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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 body types

Chinese medicine links your build to your constitution. Most people are a mix of two or three – knowing yours helps us tailor treatment, diet and lifestyle advice to you. Tap a body type to read more.

  1. Balanced body type BalancedHourglass
  2. Pear shape body type Pear shapePear
  3. Apple shape body type Apple shapeApple
  4. Phlegm-dampness body type Phlegm-dampnessPhlegm-damp
  5. Damp-heat body type Damp-heatDamp-heat
  6. Qi & Blood deficiency body type Qi & Blood deficiencyLean
  7. Blood stasis body type Blood stasisInverted triangle
  8. Yang deficiency body type Yang deficiencyPuffy
1

Balanced

Hourglass type
Example: balanced body type

The healthy constitution – well proportioned, with firm muscle and a rosy complexion.

Body features
  • Upper and lower body in proportion
  • Firm muscles
  • Defined waist
  • Even, symmetrical limbs
Often comes with
  • Plenty of energy
  • Good digestion
  • Sound sleep
  • Healthy, rosy colour

Tongue & pulse: Pale red tongue, thin white coating, even pulse

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

2

Pear shape

Pear type
Example: pear shape body type

Weight settles in the lower body – slimmer on top, with fuller hips and thighs. In TCM this often points to weak Spleen Qi letting dampness sink downwards.

Body features
  • Slimmer upper body
  • Heavier lower body
  • Full hips and thighs
  • Narrower waist
Often comes with
  • Swollen legs and ankles
  • Weight that is hard to shift
  • Irregular periods
  • Feeling the cold, cold hands and feet

Tongue & pulse: Pale, swollen tongue, white coating, soft pulse

3

Apple shape

Apple type
Example: apple shape body type

Weight gathers around the middle – a fuller belly with slimmer arms and legs. Often linked with Stomach heat, phlegm and rich food or alcohol.

Body features
  • Noticeable belly fat
  • Broader upper body
  • Slimmer limbs
  • Prone to a “beer belly”
Often comes with
  • Visceral fat
  • Bitter, sticky mouth
  • Bloating and indigestion
  • Raised cholesterol or blood pressure

Tongue & pulse: Red, swollen tongue, yellow greasy coating, slippery pulse

4

Phlegm-dampness

Phlegm-damp type
Example: phlegm-dampness body type

A heavier, softer build overall, with puffiness – dampness that the body is not clearing.

Body features
  • Heavier all over
  • Soft, loose muscles
  • Soft, sagging belly
  • Puffy, especially the legs
Often comes with
  • Tiring easily
  • Thick, greasy white tongue coating
  • Sticky, sluggish stools
  • Heavy head, sleepiness

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

5

Damp-heat

Damp-heat type
Example: damp-heat body type

Medium to heavier build with oily skin – dampness that has turned to heat.

Body features
  • Medium or heavier build
  • Fat around the belly
  • Oily skin
  • Spots and large pores
Often comes with
  • Bitter mouth, bad breath
  • Sweating easily
  • Sticky stools or constipation
  • Greasy skin, breakouts

Tongue & pulse: Red tongue, yellow greasy coating

6

Qi & Blood deficiency

Lean type
Example: qi & blood deficiency body type

A slim, lean build with little muscle or fat – not enough Qi and Blood to nourish the body.

Body features
  • Slim all over
  • Little muscle and fat
  • Narrow shoulders, flat chest
  • Slender limbs
Often comes with
  • Tiring easily
  • Dizziness, palpitations
  • Pale or sallow complexion
  • Cold hands and feet

Tongue & pulse: Pale tongue, thin weak pulse

7

Blood stasis

Inverted triangle type
Example: blood stasis body type

A sturdier build with tight muscles – Blood is not circulating freely.

Body features
  • Sturdier build
  • Tight neck and shoulders, hard muscles
  • Fat in patches
  • Body lines not smooth
Often comes with
  • Dull, darker complexion
  • Bruising easily
  • Dark periods with clots
  • Neck, shoulder and back pain

Tongue & pulse: Purple tongue, dark veins underneath, choppy pulse

8

Yang deficiency

Puffy type
Example: yang deficiency body type

Soft and puffy rather than truly overweight – not enough warmth (Yang) to move fluids.

Body features
  • Puffy, soft muscles
  • Soft belly
  • Swollen hands and feet
  • Figure not well defined
Often comes with
  • Feeling the cold
  • Low energy
  • Loose stools
  • Water retention

Tongue & pulse: Pale, swollen tongue with teeth marks, deep slow 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★★★★★533 Google reviews across our 3 clinics: London Victoria, City of London & Abu Dhabi
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.
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Amal Alkhlewi
★★★★★
I highly recommend Acupro. They are very professional and take the time to tailor your treatment for you.
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