AI Medical Scribe for
An herbal consult runs an hour and touches every body system — then you still have to write up the formula, the doses, and the interaction check. Medical Scribe captures the whole intake and the exact prescription you composed, down to the gram.
A real example of the documentation Medical Scribe generates for herbal medicine specialists — ready before your patient leaves the room.
44F presenting with two years of bloating and irregular, constipation-predominant bowel habit, clearly worse with work stress. Sleep-onset difficulty most nights. Currently takes sertraline 50mg daily prescribed by her GP; no other medications or supplements. Diet: skips breakfast, 4 coffees daily, low vegetable intake. Goals: calmer digestion and unassisted sleep.
Tongue pale with thin white coat and scalloped edges; pulse wiry. Abdomen mildly distended, tender in the left lower quadrant, no guarding. BP 112/70. Appears fatigued but well.
Stress-linked functional digestive disturbance with sleep-onset insomnia; presentation consistent with liver qi stagnation affecting the spleen in TCM terms. Medication review completed: serotonergic interaction risk noted with sertraline — St John's Wort explicitly excluded from the treatment plan.
Review in 3 weeks with bowel-pattern and sleep-latency diary. Client advised to inform her GP of the herbal regimen and to contact the clinic before any medication changes.
Illustrative example. Every note is fully editable, and you control the format — SOAP, DAP, or your own custom template.
A proper constitutional intake covers digestion, sleep, stress, diet, and history in detail — and reconstructing all of it from scratch after the client leaves eats the rest of your hour.
Constituent herbs, ratios, doses, and preparation instructions are the treatment. Next visit's adjustments depend on knowing precisely what was dispensed and how it was taken.
Many clients arrive on prescription medications. Documenting that you reviewed the medication list and discussed herb-drug interactions is what protects both your client and your practice.
Real-time transcription that understands medical terminology and clinical context.
Recognizes terms, conditions, and procedures specific to your practice area.
Generate comprehensive clinical notes in minutes instead of hours.
Enterprise-grade encryption and security to protect sensitive data.
These aren't generic formats — they ship in the product today, structured around how you actually document.
Plus 280+ templates across every specialty — or build your own in minutes.
The strength of herbal practice is the depth of the intake — an hour tracing digestion, sleep, stress, and history to their pattern. Medical Scribe records the consultation, in your clinic or over video, and drafts the full note afterward, so the conversation stays a conversation. Follow-ups get lighter notes tracking response and formula adjustments.
The drafted note holds the whole arc: subjective history in the client’s own words, your objective findings like tongue and pulse, your assessment within your tradition’s framework, and the herbal prescription itself — species, doses, preparation, and duration as you specified them. Where practitioners work alongside GPs, care-plan structures like the GP MP/TCA template are built in too, with custom templates in minutes.
The moment that most needs documenting in herbal practice is the one that’s easiest to skip: the interaction check. Medical Scribe captures your medication review and the exclusions you made — the St John’s Wort you didn’t prescribe and why — exactly as discussed, and never invents a finding or a recommendation you didn’t make.
Yes. The herbs, gram weights, ratios, and preparation instructions you state during the consult are captured exactly as spoken. Medical Scribe never substitutes, adds, or standardizes a formula on its own — the prescription in the note is the one you composed.
When you review a client's medication list and discuss interactions — or explain why an herb was excluded — that conversation is captured in the note, creating the paper trail that matters if your reasoning is ever questioned.
Yes. You can use SOAP or DAP structures, or build a custom template in minutes with sections for tongue and pulse findings, constitutional assessment, doshas, or energetics — whatever your lineage's documentation looks like.
Medical Scribe is HIPAA compliant, with encryption in transit and at rest, whether or not your practice is formally a covered entity. Clients are informed and consent to recording, and you review every note before it is finalized.
Join thousands of healthcare professionals who save hours every day with Medical Scribe.