, dark veins underneath

7

Yang deficiency

阳虚体质 · Puffy
Example: yang deficiency body type, frontYang deficiency body type, side and back
Puffy – fluid retention, swollen legs

Soft muscles, puffiness and water retention, a pale complexion, and cold hands and feet.

Often comes with
  • Feeling the cold
  • Low energy
  • Loose stools
  • Pale, swollen tongue with teeth marks

Tongue & pulse: Pale, swollen tongue, deep slow pulse

8

Yin deficiency

阴虚体质 · Thin
Example: yin deficiency body type, frontYin deficiency body type, side and back
Thin – slim and wiry

Slim with firm muscles, a thin, dry build, a reddish complexion and a dry mouth.

Often comes with
  • Dry mouth
  • Hot palms and soles
  • Light sleep
  • Irritability

Tongue & pulse: Red tongue, little coating, thin rapid pulse

Not sure which one fits? Most people are a mix. Your body consultation is part of every first visit, alongside face, tongue, pulse and question consultation. How a TCM consultation works →

Patient reviews

What our patients say on Google

Google reviews
4.9★★★★★470 Google reviews across our 2 clinics: London Victoria & City of London
tatiana b
★★★★★
I had acupuncture and cupping with Emma, and she truly worked wonders on my back and neck. I came in barely able to turn my head, and now I feel so much better relaxed, pain-free, and mobile again. I’d had a bad experience elsewhere before, but Emma completely turned things around. Highly recommend!
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GS PK
★★★★★
I am very satisfied with the herbal remedies for perimenopause. I don't have hot flashes after the medication. And electric acupuncture soothes my plantar fascists on both feet. The capsules for bowel movement are working very well.
Posted on Google
Marina Helmke
★★★★★
The staff specially Yao meng did an excellent job. In addition she is very kind and explain to the patients what to expect. Thank you very much.
Posted on Google
Amal Alkhlewi
★★★★★
I highly recommend Acupro. They are very professional and take the time to tailor your treatment for you.
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