On April 1, 2026, China implemented a landmark national standard: Classification and Determination of TCM Constitution. Although designated as a recommended rather than mandatory standard, it represents a major step in modernizing traditional Chinese medicine (TCM) by converting traditional constitution theory into a clear, measurable and clinically practical framework. By clarifying the relationship between constitution, disease, and pattern differentiation, the standard strengthens professional credibility, supports research, and enhances patient-centered treatment.
Barbra Esher, AOBTA CI. Dipl. ABT & Ac. (NCCAOM), LAc
Barbra Esher is the senior instructor and curriculum coordinator for the professional program in shiatsu and Asian bodywork at the Baltimore School of Massage. She is the past president of the American Organization for Bodywork Therapies of Asia (AOBTA), and an AOBTA-certified instructor. This series of articles is based on information from her forthcoming textbook, Shiatsu and Chinese Medicine.