A. Yes, it is possible, but with conditions. If the Korean medicine doctor needs to take your pulse or perform an abdominal examination, an in-person visit is required. Otherwise, a video consultation can be used for prescription. For follow-up patients or those with stable symptoms, non-face-to-face consultations are sufficient. I was initially cautious about remote care, but after some trial and error, I now use it effectively for patient convenience.
📝 Detailed Answer
I will explain the cases where remote prescription is possible and where it is not.
**Cases where remote prescription is possible:**
- For follow-up patients I have already treated in person, if their symptoms are stable and not significantly changed, prescription via video consultation is possible.
- In Korean medicine, when the main factor is a constitutional pattern like 'Spleen deficiency (Biheo)' or 'Phlegm-fluid (Dameum),' pulse diagnosis may not be absolutely necessary. In such cases, pattern differentiation can be performed using a simple questionnaire, abdominal photos, and video conversation alone.
- This method is especially useful for patients with transportation difficulties or tight schedules.
**Cases where remote prescription is difficult:**
- First-time patients must原则上 visit in person for pulse diagnosis and abdominal examination. Diet herbal medicine is not simply about weight loss; it regulates Spleen function, so accurately assessing the body’s state is crucial.
- When 'Blood stasis (Eohyeol)' or 'Qi stagnation (Giche)' is suspected—meaning blood circulation or qi flow is blocked—palpation is necessary.
- If acute inflammation, hormonal imbalance, thyroid problems, or other diseases are suspected, it is safer to visit in person and undergo concurrent examination.
**Remote prescription process:**
1. After a phone consultation, schedule a video appointment (10–15 minutes).
2. During the video call, I thoroughly ask about eating habits, lifestyle, current symptoms, and past dieting history. I start by empathizing, saying things like, 'I also struggled with yo-yo dieting in the past.'
3. If needed, I request photos of the abdomen or tongue. In Korean medicine, tongue diagnosis (Seoljin) is an important clue for assessing digestion and fluid metabolism.
4. Based on the pattern differentiation, I decide on the herbal prescription and send the order to the pharmacy electronically. The prescription is issued as a digital document.
5. The herbal medicine is delivered by courier in decoction or pill form. I provide detailed instructions on how to take it and precautions, and recommend a follow-up consultation after two weeks.
Let me add one more thing: remote consultations are convenient, but they are not suitable for every patient. I can never promise things like 'This medicine will make you lose 3 kg.' The body responds at its own pace, so treatment duration varies. Still, if you are curious, feel free to schedule a consultation without pressure. In any case, I will do my best to help you.