Mieko M. Sie, L.Ac. operates Hands on Healing Wellness in Encinitas at 317 North El Camino Real, a women-owned acupuncture and bodywork practice offering Classical Five-Element Acupuncture alongside therapeutic massage, cupping, and gua sha. A San Diego State University graduate who earned her Masters of Oriental Medicine from Pacific College and California board certification in 2008, Mieko builds pain-management, fertility, and cosmetic protocols that complement the wellness services at Revive Med Spa on South Coast Highway 101. Acu-facial cupping protocols target lymphatic drainage and collagen stimulation in the face and neck, extending the practice beyond pain relief into cosmetic rejuvenation. Treatment sessions for chronic carpal tunnel syndrome, perimenopause symptom management, and stress-related conditions incorporate mind-body-spirit wellness coaching rooted in Chinese five-element constitutional theory. Emotional-health and anxiety cases connect with the counseling resources at Coastal Counseling in the Encinitas area. Advanced pain protocols layer Classical Five-Element acupuncture with sliding gua sha along the Gallbladder and San Jiao channels using buffalo-horn instruments for myofascial adhesion release in chronic shoulder-impingement presentations.