Leading up to my online CEU course on Jing and nurturing life practices (
2 hours of CEUs for FREE, sign up here
), I sat down with scholar and Chinese medicine practitioner Dr. Phil Garrison to discuss Jing (Essence) and the less discussed Jing Shen.
PCOM-NY faculty member Jeremy Pulsifer was featured cooking a healing soup to treat a cough on PCOM alumna Jill Blakeway’s show “Grow Cook Heal”. Check it out!
And at #7: the Power of Placebo, featuring Ted Kaptchuk–Pacific Symposium 2013’s keynote speaker and a longtime PCOM associate!
“ 32 - Because joining a ragtag band of fellow travellers, cooks and guides as I trekked back from La Ciudad Perdida in Colombia reminded me of the joy of sharing your journey with others.”
In 404 CE, the first foreign medicine was imported into Japan from Korea, which has been deduced as being mostly herbal in nature.
During this time, waves of migration from the Korean peninsula brought Chinese technology and writings to the island nation. It was through these transplants that the native Japanese learned of Chinese medicine and acupuncture. As passageways between China and Japan became more open, the first formal introduction of acupuncture in Japan occurred in 562 by a Chinese monk name Zhi Cong. He made the trek across the Sea of China east and brought with him medical treatises on herbal medicine and acupuncture meridians including the Mingtang tu, also known as the Illustrated Manual of Channels, Collaterals, and Acupuncture Points.
Thanks to the Tunnel to Towers Foundation for honoring Pacific College for our support for the important work they do. And thanks to Dr. Jeff Poplarski who makes it all possible.
David Rich Sol, Dean of Asian Holistic Health and Massage of PCOM’s Chicago campus, talks extensively about this method to reduce pain and tension.
A Day in the Life of a Pacific College Clinic Student
A clinical day at Pacific College is where classroom knowledge begins to take on a human shape. The theories of Chinese medicine—patterns, channels, qi, blood, yin, yang, and the relationship between symptoms and the whole person—become part of a real conversation with someone seeking care.
Students arrive with treatment plans, textbooks, clean uniforms, and a healthy respect for the responsibility ahead. They may be preparing for acupuncture appointments, herbal consultations, tui na sessions, or supervised integrative care. Every patient encounter requires concentration, humility, and the willingness to keep learning.
The rhythm of the day is active but thoughtful. There are charts to review, treatment rooms to prepare, supervisors to consult, and patients to welcome. Between appointments, students reflect on what they observed and how their clinical decisions supported safety, comfort, and individualized care.
Before the First Patient Arrives
The clinic day often begins before the first appointment. Students check the schedule, review returning patients’ charts, and identify any details that may affect care. A change in medication, a new symptom, a recent surgery, or an altered health goal can influence the questions a student asks and the treatment approach they consider.
Preparing the room is part of clinical education, too. Needles, cotton, disinfectant, linens, sharps containers, heat lamps, and other supplies must be organized and ready. A calm, orderly environment helps the patient feel secure and gives the student a clear foundation for careful work.
Students also review their treatment plans with a clinical supervisor. This exchange reinforces an important principle of professional practice: a student may perform many hands-on tasks, but care takes place within an educational structure and under appropriate oversight. Supervisors help students evaluate contraindications, refine point selection, and recognize when another form of medical evaluation is needed.
Listening Before Treatment
A patient visit begins with communication rather than a needle. The student welcomes the patient, confirms the reason for the visit, and creates space for the person to describe what has been happening. Pain, fatigue, digestive concerns, sleep disruption, stress, and other complaints can have different meanings within a Chinese medicine framework.
The intake may include questions about appetite, thirst, bowel movements, urination, sleep, emotional well-being, menstrual health, energy levels, and daily habits. Pulse examination and observation of the tongue may add information to the broader pattern assessment. These methods are not quick checkboxes; they require attention to detail and an understanding that health concerns are connected.
A student must also learn how to listen without imposing a preconceived pattern. Two people with similar headaches may have different contributing factors and may receive different recommendations. Clear explanations matter, especially when discussing an unfamiliar practice. Patients should understand what the treatment involves, what sensations they might notice, and how they can communicate discomfort at any point.
After the intake, the student presents an assessment to the supervisor. This is a valuable moment of clinical reasoning. The supervisor may ask why certain symptoms were emphasized, what evidence supports the proposed pattern, and whether the treatment should be adjusted for the patient’s current condition.
A Clinic Day at a Glance
Although every schedule varies, a student’s day usually combines patient care, observation, documentation, and discussion. A busy afternoon may include new patient intakes alongside follow-up visits, giving students opportunities to practice both comprehensive assessment and continuity of care.
| Part of the day | Typical activity | Clinical learning focus |
|---|---|---|
| Early morning | Room setup, chart review, supervisor briefing | Safety, organization, preparation |
| First appointments | Intake, observation, pulse and tongue assessment | Communication and pattern recognition |
| Treatment periods | Acupuncture, adjunctive techniques, patient monitoring | Technique, comfort, and responsiveness |
| Between visits | Charting, cleanup, case discussion | Documentation and clinical reasoning |
| Later appointments | Follow-up care and reassessment | Tracking change and adapting treatment |
| End of day | Reflection, questions, and planning | Professional growth and integration |
The schedule teaches students to move between different kinds of attention. During an intake, they may focus on the patient’s story and nonverbal cues. During treatment, they monitor positioning, needle response, and signs of discomfort. Afterward, they document accurately so the next practitioner can understand what occurred.
A clinic is also a shared learning environment. Students may observe classmates, discuss cases, and learn from the ways different practitioners communicate. These exchanges reveal that clinical skill includes much more than memorizing acupuncture points. It involves timing, presence, judgment, adaptability, and respect for the patient’s priorities.
From Treatment Room to Team Huddle
Once a treatment plan has been approved, the student explains the next steps and helps the patient settle into a comfortable position. Acupuncture may be combined with techniques such as gua sha, cupping, moxibustion, or gentle bodywork when appropriate to the patient’s needs and the clinic’s scope of care. Each modality requires attention to safety, informed consent, and the individual’s response.
During the treatment, the student observes rather than simply waits. Changes in breathing, facial expression, muscle tension, temperature, and verbal feedback can provide useful information. A patient who becomes lightheaded, anxious, or uncomfortable needs immediate attention. Learning how to respond calmly and appropriately is a central part of clinical readiness.
After removing the needles and completing the treatment, the student reviews aftercare instructions. These may include hydration, rest, avoiding strenuous activity for a period of time, or watching for a particular response. Recommendations are communicated in practical language, with the understanding that a patient is more likely to follow guidance that fits real life.
The visit concludes with documentation and supervisor review. Good charting records the patient’s main concerns, relevant findings, treatment provided, response, and follow-up plan. It supports continuity of care and helps students develop habits that will remain essential after graduation.
Learning the Medicine Beyond Needles
Clinical education extends beyond the treatment room. Students may discuss dietary habits, seasonal changes, sleep patterns, stress management, and daily routines as part of a broader wellness conversation. Chinese dietary therapy, for example, considers the qualities and preparation of foods while recognizing that recommendations must be adapted to the person, climate, constitution, and health situation.
Cooking can make these ideas tangible. A warming meal prepared with appropriate ingredients may become a more accessible way to discuss seasonal self-care than an abstract lecture. Students interested in this connection can explore a warming winter soup featuring Chinese medicinal herbs, while remembering that herbs and dietary changes should be considered carefully, particularly when a person takes medication or manages a medical condition.
Herbal medicine conversations require the same care as acupuncture consultations. Students learn to identify formulas, understand traditional indications, recognize possible interactions, and refer questions to supervisors. The goal is not to prescribe casually but to develop disciplined habits around assessment, sourcing, dosage, communication, and follow-up.
This broader perspective is one reason clinic work can be so formative. A patient’s recovery may be influenced by sleep, movement, nutrition, stress, work demands, and access to support. Chinese medicine education invites students to notice these relationships while staying grounded in ethical practice and appropriate professional boundaries.
What Clinical Confidence Looks Like
Confidence in the student clinic does not mean having an answer for every situation. It means knowing how to gather information, recognize uncertainty, seek guidance, and remain attentive to the patient. A student who pauses to consult a supervisor is demonstrating sound judgment, not weakness.
Over time, familiar tasks become more fluid. Students become more comfortable asking sensitive questions, explaining treatment sensations, locating points, maintaining sterile technique, and adjusting their communication for different patients. They also learn that clinical progress is rarely identical from one visit to the next. A successful encounter may involve symptom relief, a clearer care plan, improved trust, or a decision to refer the patient for additional support.
The professional journeys of experienced practitioners can offer perspective during this process. Reading about a licensed acupuncturist can help students connect their current training with the varied paths available after graduation. Clinical practice may eventually include private care, community health, education, research, integrative medicine, or specialized work with particular populations.
Reflection gives the day meaning. At the end of a shift, a student might consider which questions produced useful information, whether the patient seemed comfortable, how the treatment response compared with expectations, and what should be explored at the next appointment. These reflections turn individual experiences into lasting professional knowledge.
Practices That Strengthen Clinical Readiness
Students can make each clinic day more productive by developing habits that support patients and their own learning:
- Review the chart and treatment goals before entering the room, while remaining open to new information.
- Practice concise explanations of acupuncture, herbal medicine, and related techniques in everyday language.
- Ask supervisors specific questions about safety, pattern differentiation, point selection, and patient communication.
- Document promptly and objectively so the clinical record remains clear and useful.
- Make time for reflection after each visit, including what went well and what deserves further study.
These habits help connect academic study with the realities of care. They also remind students that technical skill and human connection develop together. A precise treatment delivered without listening may miss the patient’s needs, while warm communication without clinical discipline cannot provide responsible care.
A student clinic is therefore both a healthcare setting and a living classroom. Each appointment offers a chance to practice observation, compassion, cultural respect, critical thinking, and accountability. The lessons may appear in a supervisor’s question, a patient’s response, a charting correction, or a quiet moment of reassessment.
For Pacific College students, the day ends with more than completed appointments. It ends with a clearer sense of how Chinese medicine can be practiced carefully and meaningfully in the lives of real people. Explore the college’s educational resources, clinical opportunities, and community programs to continue learning about acupuncture, herbal medicine, and holistic health in practice.