
IXCHEL stands inside a long inheritance, of teachers, of medicines, of villages that still hold the rites. What is offered here is offered on behalf of all of them.
Ceremonial training has unfolded across continents and decades. What follows is a partial map, partial because the work continues, and because the deepest teachers are not always named.
Two ceremonial initiations within the Bwiti tradition. Ongoing relationship with the village of Ntann and the nonprofit Bwiti Roots.
Practice rooted in the Dominican Republic, in dialogue with Amazonian maestros, weaving plant ceremony with contemporary integrative modalities.
Time spent with the Wixárika (Huichol) people of the Sierra Madre, in reverence to the sacred deer Kauyumari and the ancestral pilgrimage to Wirikuta.
The work continues to be taught. The clinic remains in conversation with teachers across continents, there is no end to the apprenticeship.

Sacred medicines are integrated into care only when appropriate, and only within a broader framework of preparation, ceremony, and integration. They are tools in service of the work, never the work itself.
Carried within the Bwiti traditions of Gabon. The root of root medicines, long-form, ancestral, uncompromising.
A brief, structural encounter with the ground of being. Held with rigorous preparation and a long arc of integration.
Versatile, attuned to the season of the work. Used to soften, to reveal, to repair.
The vine and the leaf. Worked with in lineage, in ceremony, and only when the architecture of care is in place.
Sacred snuff prepared by Amazonian tribes. Used to ground, clear, and orient at the threshold of ceremony.
The secretion of the giant monkey frog. A purgative and immune ally, applied within tightly held protocol.
Eye drops prepared from the roots of an Amazonian shrub. Sharpens vision, inner and outer, before deeper work.
An ancient harmala-bearing seed used to deepen and clarify the work of other medicines.

The work at IXCHEL is grounded in active relationships beyond San Francisco. The clinic collaborates with Bwiti Roots, a registered nonprofit preserving ancestral Gabonese Bwiti culture, and maintains close ties with the Bwiti Fang village of Ntann.
Reciprocity is not a gesture here; it is the structure on which the work stands. A portion of every offering received returns to the lineages that made the work possible.

The clinic receives by appointment. Those who feel called to begin are invited to a consultation.