First, we narrow down constitutional possibilities by evaluating regular digestion, appetite, bowel movements, sleep, sweating, thermal sensitivity to cold/heat, and fatigue and stress patterns.
We also examine how pain manifests, frequently affected areas, and patterns of physical tension and recovery.
Next, we administer acupuncture tailored to the anticipated constitution and compare bodily changes before and after treatment.
We evaluate how the patient's primary target symptoms, palpation tenderness, spinal/joint mobility in the neck and lower back, and overall body tension and comfort respond.
Rather than observing a single isolated symptom, we verify whether concordant improvements emerge across multiple different indicators.
Through iterative verification of these therapeutic responses, we determine the patient's constitution and optimal treatment direction.