Initial Consultation
Your first session typically begins with an extensive assessment of your health history, lifestyle, diet, sleep patterns, and current concerns. The practitioner may ask detailed questions about your energy levels, digestion, emotional state, and seasonal patterns. Some practitioners use traditional diagnostic methods such as observing tongue appearance, checking pulse quality, and assessing your constitution type. You'll discuss your goals and any symptoms you're experiencing, helping the practitioner understand your individual needs.
Treatment
Treatment varies widely depending on the specific practices recommended. If Kampo medicine is prescribed, you'll receive herbal formulas customized to your constitution and needs, typically in powder, tablet, or decoction form. Instructions on preparation and timing are provided. For practices like Shinrin-Yoku guidance, the practitioner may teach you how to engage mindfully with natural environments, focusing on sensory awareness and rhythmic breathing. Some sessions include breathing exercises (pranayama-influenced techniques), meditation, or guidance on seasonal living adjustments. Sessions may last 60-90 minutes, with follow-up guidance for home practice.
After Treatment
You'll receive clear instructions on taking any prescribed herbs, including dosage, timing, and dietary considerations. Many practitioners suggest keeping a wellness journal to track energy, digestion, sleep, and mood changes. You may be advised to gradually adjust daily routines, such as incorporating regular nature time or adjusting meal timing with seasonal recommendations. Some people experience mild detoxification responses when beginning herbal protocols—the practitioner will explain what to expect and how to manage it.
Follow-up Sessions
Follow-up appointments (typically every 2-4 weeks) assess your progress and adjust recommendations. The practitioner reviews your journal notes, reassesses your pulse and constitution, and modifies herbal formulas or practices as needed. Consistency is emphasized; benefits often accumulate over weeks to months. Long-term wellness support may involve seasonal adjustments to diet, herbs, and nature practices aligned with Japanese seasonal philosophy (Spring renewal, Summer vitality, Autumn release, Winter rest).