What happens during an appointment?

Gillie will first take a medical history and ask about current health concerns. In order to get a full picture of a person’s constitutional tendencies, as well as clues to the aetiology of disease, it is helpful to know about any previous major illnesses or accidents. In the case of women, it can be useful to get an idea of their gynaecological history. However, patients do not have to disclose any information they would rather withhold, and do not have to discuss anything that makes them uncomfortable. During the consultation, it is important for Gillie to discuss the patient’s expectations, and to understand their priorities with regards to treatment.

Gillie will then look at the patient’s tongue and feel the pulses on the wrists. The colour, shape and size of the tongue, as well as the colour and quality of the tongue coating, can give an indication of the state of the internal organs. The strength and quality of the pulse reflects the relative quantity of Qi in the various meridians. All this information will influence which acupuncture points will be most useful during treatment. She may also palpate the meridians or certain acupuncture points, and examine any areas of tenderness or muscular injury. In cases of back or shoulder pain, she may use Chinese massage techniques to release the muscles. These involve the use of plastic or silicone cups which create suction on the skin and tissues, resulting in increased blood flow to the area. Lastly, she will insert several needles which will be retained for 20-30 minutes while the patient relaxes.

Many of the most commonly used acupuncture points are located below the elbows and knees and can be accessed with the patient fully dressed in loose clothing. However, it is sometimes beneficial to use points on the upper legs and arms, back or torso. In this case, Gillie may ask the patient if they are happy to remove clothing and be covered with a towel.

The patient remains totally in control. If they do not wish to remove clothing, Gillie will use alternative points.

Gillie does not see the patient as a passive recipient of treatment. Her treatment will reflect their priorities and will remain sensitive to their needs. Moreover, while there may be aspects of their lives that are beyond their control, sometimes small lifestyle changes can make a measurable difference to well-being.