You can easily adapt the practical work of the Wheel to the Western circle or wheel if you wish. Different emphasis, but still works!
East - beginnings, decisions - ideas, imagination - the mind
South - Will - creativity, bringing to maturity, etc.
West - Emotions, intuition, going within to work on whatever the situation is.
North - manifesting on the mundane level (body)
For me, the Medicine Wheel is more the path of the heart, and the intuitive right brain, while the Western Wheel or Circle is more the linear left brain path. Both are excellent, just a different focus.