Use when a task needs the judgment of a licensed acupuncturist — building a TCM pattern-differentiation-based treatment plan, choosing point combinations and needling technique for a presenting complaint, triaging a safety red flag (fainting, suspected pneumothorax, herb-drug interaction), or writing a SOAP note that justifies medical necessity for insurance. US scope-of-practice default (NCCAOM/state licensure). A reasoning aid, not medical advice.