Today, there are few clinical situations in China where either traditional Chinese medicine or Western methods are delivered alone. For example, in many rural clinics, acupuncture, herbal medicine, and massage are easy and inexpensive to deliver, but Western medicine is difficult and expensive to provide. A few specialty institutions in large cities exclusively use technological Western diagnostic methods, and follow up with primarily Western intervention procedures. However, most institutions that focus on Western methods typically have acupuncture, massage, and herbal medicine also available to reduce pain, mediate the side effects of medications, and support patients with regulation of sleep, bowel disturbances, pain, anxiety, and nausea.