Tibetan Medicine Initial Intake

1:45 MINUTES — 2 HOURS

Initial intake includes a complete dietary and health history intake. You will receive individualized information for integrating your comprehensive health plan, including diet and lifestyle changes to increase well being. Some will choose to receive traditional Tibetan medicine supplements, or other supplements may be suggested. In some cases, lab work with a general practitioner MD will be suggested to check various lab levels. Follow up visits review and monitor progress with the health plan. These are scheduled according to your individual needs to refine further improvements to your health plan, and typically are more frequent in 4-8 weeks initially and then gradually moving to seasonally or every 6 months.

We do not offer distance consults. This is for ethical reasons of being more assured you are receiving accurate and traditional care. Traditional Tibetan medicine requests urine samples and the reading of your pulse and tongue according to the Tibetan Medical Tantras. We will see long distance patients, but only if they agree to seasonal or appropriately scheduled rechecks. No traditional Tibetan Supplement formulas will be refilled beyond 6 months, or without a valid and recognized Menpa script within the past 6 months. This is determined on a case by case basis and at the discretion of the Tibetan physicians.

We welcome collaboration with all licensed health professionals and alternative healers for well rounded and complete care. Referrals for following up with other licensed health professionals may occur and be suggested or recommended when we feel it is in your best interest.

The initial intake can take up to 2 hours and follow up sessions are up to an hour. If you want to receive bodywork this is an additional appointment.

SEEN PRIOR — (BUT NOT FOR 3+ YEARS)

1.5 HR RECHECK IS REQUIRED

If you have been seen by either Menpa Tsundu or Menpa Nashalla in the past, yes, you are an existing client. However health is not static. Time, life and age change things. Therefore we will need to have seen you within the last three years to schedule a 1hr re-check. Otherwise you will need a 1.5 hour re-check.

If your case has not been seen in longer than 5+ years (or beyond the required time for maintaining HIPPA files), understand files may have been destroyed properly, and you will be asked to re-fill out all the paperwork and we will ask for a 2 hour intake.

Tibetan Medicine &

Five Element Acupuncture ~

Combined Initial Intake

3 HOURS

If you think you may want to have Menpa Nashalla combine her Tibetan Medicine with Acupuncture, you will need to have a full diagnosis and initial protocols done for BOTH systems.

New clients wanting to pursue both Tibetan Medicine and Acupuncture have option for a 3-hour initial consult to avoid separate two hour intakes as many aspects do have crossover.

However, out of respect for both systems, this cannot simply be an “add on” mid treatment. meaning you can’t have not completed a full Five Element Initial diagnostic and protocol session and ask to “add in needles” or ask “would needles be useful for this?” and except that Nashalla can automatically add in needles.

If you suspect you may want to be able to be flexible and have 90 min sessions that combine both at a later date PLEASE ASK FOR THIS OPTION WHEN SCHEDULING AN INITAL CONSULT. If you would prefer to just do Acupuncture or just do Tibetan Medicine this is 100% fine, a two hour initial consult is fine. Just be clear on protocol so that you do not have to repeat a two hour at a later date.

Kunye Therapy & Tibetan Massage

60-90 MINUTES or with Cupping and Acupuncture 90-120 MINUETS

The function of Kunye Therapy is to soothe and relax tensions, relieve stress, insomnia, depression, nerve system dysfunction and bring balance to the internal elements of the body. It has great therapeutic value to relieve a variety of ailments in a soft and non-invasive manor. Kunye Therapy has many forms of application. These can include massage, treating crucial points in a manner similar to acupressure, applying medicinal oils, gemstones, hot or cold stones, compresses, medicinal vapors and baths.We will do an initial assessment according to traditional Tibetan Medicine and determine which approach best suits your condition.

Sessions are expected to last a minimum of one hour, but can run up to two hours in duration. 

Kunye Therapy & Tibetan Massage & Five Element Acupuncture Combined

90 MINUTES

Designed to allow the approbate attention for each system at play, this is a very complete session that meets the protocols of both Classical 5 Element and Tibetan Kunye Therapeutics.

ADD ON’s - Additions to primary Kunye Massage, Acupressure or Acupuncture

• Me Bum - Traditional Tibetan Copper Cupping

• Compress Therapy - hot stone or herbal

• Vapor Bath & Vaginal Yoni Steams

• Metza - Moxibustion

• Infrared sauna

• Five Element Acupuncture

Please give allotment for the extra time needed when combining therapeutics from various systems and modalities. In the interest of serving patients with each genuine lineage appropriately 60 minuet session are limited to one modality and methodology. This ensures prevention of cultural appropriating and luring the lives of creating a stressful session with the practitioner trying to get other all done in a rushed manner.

Sowa Birthing Method ™

90 MINUTES

The Sowa Birthing Method ™ protocol was developed by Nashalla G. Nyinda, Menpa (TMD) LMT over several decades of working with expectant mothers. The heart mission behind this work is providing expectant mothers and little ones support and care for the Body-Mind-Spirit. Working within nature’s rhythms, a series of treatments helps ripen and prepare mom and baby to embody a centered confidence for birthing. 

Clinical studies show that birthing outcomes for women who have been supported during pregnancy with massage and bodywork, as well as having been taught skills to relax the nervous system and mentally prepare for birth typically involve less complications, interventions and help decrease postpartum depression rates.

We begin working together in week 35 of your pregnancy, or week 34 if you have twins. Flower buds take time to both form and open slowly. This the allotment of time it take to safely ripen the nervous system for the big day, in a mental non-invasive and relaxed way that matches nature. Just as a flower bud is tightly shut it opens slowly in its own time. The weekly session work with the uncoiling to fully ripen and open the body for the Surender of birthing in a ways that feels connected to the natural order of things.

Sometimes older patients are given structure cut off dates they will not be allowed to cross for gestation, and in such cases we can add in twice weekly sessions when you cross week 37 that will nudge the process forward in a way that can help aid avoiding a medicalized induction.

Initial consult and 1st treatment (2 hours)

• 4 additional weekly sessions of 90 min each massage, acupressure/acupuncture

This is a package product: Should you give birth before the 5th sessions, it’s converted to a postnatal treatment good for 6 months from delivery date. Any additional sessions until birth, or in postpartum are offered as a seepage discounted rate outside the package.

Contact us for more information and package rates.

Wellness & Dietary Lifestyle Plan

1.5-2 HOURS

Tibetan Medicine works by accessing an individual’s elements and their organ systems. The body is comprised of three main energies (often translated as “humors”). These are rLung - wind (pronounced “Loong”), mKhrispa - fire (pronounced “Tripa”) and Badkan earth-water (pronounced “Pay-kan”). These three primary energies exist both in healthy and unhealthy states.

The goal is to have balance or homeostasis which is fluid and transitional with the seasons and life cycles and stages. Tibetan Buddhist psychology, spiritual well being, personal satisfaction and happiness, along with other support systems are applied to increase overall well being.

The first session is around 1.5 hours. Traditional diagnosis requires a full dietary review, pulse and urine analysis. This need for pulse and urine analysis is one reason why we require an in-person intake even from long distance clients. One’s lifestyle, and how it contributes to health, happiness or disregulation is addressed. We can provide a write up for you to take to other health care providers that you are working with, for an additional charge.

5 Element Taoist Chinese Medicine ~ Classical Five Element Acupuncture

Initial consults and 1st treatment 3 HOURS -

This is included inside the 5 package starter package.

60 MINUTES

Pre-1950’s Chinese Medicine was heavily influenced by the Taoist system of nature working in harmony with a person’s Body-Mind-Spirit. The elements of water, wood (air), fire, earth and metal (space) are worked with to create balance. The Law of the Five Elements and their association to the Body-Mind-Spirit are the essence of Ancient Chinese Medicine heavily influence by the way of the Tao. Root causes of disease are worked with, rather than symptoms alone. This creates lasting and profound results over time and serves to create the best version of you possible.  We do not work with Chinese herbs.

The system Menpa Nashalla is primarily trained in and employs is based off the Classical Five Element Worsly lineage style.

Initally sessions occour weekly to build a solid foundation of support. We offer a FIVE PACK STARTER PACKAGE at a substantially discounted rate, prepaid to start you on this journey to a more whole-person centered acupuncture experience. As the Body-Mind-Spirit become fortified, sessions are spread out to an as needed bases, tailored for individual life and health situations.

Initial intake and treatment is scheduled to accommodate up to three hours if you will be combining Tibetan Medicine or two hours if you will just be scheduling acupuncture. Follow up sessions are up to an hour.

Note: Commitment to the first 5 sessions through an initial pre-paid package offers you a potential discounted rate for the first sessions occurring weekly. This is only for the initial 5 treatments in order to offer you that solid ground level of support. Following the first 5 sessions and package, regular hourly rate for rechecks and future treatment returns.

If you wish to come for both Tibetan Medicine and Acupuncture you must have had full intakes in both systems. This can be done in a three hour combined intake, but there is no time for an initial treatment with needles, so this becomes separate from the 5 Pack starter, and you must ask for that add on. This makes the starter pack turn into 6 inital weekly sessions. Otherwise if you do not ask for that combo you will have to repeat a two hour Tibetan medicine intake later.

Transferring Care from Another Five Element Acupuncturist

Those transferring care from another classically-trained Five Element acupuncturist may skip the initial consult if:

• They have filled out a release form

• Their prior practitioner has provided records to Nashalla to ensure a continuum of care

Important: The proceeding with taking over prior treatment must be from a licensed Five Element Acupuncturist only, as the methodology differs from TCM. While we welcome any relevant patient files from any prior practitioners, only Five Element patients transferring from another Five Element Acupuncturist may skip the initial process for 5 weekly treatments.

PLEASE SEE OUR ACUPUNCTURE PAGE FOR FULL DETAILS

Acupressure / Acupuncture: Nashalla passes the NCBAHM (NCCAOM) board exams in February 2026 after 6 years of study. She will NOT be using needles on anyone until all the licensing and national certificates have been issued, which is expected soon. Moxa, acupressure, mantra and plant spirit medicine are used in place of needles until her state and national board license paperwork has been issued.

While she has completed the requirements for a Masters of Acupuncture degree, with over 660 hours of internship with needles, she cannot legally use them in her private practice inside the United States until she has received her national license from NCBAHM (Formally NCCAOM).

Plant Spirit Medicine

60-90 MINUTES

Five Element Acupuncturist Elliot Cowen, developed Plant Spirit Medicine. This system facilitates healing by moving energy and removing blocks along the meridian pathways in the body.

Points on the body are used just as is done in acupressure sessions. The initial visit can last up to 2.5 hours with a health history, and treatment may also include various assigned self-care practices. Ideal for those who like to work on subtle body levels, children, or for those who are sensitive and wish to avoid needles.

Jin Shin & Acupressure Techniques

60-90 MINUTES 

Originating in Japan, Jin Shin emphasizes the Five Elements coming into balance. Mary Burmeister brought Jin Shin Jitsu to America. A simple form of subtle energy medicine, it works on the meridians and organs. Stephanie Mines PhD, a student of Mary Burmeister’s, advanced Jin Shin by creating the TARA Approach. Her goal was treat shock and trauma via Jin Shin. The TARA Approach allows a person’s core dis-harmonies to be supported and released through pressure points.

Nashalla blends decades of experience with Tibetan, Ayurvedic, Japanese and Chinese Medicine acupressure techniques within her Jin Shin practice to work with the bodies meridians and organs systems.

Focusing on your psychological well-being, what you need to feel safe and move forward in your life are an integral part of this work. Nashalla encourages individuals to work with themselves with acupressure in between sessions to resolve and re-pattern the events of their lives that keep them from being fully balanced in Body-Mind-Spirit.

The initial session can take up to 2.5 hours and further sessions are up to an hour. You should expect to learn points for self-care and maintenance throughout your Jin Shin treatments.

Nashalla became a certified self-care and level one teacher for The TARA Approach in 2002. She continues to teach classes on acupressure, Asian medicine and Jin shin therapies worldwide. She translated the Jin Shin Tara “Self Care” book from English into Tibetan and taught it to students and physicians of Tibetan Medicine in two countries. Her Jin Shin has evolved throughout the years to be her own blend of acupressure. She has students who continue to study with her after many years to learn her unique adaptations and self developed style of acupressure for the nervous system and various conditions.