English French German Italian Portuguese Russian Spanish

What to Expect

The First Visit

The first visit in our acupuncture clinic is devoted to gathering a great deal of information about main concerns, medical history. physical conditions and energetic observations. We address your questions and discuss a treatment plan. In Five Element acupuncture, this process is called the Traditional Diagnosis, or TD, and usually lasts about one hour. There is a short physical examination, along with pulse-taking, but no needles are inserted during the first visit.


Subsequent visits involve acupuncture treatments to move your energy in the direction of vitality, harmony and balance. Your practitioner monitors your response to treatment by talking with you at the start of each treatment and by taking your pulses before, during and immediately after treatment. Pulse-taking in acupuncture is not the same as taking your radial pulse in Western medicine. The process is similar in that your practitioner will take your hand in theirs, but they will be listening to and feeling for different qualities. Your pulse "picture" provides the truest assessment of your health, guiding your practitioner's treatment plan and helping them evaluate your progress over time.

Working with the patient, practitioner will determine which acupuncture points to use for your treatment. The Five Element tradition believes in effecting maximum change in a person's qi through using as few needles as possible. As such, practitioners may choose only three to five points to needle, with each point chosen for a specific purpose. Once the point is precisely located on your body, your practitioner may burn moxa directly on the point if it is warranted. The point will be cleaned and the needle inserted. Most often the needle is promptly removed. Needles are generally not left in the point for lengthy periods of time. Your practitioner will check your pulses before moving on to the next point. You are encouraged to relax throughout your treatment and to let your practitioner do their work. Sometimes your practitioner will ask for information about what you are experiencing during the treatment. Along with pulse-taking, this information is helpful in gauging the progress of the treatment. Your pulses will be taken again after all of the points have been needled.

While every person is different, most people benefit the most by coming weekly at the start of treatment. As your health improves and stabilizes, treatments are scheduled less and less frequently. Once healthy, the emphasis is on preventive treatment. This means coming seasonally for "tune-up" treatments to help you maintain health and well-being.

A Primary Difference

Your primary practitioner is responsible for planning and carrying out your treatment and evaluating your progress and to provide you with the best possible treatment. The result is a caring and compassionate. patient-centered model of health care that supports holistic well-being.

Ayala International

Tallahassee, FL

2719 Blairstone Lane
Tallahassee, FL   32301
(850) 671-5400

Monday, Wednesday and Friday 8am to 8pm


Carrera 33 #42-99  
Barrio Cabecera Bucaramanga, Colombia
South America 
Telefono: 57-318-765-1692

Lunes a Viernes 9am to 5pm

Office Hours

Carlos travels between Tallahassee, FL and Bucaramanga Colombia each month to serve clients in both regions. As a result, office hours may vary. Please contact your local office for availability or login to the appointments portal to see available time slots.