How to Support Kidney Function with Dr. Tan's Balance Method: A Meridian Conversion Case Study

What do you do when a patient feels completely fine, but her bloodwork says something is slipping? This case is about a complaint with no pain, no spot to palpate, and no meridian lighting up — just the function of an organ, flagged by a number. It is also a case we are sharing while it is still unfolding, so the value is in the reasoning rather than a finished result.

A 72-year-old woman comes to our clinic, and her concern isn't something she can feel. At her last routine check, her doctor's bloodwork showed her kidney filtration rate had slipped below 60. Nothing alarming enough for medication — the plan was to monitor and repeat the test. But she felt fine, and that was exactly what unsettled her: a number moving in the wrong direction, with nothing to feel and nothing to do. She wanted to know whether Dr. Tan's Balance Method could support her. Let's map it.

There was no painful point to chase here, and no channel to trace. What she brought us was the function of an organ — the kidney — expressed as a lab value. That changes the entry point: you don't map a location, you support a function.

Patient Profile

Age 72-year-old female
Reason for visit No pain — kidney filtration rate flagged below 60 on routine bloodwork
Meridians involved Kidney (with Bladder and Heart)
Pattern Global Balance — Shaoyin Taiyang (organ function)
Approach Meridian Conversion III/VI — eight points

Why This Is an Organ-Function Case

One complaint, one meridian, one treating channel — that's the simple case. This wasn't that. There was no pain to map and no pathway to trace. The target was the function of an organ.

Here's the distinction that drives the whole treatment. Conventional Balance Method maps a complaint onto a meridian pathway and balances it. Meridian Conversion goes one step further: by needling specific lines of each hexagram, it lets us reach the function of an organ — not only the pathway that runs along it. When the concern is what an organ does rather than where it hurts, that's the tool you reach for.

The Treatment

Step 1: Read the picture

No painful point, no radiating line, no channel to palpate. What the patient brought us was the function of an organ — the kidney — expressed as a lab value rather than a symptom. So the mapping starts at the kidney itself, and at the meridians that sit alongside it in a single, coherent pattern.

Step 2: Choose the pattern

Because this is about organ function, we ran it through Meridian Conversion as a Global Balance — a Shaoyin Taiyang pattern: Heart, Small Intestine, Bladder and Kidney. It works the kidney in its function, covers the Bladder (the location of the kidney and the water element), and brings in Heart and Small Intestine for the fire element — pairing water and fire in one balanced system. For this patient, that was the indicated pattern.

Step 3: Needle

Meridian Conversion III/VI: on each meridian you needle the third line, or Yao, and the top (sixth) line. Eight points in total.

Heart 3 and Heart 7. Small Intestine 3 and Small Intestine 8. Bladder 65 and Bladder 40. Kidney 3 and Kidney 10.

With those eight points you tune the full pathway of each meridian, the meridians they balance, and the function of the organs behind them. Clean and structured — one pattern, eight needles, the whole regulating system addressed.

Which tool, when?
Standard Balance Method — when there's a pathway to map: a painful spot, a meridian lighting up, a location you can chase and confirm.
Meridian Conversion — when the target is the function of an organ (or the Shen) rather than a pathway: nothing to palpate, but an organ system to support.
The full breakdown lives in our Meridian Conversion guide.

Where the case stands

This one is still unfolding, and we're sharing it that way on purpose. The plan is twice a week for the first four weeks, then once a week.

After the most recent sessions, she tells us she feels noticeably better in herself — physically fitter, with more energy than before. We're glad she's feeling that way, and we're also careful to keep it separate from the question she came with. How a patient feels and what a lab value does are two different things, and we don't read one from the other.

This isn't unfamiliar ground for us — it's a pattern we've turned to before, and it's served our patients well, which is part of why we were comfortable choosing it here. Even so, we stay measured. Her doctor repeats the bloodwork in two months, and that follow-up is the marker we're working toward — not a result we can claim today. We'll come back to it then.

The Insight: Function Is Another Door In

Pain is the obvious door into the Balance Method, but it isn't the only one. When a patient's concern is the function of an organ rather than something they feel, Meridian Conversion gives us a structured, repeatable way in. Same framework, different target.

It's also a reminder to stay honest about what we're doing. We're supporting the body's own regulating system and giving it room to work — not promising that a number on a lab report will move. The patient's sense of feeling better is real and worth noting; the bloodwork is a separate question with its own answer, and we let it speak for itself.

What to Watch For With Organ-Function Cases

1. There's no pain spot to chase here

When there's no pain, the instinct is to go looking for a spot to palpate anyway. The entry point is the function of the organ, not a location. Map the pattern around the organ, not a channel that isn't complaining.

2. Feeling better isn't the same as the number

A patient who feels fitter and more energetic is a good sign, but it isn't the same as the lab value moving. Feeling and lab values live in separate columns. Note the first as the patient's experience, and let the second answer on its own.

3. The number isn't ours to promise

It's tempting to reassure a worried patient with a confident prediction. We support the regulating system and let the follow-up bloodwork report what it reports. Confidence in the method is fine; claims about a specific lab outcome are not.

Apply This in Your Practice

Start from the function, not a location. When there's no pain to palpate, map the organ and the pattern around it rather than hunting for a channel to treat.

Reach for Meridian Conversion when the target is function. Standard balance tunes the pathway; conversion reaches the function behind it. That's the call this case turns on.

Keep wellbeing and lab values in separate columns. Record what the patient feels as their experience, and let the follow-up bloodwork answer the question it was ordered to answer.

Quick Reference: This Case

  • No pain — kidney filtration flagged below 60 on routine bloodwork
  • Organ function, not pathway → Global Balance, Shaoyin Taiyang (Heart, Small Intestine, Bladder, Kidney)
  • Meridian Conversion III/VI → third line (Yao) and top line of each meridian
  • Eight points: HT 3/7 · SI 3/8 · UB 65/40 · KI 3/10
  • Plan: twice a week for four weeks, then once a week; bloodwork repeat in two months
  • Felt improvement reported (fitter, more energy) — kept separate from the lab marker

Note: Patient details have been adapted from comparable cases in our clinic to protect privacy. This post is for educational purposes only — for acupuncturists and interested professionals. Not treatment advice or a substitute for professional consultation.

Want the Complete Reference?

Every System, Every Projection, Every Pattern at Your Treatment Table

The Balance Method Notebook gives you the complete Local and Global Balance reference. The new Meridian Conversion specialization goes deeper: master the tools to calm the Shen, balance hormones, and treat depression, addiction, and insomnia. Every pattern, every gua structure, every conversion — mapped and hand-drawn for the treatment table.

Explore the Notebooks →

balancemethodnotebook.com

Next Steps

This case applies foundational concepts from our pillar guides. To go deeper:

About the Authors: Laurence & Olivier

Laurence and Olivier are Balance Method practitioners based in Terneuzen, Netherlands. Both were trained directly by Dr. Delphine Armand — one of Dr. Tan's three appointed disciples and co-founder of Si Yuan. For 8 years, they were part of the Si Yuan team as instructor and video director. Practicing acupuncture since 2018, they treat up to 75 patients a week using exclusively the Balance Method at Acusana Acupunctuur.

  • Laurence was Dr. Delphine Armand's right hand at Si Yuan, teaching and assisting alongside her at international trainings. She developed the illustrated clinical notes used during these trainings — notes that became the Balance Method Notebook, now the go-to clinical reference for practitioners worldwide.
  • Olivier filmed, assisted, and edited the Si Yuan international trainings for 8 years — from live clinical demonstrations to the complete Video on Demand library. He founded this independent knowledge hub to make Balance Method education freely accessible to practitioners everywhere.

Together they created the Balance Method Notebook for Local and Global Balance, and the new Meridian Conversion specialization that takes practitioners beyond pathway treatment into function, Shen, and emotional disorders.

Through this platform, they continue to build on Dr. Tan's core philosophy: "Share everything, keep nothing, help everyone."

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How to Use Meridian Conversion in Dr. Tan's Balance Method: The Bagua Approach Beyond Projection