The initial examination takes up to two hours and includes a thorough medical and personal history, description of complaints, a review of the functioning of the systems of the body, and a physical examination. This includes the taking of the Chinese pulses [usually felt at the wrist] from which I can determine the state of the energy in each of the major organs and functions. Using the diagnostic tools of classical Chinese medicine, which include analyzing a patients predominant facial color, vocal sound, emotion, and odor, I assess the condition of the Chi energy and determine the underlying cause of the condition. From all of this information, a treatment plan is developed, unique to the individual patient.