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Qiological Shoptalk

Qiological

You could tune in expecting a straightforward clinical tip and walk away having rethought how you read a patient entirely. Every quarter, Shoptalk sits with one clinical theme long enough to actually understand it, explored by six practitioners who each arrived at it by their own training, their own patients, their own hard-won skills.

It's medicine the way it's actually built, not from a single method handed down whole, but from continuous, thoughtful practice compared across different minds and methods. Twenty-five focused minutes, no padding, just clarity you can carry straight into clinic. New conversation drops every other Thursday, and the full back catalogue is always there when you need it.

Roll up your sleeves. Let's get to work.

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20 episodes
fortnightly
Avg 29 min
English

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#56
Thursday · 30 min
056 Treating Rosacea with Chinese Medicine • Sabine Schmitz
Rosacea is easy to mistake for adult acne, and the wrong treatment makes it worse. In this episode, with Sabine Schmitz, we discuss how she approaches dermatological conditions: reading color and appearance on the skin and treating what she sees rather than the Western disease name. We also explore why she finds heat in the Liver channel more often than the textbook Lung and Stomach heat. Finally, she explains why she keeps raw herbs central and pairs them with cool compresses. Skin disease asks the practitioner to first look closely, because the diagnosis is already written on the face.
#55
October 15 · 31 min
055 Chinese Medical Perspective on Allergies in Pets • Steve Marsden
Some itchy dogs look like damp heat but aren't, and what you feed them can show you the difference. In this episode, we sit down with Steve Marsden, veterinarian trained in naturopathy and Chinese medicine, to explore allergies in pets. We unpack why a change of diet is the first diagnostic step, how the coat, the pulse, and the spots an animal chews point to a Shao Yang disharmony, and why a ginseng-based Xiao Chai Hu Tang paired with Si Wu Tang can calm what damp-heat formulas can't. When an allergy won't follow the rules, it isn't a failed formula, it's a clue that something is stuck at the gate between inside and outside.
#54
October 1 · 27 min
054 Genital Lichen Sclerosus • Juliette Aiyana
Genital lichen sclerosus can take away comfort, intimacy, and quality of life, leaving patients searching for lasting relief. In this episode, we sit down with Juliette Aiyana, holistic dermatology practitioner and Chinese medicine specialist, to explore treating this challenging condition through herbal medicine. We discuss pattern differentiation, tissue repair, inflammation, and the importance of individualized treatment, alongside practical ways to protect sensitive skin. Healing requires careful observation, patience, and integrated care—helping patients find comfort, restore function, and work toward lasting improvement.
#53
September 17 · 28 min
053 Tung Acupuncture for Atopic Dermatitis • Shaun Goodman
Diagnosis in Dong style acupuncture rarely comes from what the patient says. It comes from what the hands find first. In this conversation, We sit down with Sean Goodman — acupuncturist and longtime student of Dong style acupuncture — to explore how this tradition treats atopic dermatitis and other skin conditions. We discuss how palm diagnosis reads the five zang organs through discoloration and subtle shifts in tissue, why Dong style needling often works a whole area in groups of three points, and how a real case combined heart-related points with the Sima combination to clear dermatitis on the neck and arms. We also touch on the "cooling the mountain" technique, when to needle bilaterally versus unilaterally, and why Sean tries to read the body before letting his mind explain what he's finding.
#52
September 3 · 24 min
052 Topical Steriod Withdrawal • Mazin Al-Khafaji
Topical steroids can suppress the skin for years, then withdrawal leaves it unable to find a stable state at all. In this episode, we sit down with Mazin Al-Khafaji, doctor of Chinese medicine and co-author of a manual of acupuncture points, to explore treating TSW through Chinese medicine. We unpack what potent steroids do to the skin barrier and microbiome, the three phases of treatment, and why rushing to heavy tonics can reignite the fire you just put out. Healing skin that's been stripped of its own defenses isn't a quick fix, it's a slow rebuild that asks for patience from both practitioner and patient.
#51
August 20 · 28 min
051 Adjunctive Therapies to Bolster Outcomes in Sports Medicine • Brian Lau
Every practitioner develops a feel for the body that goes beyond what any single test can tell you. For Brian Lau, that feel comes from decades of manual work woven directly into his acupuncture practice. In this conversation, we sit down with Brian Lau and his student Grant Rettison to explore myofascial release in sports medicine acupuncture practice. We discuss how Brian's background in qigong, tai chi, and structural integration shaped his approach, why he keeps the language of the channel sinews central to his manual therapy, and how palpation itself becomes a form of diagnosis. Brian demonstrates live on the knee and forearm, showing how tissue that pulls, resists, or lacks pliability can guide both point selection and pattern differentiation. We also explore the fascia as a fabric, the "canoeing" analogy for finding the right direction of treatment, and why unwinding restricted tissue helps restore the gliding surfaces that support movement and healing.
#50
August 6 · 29 min
050 Kinetic Chains and Channel Pathways: Movement Is Medicine • Kim Fong
Every body carries a history, and the practitioners who treat it well know how to read that history instead of just chasing the pain in front of them. In this episode, we sit down with Kim Fong, a physical therapist and licensed acupuncturist, to explore treating the body as an integrated whole. We unpack why observation and palpation come before diagnosis, why patients cling to labels like "bone on bone," and how old injuries quietly shape movement patterns showing up today. We also dig into the role of intuition alongside clinical training, and why getting a patient to eighty-five or ninety percent is often the honest, sustainable goal. Healing isn't about erasing every old injury, it's about helping a person understand how they got here, and giving them the tools to keep moving well.
#49
July 16 · 28 min
049 Acupuncture for Animal Sports Performance • Kathy Murphy
Sports acupuncture isn't just for two-legged athletes, competition dogs need the same careful eye, just read through a different lens, and the signs often show up as quirks and behavior shifts long before anyone calls it an injury. In this episode, we sit down with Kathy Murphy, a veterinarian and certified veterinary acupuncturist, to explore treating canine athletes through Chinese medicine. We unpack qi versus blood deficiency, why aggression and food-pickiness can be diagnostic clues, and why pulse often reads truer than tongue once treats and training enter the picture. We also dig into the handler's role in recovery, what real rest looks like, and why setting expectations matters as much with four-legged patients as two. Getting a competition dog back to the work it loves isn't about one perfect needle, it's about reading the patterns and giving the process the time it needs.
#48
July 2 · 28 min
048 Normal Results, Real Pain: A Physiatrist's Case for Integrating Acupuncture • Chi Tang
Acupuncture and Western medicine don't have to speak different languages. Practitioners who understand both can offer something neither tradition delivers on its own. In this conversation, I sit down with Dr. Chi-Chi Tang — physiatrist, former St. Louis Rams team physician, and acupuncture practitioner — to explore what a sports medicine lens brings to needling work. We discuss why palpation is missing from most medical exams and what that costs clinicians, how myofascial chains may be doing the work that meridian theory has described all along, and what the fascia reveals about why acupuncture works. We also explore posture assessment, nerve anatomy, the Stecco family's fascial research, and why the greatest tension in the body is often far from where the patient feels pain. Finding the source isn't always obvious. Sometimes it takes learning to read the body in ways that Western training alone never quite teaches.
#47
June 18 · 27 min
047 Microcurrent Strategies: Beyond Injury Healing to Performance Enhancement • Laura Christensen
Sports medicine isn’t just about elite athletes. Many of the same principles apply to everyday patients recovering from injuries, surgery, chronic pain, and repetitive strain. As practitioners, we’re always looking for ways to support healing while working with the body’s natural recovery processes. In this conversation, I sit down with Laura Christiansen to explore microcurrent therapy and its role in acupuncture practice. We discuss the differences between traditional electroacupuncture and microcurrent, why more stimulation isn’t always better, and how gentle electrical currents may support healing, tissue repair, and cellular energy production. We also explore the relationship between fascia, meridians, ATP production, injury recovery, and nervous system regulation, alongside practical strategies for integrating microcurrent into clinical care. Supporting recovery isn’t always about pushing harder. Sometimes it’s about giving the body the resources it needs to repair, restore, and return to function more effectively.
#46
June 4 · 27 min
046 Necessary Skills for a Successful Sports Medicine Acupuncture Practice • Whitfield Reaves
Sports acupuncture isn’t about long treatment plans or complicated theory—it’s about precision, trust, and results athletes can feel quickly. True mastery comes through repetition, refining the fundamentals until assessment and treatment become second nature. In this Shoptalk, we sit down with Whitfield Reeves to explore what it really takes to work with athletes through a Chinese medicine lens. We unpack the importance of palpation, speaking anatomy instead of abstract theory, and creating immediate changes through movement, strength, and function. We also explore how trust is built through outcomes, why precision matters more than complexity, and how mastery requires focus, repetition, and letting go of distractions. Real progress isn’t about doing more—it’s about doing the fundamentals exceptionally well.
#45
May 21 · 27 min
045 Pregnancy and Acupuncture • Debra Betts
Pregnancy care is often approached with caution, yet it reflects overall health—not something to fear or avoid. It’s not about rigid rules or avoiding certain points, but understanding the body and responding with intention. True care isn’t about doing less—it’s about using the right tools at the right time. In this Shoptalk, we sit down with Deborah Betts to explore pregnancy care through a Chinese medicine lens. We unpack the difference between foundational treatments and specialised care, and reframe “forbidden points” as tools for labour preparation—not limitations. Even simple treatments can offer meaningful relief for nausea, back pain, and reflux. We also explore the importance of palpation, individual diagnosis, and follow-up—building confidence through real outcomes, not just theory. Real progress isn’t about complexity—it’s about precision, supporting the body so it can do what it’s designed to do.
#44
May 7 · 26 min
044 Male Reproductive Health • Naomi Skoglund
Male fertility is often overlooked, yet it reflects overall health—not just reproductive function. It’s not defined by a single test result, but by how well the body is functioning beneath the surface. True care isn’t about chasing numbers, but improving the environment that supports healthy sperm. In this Shoptalk, we sit down with Naomi Skoglund to explore male fertility through a Chinese medicine lens. We unpack why a “normal” semen analysis doesn’t always mean optimal fertility, and how factors like DNA integrity and cellular energy are often missed. Sperm health can also signal deeper issues like inflammation, metabolic imbalance, and lifestyle strain. We dive into daily influences—sleep, stress, alcohol, heat, and toxin exposure—and how small changes can make a meaningful difference. We also explore targeted treatments using acupuncture, herbs, and lifestyle adjustments. Real progress isn’t about doing more—it’s about addressing what matters most so the body can restore its natural balance.
#43
April 16 · 24 min
043 Sexual Vitality and Health in the Post Reproductive Years • Kath Berry
Clinically, when we look at sexual health in the post-reproductive years, it becomes clear that hormonal change is only part of the picture. Tissue changes, reduced spontaneous desire, and discomfort often reflect a broader shift across biology, mindset, and environment. Effective care isn’t about restoring libido on demand, but supporting the body’s capacity to adapt as these systems change. In this conversation, we sit down with Kath Berry for a clinical discussion on sexual vitality and menopause through the lens of Chinese medicine. We explore how changes like vaginal dryness, loss of elasticity, and decreased desire are often interconnected, and why maintaining stimulation and circulation to the tissues—“use it or lose it”—can play a key role in long-term function. We also discuss how desire shifts from spontaneous to responsive, requiring intention, safety, and time rather than expectation. We also talk about the impact of environment. Stress, poor sleep, alcohol, and life pressures can deprioritise intimacy, making sexual health fall away unless it’s consciously supported. Alongside this, mindset and education help patients understand what’s happening and how to work with it. Supporting sexual wellbeing during menopause isn’t about pushing the body or chasing a younger state. It’s about working with what’s present, creating the conditions for connection, and helping the system remain functional, responsive, and engaged.
#42
April 2 · 31 min
042 Challenges of Change: The Teen Years • Stephen Cowan
When supporting development, it’s often the small, well-timed interventions that make the greatest difference. It may not look dramatic, but real change happens when we meet the body at the point it’s ready to move and respond. In this Shoptalk we sit down with Stephen Cowan for a conversation on developmental cycles and how growth unfolds through the lens of Chinese medicine, exploring the early stages of life and how they shape what comes later. We’ll discuss why viewing development as a straight, linear process isn’t clinically helpful, and instead look at the value of understanding growth as a spiral—where patterns repeat, evolve, and offer new opportunities for change. We’re reminded that when we meet someone in their process matters just as much as what we’re seeing. Attention to the fundamentals—sleep, digestion, and emotional expression—is an essential part of supporting these transitions, and is often overlooked. We’ll explore how early imbalances can carry forward into later stages like puberty and adulthood, and how simple, consistent adjustments can significantly influence long-term outcomes. We also discuss a shift in perspective when working with symptoms—moving away from asking why something is happening, and instead focusing on where it is held in the body. This creates an immediate, embodied way of working, where tension and release can help restore flow and ease. As is often the case in Chinese medicine, effective support isn’t about doing more. It’s about understanding timing, recognising the pattern, and with clarity and precision doing just enough.
#41
March 19 · 28 min
041 Top Three Considerations in Treating Menopause • Christina Jackson
When we work with menopause in the clinic, we quickly see that hormones alone don’t determine the outcome. Sleep disruption, heat, and weight changes often reflect how the body is adapting to a major physiological transition. Effective treatment isn’t about correcting hormone levels alone, but about supporting the body’s capacity to adjust as its internal resources shift. In this conversation, we sit down with Christina Jackson for a clinical discussion on menopause through the lens of Chinese medicine. We explore why the common symptoms of menopause — sleep disturbance, heat, and weight gain — are often interconnected, and why addressing sleep first can create the foundation for improvement across the whole system. We also discuss how menopause is frequently oversimplified as a Kidney deficiency pattern, when in reality many patients present with liver dynamics, fluid depletion, or mixed patterns that require a more nuanced approach. We also talk about the importance of patient education. Helping patients understand the role of lifestyle, nervous system regulation, and long-term depletion allows them to participate more actively in their own care. Effective care during menopause isn’t about pushing the body harder or chasing lab numbers. It’s about working with what is presenting, offering the right support at the right time, and helping the system regain its ability to regulate itself.
#40
March 5 · 34 min
040 Approaching Perimenopause • Lorne Brown
When we work with perimenopause, we find it isn’t hormones alone that determine the outcome. It’s the body’s capacity to adapt to change. Effective treatment isn’t about replacing what is declining, but restoring resilience so the system can regulate itself. In this Shoptalk, we sit down with Lorne Brown for a clinical conversation on understanding perimenopause through the lens of Chinese medicine. We explore why the oversimplification of “estrogen decline equals symptoms” is not a clinically useful perspective, and how kidney resources and liver adaptability shape a patient’s experience. We discuss why seeing what is presenting matters more than diagnosing by label, and why hot flashes in one constitution require a very different approach than in another. We also talk about the importance of treatment dosage and momentum, and how short, concentrated courses of acupuncture and herbs can recalibrate the system more effectively than scattered, infrequent care. Effective care is not about doing more. It’s about offering the right support at the right time, in the right amount, so the body can regain its own balance.
#39
February 19 · 31 min
039 Wen Bing Strategies for Treating Winter Colds • Kerri Westhauser
When treating warm pathogens, it’s small well-timed interventions that bring about effective clinical results. The treatment doesn’t look dramatic, the key to success is meeting the body where it’s ready to respond. In this Shoptalk we sit down with Kerri Westhauser for a conversation on using Wen Bing formulas in the treatment of colds, flu and coughs. We’ll discuss why the oversimplification of “wind-heat equals virus” is not a clinically helpful perspective, along with the Wen Bing focus on timing and layers. Kerri reminds us that when you see a patient matters just as much as what you see. We also discuss the importance of the fluids and the recovery phase, as a way to consider treatment for lingering dryness, fatigue, and scratchy coughs that remain after the acute illness has resolved. Along with why light, aromatic support often is more helpful than heavy cloying tonics. As is often the case with Chinese herbal medicine effective treatment isn’t about doing more. It’s about with clarity and precision doing just enough.
#38
February 5 · 28 min
038 Using Saam Acupuncture for Colds and Coughs • Andreas Brüch
Seasonal colds move like shifting weather through the body—from icy surface invasion to lingering damp in the lungs. In this Shop Talk conversation, Andreas Brüch shares how Saam acupuncture maps these changes with clarity and precision. We explore how Taiyang strategies open the surface at the earliest stage, why the Urinary Bladder meridian can be used even when patients feel chilled, and how Lung and Yangming treatments help once the cold moves deeper. You learn about differentiating fluids—dry, wet, hot, or cold—guides point selection, and how reversing Cheung Bu combinations can dry dampness or moisten dryness effectively. In this Shop Talk conversation with Andreas Brüch, we explore treating colds and coughs through the lens of Saam acupuncture. Andreas has spent decades traveling between Germany and Korea, studying the ways that six qi, five phases, and the nuances using the four-needle technique. His approach is practical, rooted in clinical clarity, and shaped by a deep appreciation for how simple, targeted treatments can bring the system back into a healthy balance.
#37
January 22 · 35 min
037 Simplifying Herb Formulas By Considering Flavor and Function • Andrew Nugent-Head
Colds and coughs arrive uninvited, rearrange our plans, and remind us that the body has its own weather systems—its own logic for how things move, settle, and resolve. Treating colds well requires more than naming a pathogen; it asks us to pay attention to terrain, timing, and the person standing in front of us. In this conversation with Andrew Nugent-Head, we explore respiratory illness through the lens of classical Chinese medicine as it was practiced before modern standardization. Drawing on his study and clinical experience with Republican-era doctors, Andrew reflects on a time when physicians treated everything from acute emergencies to chronic disease—and when formulas were understood not as fixed prescriptions, but as flexible strategies rooted in flavor, nature, and direction. Listen into this Shoptalk as we explore how herbs work through their flavor and nature, how to treat colds and flus without falling into rote pattern diagnosis, the importance of changing the internal landscape rather than “killing” an illness, and what it really means to practice patient-centered medicine when respiratory bugs come through the door.

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