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Constitution MapNine patterns · 14 US cities
Mean temperature across the twenty-four solar terms — the climate this calendar was written for

For practitioners

This is a constitution self-assessment your patients can take before they walk in. It is not a diagnosis, it is not validated, and it does not replace anything you do. I am not licensed in the United States and I do not see patients. We do sell to individuals: the 28-day plan is optional and paid. Seeing your result is currently free in every language. Your patients pay nothing if they come through your clinic link — see the clinic partner program below.

What your patient sees

Twenty-six questions, about four minutes, no account and no sign-in. Their answers stay in their browser, and there is no clinic dashboard: we cannot look anyone up, and neither can you. A report passes through us only when they ask us to email it — to themselves, or, if they came through your link and tick a box naming your practice, to you — and our mailbox keeps a copy of every email we send. The result is one pattern, judged against the thresholds in Table 1 of the standard, with the transformed score and the verdict shown next to it; then the standard’s account of that pattern written out in plain English rather than translated word for word, the non-drug regulation from T/CACM 1460-2023 in the same plain English, and the acupoints it names — that paragraph is the guideline’s own text, translated — drawn to the WHO 2008 locations. When nothing reaches those thresholds the page says so plainly and gives none of that — no score, no verdict, no pattern, no regulation. What it still shows is the fortnight’s climate where they are, and the option to save the page. Herbal formulas are not on the result page.

Where this instrument is fragile, and what we do about it

The blood stasis subscale is the soft spot. In the 2025 Chinese national standard’s short form it carries three items, and two of the three ask the respondent to look at their own skin and judge it: whether the face is dull or shows brown patches, and whether the lips run dark. The 60-item English CCMQ is worse on this count — five of its seven blood stasis items are self-judged appearance.

On lighter skin past sixty those items have obvious competitors that have nothing to do with blood stasis: solar lentigines, seborrhoeic keratoses, actinic purpura, bruising that is simply easier to see. A Vanderbilt group using the English CCMQ reported blood stasis in 22.6% of the BMI-under-30 subgroup of 191 adults in Nashville — a colorectal-cancer-risk trial cohort, aged 40 to 85, not a general population sample — against a 1.4% Chinese figure taken from a separate paper. Two studies, two recruitment routes: the gap generates a hypothesis, it does not settle one. I do not think it is real, and I think the items are the reason.

We do not touch the standard’s items

An earlier version of this site replaced four items and dropped a fifth. That is reverted. The questions and the scoring thresholds are the standard’s own, used as written — which is the only footing on which the standard’s own validation work carries over at all. The handling moved to the result instead: when the assessment returns blood stasis, the page names the two questions that rest on self-judged appearance, sets out three signs that point towards the pattern — including the sublingual vessels, which do not depend on skin tone — and three ordinary causes that produce the same look, and says plainly that none of it rules the pattern out. Your patient arrives knowing where the soft ground is.

What is not established

This questionnaire has not been validated in a US population. The standard’s norms come from a Chinese sample; no cognitive interviews have been done in English, by us or, as far as I can tell, by anyone. The one English-language administration we know of — Nashville, 191 adults — reported internal consistency of 0.44 to 0.72 across the nine subscales, several of them below 0.7. Treat the result as a conversation starter for intake, not as a finding. We say the same thing on every page the patient sees.

What I am actually asking for

Your judgement on where the items are wrong. You have these patterns in front of you all day and I do not. If the blood stasis items behave differently in your patients than this argument predicts, that is worth more to me than agreement — and if the whole premise is off, I would rather hear it now than after we have built on it.

Take it yourself first if you like: the assessment is here, no sign-in. Then tell me what you would throw out.

Clinic partner program

We give your practice a link of its own, such as constitutionmap.com/c/your-practice. Anyone who comes through it sees their result free, and gets the 28-day plan free where it applies (English version, a US city, and any body type except the balanced one). There is no fee either way: you pay us nothing and we pay you nothing.

How it works

Each practice starts with about 25 free results a month. If you need more, write to us and we will raise it. If the allowance is used up or the link cannot be used, your patient can still see their result free. The free 28-day plan needs an available clinic pass. When your patient sees their result, they can tick a box naming your practice and we email you the report, with the name and the contact they type. Nothing reaches you unless they tick it, and we send it only to the practice address you give us — your patient never types an address. Once it is in your inbox it is yours to look after under your own privacy practices.

What we ask of you

Hand the link out, or put it at your front desk. The reading is yours: the result is a conversation starter for intake, not a diagnosis. It is for adults. If you link to us from your website, please mark the link rel="sponsored"; we do not ask for that link, and the free results do not depend on it.

To join, write to [email protected] with your practice name and the email address reports should go to.

Want to know when it changes?

I will write when we change something because a practitioner told us to, or when there is validation data worth reading. A few times a year at most, and never a sales email. This list is kept separate from the patient-facing one, so you will not get the every-fortnight readings.

No account. We hold the address ourselves and give it to nobody. Reply “stop” and you are off the list.

Rather just reply to a human? [email protected] reaches us directly.