
Q In what order do you assess palpitations at the clinic? What happens on the first day? (42, office worker)
A The first consultation is about differentiation and assessment. We review when symptoms occur, the character of the pulse, and any existing test results, and if warning signs are present we recommend testing first. We then classify the body state, set the direction for acupuncture and herbal medicine, and review every three to four weeks.
Detailed Answer
Here is the actual sequence.
Step 1 · Differentiation — when it started, in what situations it occurs, how many minutes it lasts, whether it is regular or irregular, and whether dizziness or chest pain accompanies it. If there are warning signs, or no ECG record exists, we recommend testing first.
Step 2 · Classifying the state — the same palpitation arises from different body states. We distinguish those with sluggish digestion and heaviness, those with shallow sleep and heat floating upward, and those whose stamina is exhausted. This classification decides the direction of treatment.
Step 3 · Treatment — acupuncture usually starts twice a week, with moxibustion added for those with a cold lower abdomen or low stamina. Whether to include constitution-matched herbal medicine is decided by the state.
Step 4 · Review — after three or four weeks we look at the symptom diary together, check changes in frequency, intensity and duration, and adjust. If nothing has changed, we return to differentiation.
Korean Medicine Clinic Perspective
Dongjedang Korean Medicine Clinic does not treat palpitations as an isolated symptom but works to put sleep, digestion and stamina in order together. In practice, once those three settle, palpitations tend to follow.
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