Sarita Vighne, LAC in Encinitas's Cardiff-by-the-Sea district is a Doctor of Acupuncture and Chinese Medicine holding California License #13632 and operating AcuWorks Therapeutics on San Elijo Avenue since 2010. The practice delivers Traditional Chinese Medicine acupuncture, herbal prescriptions, and pain management from a Cardiff location near San Elijo Lagoon, treating chronic musculoskeletal conditions that often overlap with the manual-therapy caseload at Bespoke Physical Therapy Encinitas. A DACM credential represents the highest doctoral-level training in acupuncture and Chinese medicine, encompassing advanced herbal pharmacology, Western biomedical pathology, and evidence-based clinical research methodology. Needle protocols target both acute injury presentations and chronic internal-medicine conditions, a broad scope of practice complemented by the soft-tissue release techniques at Coast Myofascial Release. Complex cases combine multi-point acupuncture with individually compounded herbal formulas addressing simultaneous pain, digestive, and stress-related autonomic-nervous-system dysfunction.