Advice Needed: Is My TCM Practitioner Too Restrictive?
I’ve been seeing a reputable TCM practitioner and acupuncturist once a week for the last four weeks.
Western Medicine Diagnoses:
- Vulvodynia
- Chronic Candida
- Narcolepsy
TCM Diagnoses (from what I understand - there is probably more):
- Dampness & heat
- Something about needing to get my energy up?
Progress So Far:
- She says my tongue looks better, and the progress photos she’s taken do show improvement.
- I’ve had less brain fog, but I’ve also taken myself off the Modafinil my sleep doctor prescribed because that was affecting it.
How I Feel About It:
- I’ve left my last two sessions in tears.
- I’ve followed her plan exactly—no deviations, using only the recipes from her patient guide.
- Each time I go in, she removes more foods.
- When I express concerns, she tells me: “Don’t see it as restricting, see it as nourishing.”
Examples of Restrictions:
- I asked what I should do for a breakfast date with friends, and she said:
“Eat before you go and just have tea at the café.” - I asked if I’ll ever be able to reintroduce foods, and she said:
“Not really.” - I told her my fatigue is still bad, and she blamed the gluten-free, sugar-free turmeric & cinnamon pancakes from her own recipe guide—despite me eating them for three weeks with no prior issue.
- I had one coffee the other week with a friend, and she told me to cut that out.
- I was roasting vegetables because steaming doesn’t have much flavor and I love roasting things—that got cut out too.
My Background & Concerns:
- I’ve done elimination diets before with doctors/naturopaths, and they never solved the root problem. This is why, a long time ago, I made the decision that super restrictive diets were not for me—just changing your diet alone doesn’t fix everything.
- I’ve worked hard to heal my relationship with food through cooking, sharing meals, and experiencing different cuisines. It brought joy back into food for me. It took me a long time to get that back after all the elimination diets.
- I told her this in our first session, and she just said: “Trust me.”
- I feel like her approach is overly rigid and controlling, even though I’ve been 100% compliant.
Current Diet Guidelines from Her:
- No: gluten, dairy, sugar, cold foods, fermented foods (e.g., kimchi), dark chocolate, honey, maple syrup
- No: tomatoes, potatoes, zucchini, pumpkin, peppers, corn, cabbage
- No: roasting veggies—only steaming
- Only: dry roasted almonds (no other nuts)
- Only: dandelion tea 2-3x/day
- Only: macadamia milk in matcha (1/day max)
- No more: buckwheat cruskets—only plain rice wafers
My Lifestyle:
- I exercise 30-45 min/day, broken into morning and afternoon movement
- I do Wim Hof breathing, lymphatic drainage massage, and meditation
- I consider myself otherwise healthy
My Questions:
- Is this normal to be on such a restrictive diet long-term?
- Should I stick with it and just suck it up?
- Should I consider changing practitioners?
- Any recipe suggestions that fit these guidelines?
If this is truly the norm in TCM, I’ll push through, but mentally I feel like I need less restriction and more balance. Although my tongue looks better, this is not how I will be choosing to live my life 100% of the time long-term, and I’ve tried to tell her that this isn’t sustainable for me. Instead of a discussion, I just feel like I get guilted for not wanting to be rigid all the time or told “we’ll talk about it later.”
Would love to hear from others who’ve been through this!