Classical Chinese medicine recognizes the Heart (心 Xin) as a central organ to our being. It’s seen as holding the sovereign position as the emperor of the kingdom (i.e., the body). The Heart is where the Shen (神), the spirit, resides. It’s what gives us discernment and consciousness. In a way, phrases like “follow your heart,” “home is where the heart is,” and “from the bottom of my heart” seem to pay homage to the spiritual and coherent nature of the Heart. But how does this influence our work in the clinic?In this conversation with Josephine Spilka, we discuss the importance of being in coherence, acting from a place of presence amid impermanent stories, staying true to our capacities, and setting boundaries in the clinic. Josephine also touches on the influence of the eight extraordinary channels and their connection to the Zheng Qi. Listen into this discussion on coherence, and the need to honor our faculties, integrity, and capacity in any clinical encounter