Four words, and the map Chinese gynaecology has organised itself around for centuries. It is still a better one than treating each complaint separately as it arrives, because a difficult period at thirty, a hard recovery at thirty-four and a rough year at forty-nine are rarely unrelated.
Which is why this is one page rather than four. Trying, carrying, recovering and the long turn through menopause tend to be handled as separate errands at separate counters. Read together, they explain each other.
Everything below is care that runs alongside your fertility clinic and your obstetrician, never instead of them. Where something belongs with a doctor rather than with us, we will say so at the first visit and not the fourth.
Why we ask for your dates
Treatment Timed To The Phase Of
Your Cycle
月經期 yuè jīng qī
Days 1 to 5 · the bleed
Mostly we leave you alone here and treat only if the pain warrants it. What we want from this week is the report: how many days, how heavy, what colour, whether there are clots, and whether the pain comes before, during or after. It is the most useful information you will give us all month.
卵泡期 luǎn pāo qī
Days 6 to 13 · rebuilding
The building phase, and usually the busiest one. Acupuncture and herbs aimed at circulation and at replacing what the bleed took, while there is still time in the month for it to matter.
排卵期 pái luǎn qī
Around day 14 · the turn
Short, precise, and worth booking properly rather than squeezing in. The work moves from building to moving, freeing circulation through the pelvis around the days your clinic or your own tracking has flagged.
黃體期 huáng tǐ qī
Days 15 to 28 · the wait
Warmth rather than movement. Moxibustion, gentler needling, formulas adjusted for the second half, and a good deal of attention paid to sleep, because this is the fortnight most people stop sleeping properly.
Almost nothing we do here is the same in week one as it is in week three. Same complaint, same person, different fortnight, and the treatment changes — which is why the first question is the date your last period started, and why we will ask again every visit. Cycles are not textbook either. If yours runs to 24 days, or 40, or has not turned up since March, the phases still exist, they are simply sitting somewhere else. Bring your dates, your app, and your temperature chart if you keep one.
Most of what makes a pregnancy hard is not dangerous, which is precisely why it tends to go untreated.
First trimester
Conservative, and a point list we hold to
Second
Hips and pelvic floor, before the load doubles
Third
Positioning, swelling, sleep in ninety-minute pieces
備孕
Your Clinic Runs It. We Work Around It
This is the part of the work where the rules matter most, so they are worth stating plainly. We do not treat infertility, and nobody here will promise you a result. What we offer is support alongside IVF and IUI, or while you are trying naturally: circulation, cycle regularity, sleep, and the strain the waiting itself puts on a body.
Your fertility clinic runs the protocol. We fit around it, and we will not ask you to change anything they have prescribed or drop anything they have asked you to take. Bring the schedule they gave you with the dates still on it, and tell us the moment any of it moves.
Three months before. If you have the time, this is where it is best spent. Cycle regularity, sleep, digestion and stress are slow things to shift, and there is no shifting them in a fortnight.
Nothing that clashes. Formulas are checked against everything you have been prescribed, and anything unsuitable for the window you are in comes out rather than gets argued about.
The waiting is part of it. Two years of appointments, injections and dates in a diary wears people down. That is treatable, and it is not a lesser reason to be in the room.
Tell Us Before Anything Else. It Changes What We Do
Tell us you are pregnant before anything else, including at a first visit, and tell us again if it happens between visits. It changes point selection, it changes what can go into a formula, and it changes how the physiotherapy is loaded. Bleeding, severe pain or reduced movement goes to your obstetrician immediately, not to us.
First trimester. Nausea, exhaustion, and a list of edible foods that has shrunk to four items. Treatment is conservative, and point selection is restricted throughout. There is a standard list of points we do not go near, and we hold to it. Acupressure you can do yourself at home often does more here than anything we do in the room.
Second trimester. The good months, mostly, and the right time for physiotherapy. Hips, lower back and pelvic floor worked before the load doubles rather than after. Breathing and posture as well, which sound like small things until the third trimester arrives.
Third trimester. Pelvic girdle pain, swelling, carpal tunnel from fluid, reflux, and sleep taken in ninety-minute pieces. Positioning support and gentle hands-on work, with anything warming used only where your obstetrician has agreed to it.
None of this is a substitute for your antenatal care. It runs beside it, on the same weeks, and we would rather read your notes than guess at them.
產後調理
Confinement Done Properly, And The Year After
The month gets all the attention. It is the eleven months after it, once the help has gone home and the baby has got heavier, that we built this part of the clinic for.
Care here runs longer than a confinement package and can be picked up at any point, including two years later when your back finally gives out. Both sides of the clinic work from the same notes, so the depletion and the structure are not two separate appointments with two separate histories.
The first six weeks. Warmth, rest, food and quiet. We can work with whatever confinement arrangement you already have, or build one that is not simply thirty days of ginger.
Recovery after a caesarean. Scar mobility and core reconnection once your surgeon is content, on the basis that abdominal surgery deserves rehabilitation.
If you are feeding, say so at every visit. It rules some herbs out completely and changes the dose of others.
Mood that is not lifting. We will tell you plainly when it needs a doctor, and then keep treating you alongside them.
更年期
The Change Takes Years. So Does The Care
Perimenopause can run for a decade, and a good deal of it is spent being told the bloods are normal. They often are. That does not make the flushes, the two in the morning wake-ups or the joints that have aged five years in one any less real.
It is also the chapter people arrive at last, having decided somewhere along the way that it is simply the price of the decade. It is normal, and it is also treatable. Those are two different sentences.
Start before it peaks. The years on either side of the last period respond better than the worst six months of it, and there is no medal for waiting.
Bring what you are on. HRT, supplements, anything a friend swears by. We build around the list rather than against it.
Two disciplines, one plan. Sleep and flushes go one way, stiff shoulders and a grip that is not what it was go the other. Same notes, same room.
Assessed rather than guessed at, then loaded properly and progressed week by week. Leaking, heaviness, and the gap down the middle of the abdomen nobody checked at six weeks.
6 weeks
Where most people are told they are finished
產後調理
Milk, sleep and mood
Supply that is uneven, sleep in fragments, and a mood flatter than it should be. Herbal support where it is safe for feeding, and a straight conversation about when this belongs with your doctor instead.
12 months
How long we keep the door open
Where we stop, and who we hand back to
婦科調理
Alongside Your Clinic.
Never Instead Of It
We work alongside your fertility clinic and your obstetrician, never instead of them. Your clinic runs the protocol and your obstetrician runs the pregnancy. We work around both, and we will say plainly when something belongs with them rather than with us. Bring your dates, your scans and the schedule you were given, and tell us the moment any of it changes.
Fibroids, endometriosis, adenomyosis and PCOS will come up in this room. We do not treat the diagnosis and we will never suggest you stop seeing your gynaecologist. What we work on is what sits on top of it: the pain, the bleeding pattern, the fatigue and the sleep.
Cramping, back pain, nausea, the day lost every month. We work on warmth and on circulation through the pelvis, and we want to know whether the pain comes before the bleed, with it, or after. They are not the same picture.
What this looks like
Irregular or absent cycles 月經不調
Twenty-four days, then forty, then nothing since March. Formulas are adjusted month by month as the picture changes, alongside whatever investigations your doctor has already ordered.
What this looks like
Flooding and spotting 崩漏
A bleed you cannot leave the house through, spotting between cycles, or a flow that has quietly halved over three years. Anything sudden or unusual goes to your doctor first, and we will say so plainly.
What this looks like
The fortnight before 經前調理
Breast tenderness, headaches, a short fuse and no sleep. Treated in the second half of the cycle, rather than after everything has already arrived.
What this looks like
Bring your scans and your specialist's letter. Where something has already been named, we would far rather read it than work around a gap, and where nothing has been named but the pattern has changed, that is a conversation for your doctor before it is one for us.
更年期
The change, and the years on either side
Normal Bloods,
And A Year You Would Not Repeat
If you are on HRT, good. We work alongside it, and we are interested in what it has not covered. If you cannot take it, there is still a great deal to do. We do not have an opinion on whether you should be taking it — that is between you and your doctor. Bring what you are on, and tell us when it changes.
Flushes and night sweats. Heat rising, worse at night, often followed by a chill and a change of sheets. The work goes as much at the sleep and the reserve as at the flush itself.
Sleep. Waking at two and lying there until five. Usually the first thing we go after, because almost everything else on this list gets worse without it.
Mood and the short fuse. Irritability, flatness, and anxiety that turns up without a subject attached. Not a character flaw, and not something to wait out politely.
Joints, tendons and strength. Stiff mornings, frozen shoulders, plantar fascia, and a grip that is not what it was. This is where the physiotherapy does more than the needles.
Cycles on the way out. Two periods in one month, then nothing for four. Anything unusual, and particularly any bleeding after twelve clear months, goes to your doctor first.
The history, the pulse and the tongue, and a long conversation. By the end you will have a plan, a rough number of sessions, and a straight answer about whether this is the right place for what you brought through the door.
前四週 qián sì zhōu
Weeks one to four
Usually once a week, occasionally twice if something is acute or a cycle is being tracked closely. Follow-ups run around forty-five minutes, and formulas are adjusted each visit rather than repeated.
複診 fù zhěn
The six-week review
We go back through what has actually changed, using the notes from the first visit rather than anybody's memory. If nothing has moved, we say so, and then either change the approach or tell you where else to look.
之後 zhī hòu
After that
Most drop to once a fortnight, then to a check around the turn of a season or ahead of a cycle that matters. You are welcome to stop entirely and come back years later. The notes will still be here.
Where we can, you see the same physician every visit. It matters more than it sounds: half the value of a second appointment is that nobody has to start again from the beginning. Nothing here is sold as a package, and session lengths are set out on the Visit page.
Before you book
Asked Before
The First Visit
Can I have acupuncture while I am in an IVF cycle?
Yes, and it is one of the main reasons the clinic is built this way. Tell us your protocol and your dates. Where you are in a cycle changes which points are used, how long the session runs, and whether we treat at all that week. We work alongside your fertility clinic, never instead of it, and we will not ask you to change anything they have prescribed.
Do you treat infertility?
No. In Malaysia that is a restricted claim and we will not make it. What we offer is support alongside your medical treatment: circulation, cycle regularity, sleep, and the strain of the waiting itself. Your fertility clinic treats the medical side. We work around it.
Is acupuncture safe during pregnancy?
With a practitioner who knows which points are restricted in pregnancy, yes. There is a standard list we do not go near. Tell us at the first visit, and tell us which week you are in. Herbs are handled more carefully still, and some come out of a formula entirely. Anything we do in pregnancy is cleared with your obstetrician first.
How soon after birth can I come in?
For gentle treatment, once you are up and comfortable enough to travel, and after your obstetrician has cleared you if the birth was surgical or complicated. Pelvic floor and core work starts later than people expect, and it is assessed before anything is prescribed.
Do I need to stop my HRT or my medication?
No. Please do not stop anything you have been prescribed on our account. That decision belongs to the doctor who prescribed it. Bring the list, and we will build around it.
Will the herbs be safe if I am trying, pregnant or feeding?
That is exactly why we ask at every visit. Formulas are built for the phase you are in, and anything unsuitable for that window is taken out. Everything we dispense is Taiwan-sourced and batch-tested for heavy metals and pesticide residue, and you get the ingredient list in Chinese and English so any other clinician can check it.
What should I bring to a first visit?
The first day of your last period and your usual cycle length, your due date if you have one, the protocol your fertility clinic gave you with the dates still on it, everything you are taking including supplements, and any recent scans or letters. None of it is required. All of it saves a session of guesswork.
My mother has firm views about confinement. Is that a problem?
Not at all, and we would rather hear them at the start than work against them later. Most of what is traditionally done in that month we have no argument with. Where we would do something differently, we will say why, and then the two of you can decide.
Do you only see women?
Women's health is what the clinic is built around, and it is most of what we do. It is not all of it. Pain, sports injuries, sleep and digestion are treated here too, and the physiotherapy side is open to everyone.
