Category Archives: Entry exit points

Pulling the Plugs

The other day a friend of mine was experiencing a pressure headache on the top and back of the head. I suspected a backup of Qi in the Gall Bladder meridian so I held the exit point of that meridian (GB 41) but it had no effect. So I moved to the exit point of Bladder meridian (BL 67) and within two minutes the pressure and ache had gone from the head.

This gave me the idea of writing a blog about the exit points of the three yang meridians of the leg, what I call the bath plug points. When any of these points is blocked, Qi can back up along the channel all the way to the head and face, producing symptoms of pressure, fullness, congestion or pain. It is good to keep these points in mind as they can effect major improvements in health with little work.

The three yang meridians of the leg are Gall Bladder, Bladder and Stomach. They all begin on the face and wend their ways down the body to the feet, Gall Bladder down the sides of the body, Bladder down the back of the body, and Stomach down the front. These three are the longest of all the primary organ meridians and contain the most points. (Gall Bladder has 44 points, Bladder 67 and Stomach 45.) That means that over half of the acupoints of the primary meridians lie on these three yang meridians of the leg. Lots of places for blocks to occur.

Let’s look at each of these meridians in turn to see what kinds of conditions can arise when their bath plugs become stuck.

Gall Bladder 41 ~ Zulinqi ~ Foot Above Tears

This point is one of my favourites, and one that I use frequently, because our busy, demanding, stressful world can put a lot of pressure on the Gall Bladder official who is responsible for making decisions and taking action.

You can find a fuller exploration of this point in a previous blog. Here I will focus on its role as an exit point. Entry and exit points are not a part of the TCM teaching but are a significant part of the Five Element tradition. Blocks at points where Qi enters or leaves the meridian can become impediments to treatment progressing.

When GB 41 is blocked, Qi can back up along the length of the meridian, producing symptoms in the sides of the legs, hips, the sides of the ribcage, shoulders, neck, head and eyes. One of the more common conditions associated with this block is occipital and frontal headache, sometimes with pain behind the eyes and/or visual distortions.

I once treated a 50 year old client, a busy businessman, who experienced ongoing headaches, almost every day since he was a teenager. I held Foot Above Tears on both feet and could feel a tremendous congestion there. He felt nothing at all for a couple of minutes, then suddenly he practically jumped off the table as the pressure broke through the crust and he felt the pain of the points. I then continued with steady pressure for several more minutes until he no longer felt the sensation. His headache had cleared.

I didn’t see him again for a couple of months. I assumed the treatment had not worked. But when he returned, he assured me that it had and that he had been headache free for those months, and was returning because the headaches were just starting to come back. This was a significant outcome from one treatment and shows the power of this point when used at the right time

This point can also be useful when frustrations or the burdens of responsibility cause a build up of pressure in the neck and shoulders. If you press into the top of someone’s shoulders (GB 21) and there is a lot of tension, you may find that holding GB 41 will help that tension to soften and descend down the body.

Location of Gall Bladder 41

At the junction of the fourth and fifth metatarsals. Draw up between the fourth and fifth toes, cross over the tendon, and drop into the hollow between these bones where they meet.

 

 

Bladder 67 ~ Zhiyin ~ Reaching Yin

The Bladder pathway reaches the end of its long and circuitous journey down the body at BL 67 at the corner of the little toenail. As with the other exit points of the yang meridians of the leg, if this point becomes blocked, Qi can back up along the pathway which in this case includes the calves, hamstrings, hips, sacrum, back, neck, top of the head and eyes.

BL 67’s capacity to cause Qi to descend is seen in its role in promoting labour, and its particular effect of turning a baby which is in breech position. While the point is great for a woman about to give birth, it should be avoided during the earlier stages of pregnancy. We don’t want to take that plug out too soon. After the birth, this point can also help persuade the placenta to release.

As shown in the recent case of my friend, described above, when there is headache on the top (vertex) or the back (occipital) of the head, or in the neck at the upper cervical vertebrae, this point can be useful in descending that congested Qi.

The Bladder channel begins at the inner corner of the eye, just above the tear duct. When Qi is blocked here it can result in pain in the eyes, dry eyes, redness or blurred vision, an inability to make tears, or alternatively, too much tearing. The exit point at the opposite end of the meridian, Reaching Yin, can be treated to pull the Qi down the meridian.

Location of Bladder 67

On the outside corner of the nailbed of the little toe. Draw a line from the lateral border of the nail, and another from the base of the nail. The point is where these lines meet.

 

 

Stomach 42 ~ Chongyang ~ Rushing Yang

The Stomach meridian starts just under the eye in the soft tissue below the lower eyelid. It travels down through the cheeks and jaw, takes a brief side trip into the temple, continues on through the throat, and down through the breasts, the abdomen and along the front of the legs and shins, reaching the exit point at Stomach 42.

When this point becomes blocked, it can cause symptoms of pain or discomfort in any of these areas. When a person has pain in the cheeks or jaw, or there is congestion in the throat, I will check if there is a block in Stomach 42.

A block at Chongyang is often associated not only with physical symptoms in the head and throat, but also with the psycho-emotional condition of worry or over-thinking. One of the responsibilities of the Earth Element (in particular the Spleen) is the proper functioning of mental processes. When we think too much, if worry a lot, if the mind goes round and round the same issue, or even if we are doing a lot of study or other concentration, this energy can get stuck in the head. Stomach 42 can come to the rescue.

One of the functions of the Stomach Official is to receive. This is known as Stomach Receiving. The receiving of food is an obvious role, but it also is responsible for receiiving other kinds of things such as love, praise, admiration, compliments and help. People who have difficulty letting such things in or have a tendency to push away or reject these things from others, may develop a block in the Stomach receiving. Stomach 42 should be checked.

Location of Stomach 42

On the top of the foot, in a shallow hollow 1.5 cun (2 fingers width) from the ankle crease. Alternatively, draw up between the second and third toes until you fall into the hollow.

 

 

Method of Treatment

When treating these points, begin by holding both points with steady, moderate pressure for two or three minutes. A block could show itself as a feeling of fullness, like a whirlpool of congested Qi; or it could manifest as a feeling of deadness or complete absence which breaks through after a while, as described in the GB 41 case above. With sustained pressure, either of these extremes will begin to come back to centre, the Qi feeling like a comfortable presence under your fingers. For deeper work, hold the points one at a time, beginning with the left side, until you feel the bath plug pop out.

Seeing Clearly, Stepping Nimbly

Tongziliao – Gall Bladder 1 – Pupil Crevice

Today is another windy spring day in South Australia. This time it’s a warm wind, but the forecast for tomorrow is for cool winds. Such is the changeable nature of spring. Wind is the climate of the Wood Element and when it penetrates the body’s defences, can create headaches and affect the eyes.

In previous springs we have examined other Gall Bladder points which treat wind invasion. Last year we looked at Gall Bladder 15 while the previous spring it was Gall Bladder 41.

Tongziliao – Gall Bladder 1 – Pupil Crevice, is named for its location at the outer side of the eye, in a hollow on the orbital bone. It is useful for eliminating wind, a condition to which the Liver is prone and averse. The point treats redness and itching of the eyes, eye pain and tearing, visual obstruction or dimness. It also treats headaches and migraines, especially around the temples. When there is a deviation of the mouth or facial paralysis such as occurs in Bell’s palsy, the point is called for.

At this point there is a close connection between the two Officials of Wood.  The Liver Official’s job is to use far-sightedness and good judgement in making the  plans needed to navigate the world. The Gall Bladder Official is responsible for decision making and for strategising the best way implement those plans. Tongziliao is an appropriate point to use to support both of these functions.

Gall Bladder 1 is a meeting point with the Bladder and Triple Heater meridians. In other words it is like a railway hub through which three lines pass. Using this point will have wide ranging influences by having an effect on all three of these yang meridians of the head.

Another of its important functions is as an entry point. Qi moves through the cycle of all 12 primary meridians, moving out of one meridian at its exit point, and into the following meridian at its entry point. In this case, Qi moves from Triple Heater 22 to Gall Bladder 1. It is common for Qi to become blocked at these points of exit and entry which are referred to as Entry-Exit blocks. In fact, such blocks can be impediments to treatment progressing and so the Five Element practitioner must always be alert to their possibility.

Tongziliao can be used to promote clarity of vision at all levels of the body, mind and spirit. Gall Bladder timidity is a psycho-emotional condition which describes a lack of courage to make decisions and move to decisive action. This point supports such a person to see clearly what needs to be done and to act accordingly.

Gall Bladder 1 is the start of that meridian’s long zig-zag journey around the head and down the sides of the body. It’s pathway embodies the qualities of the yang Wood Official as he moves back and forth, stepping nimbly and flexibly around obstacles in the way of achieving his goals. To support your own clarity of vision and flexibility of purpose, try holding GB 1 this spring.

Location of Gall Bladder 1

 

In a slight hollow at the side of the orbital bone of the eye, approximately 0.5 cun posterior to the outer canthus (corner of the eye).

Mother’s Embrace

Leap Day in Australia finds us at the beginning of autumn and the Metal Element. Before we drop down into the yin half of the year, let’s look at one final acupoint of the Earth Element.

Dabao – Great Enveloping – Spleen 21

5.17Hugs come in many forms: a light greeting, a supportive holding, an affectionate embrace, a passionate clinch, a mother’s love-you-to-bits squeeze. A loving, caring, full-frontal hug sees the arms enfold the other person, wrapping around the back and sides, while the two chests meet. What is common to all these hugs is caring. You enfold the other person in your arms in a caring embrace. You care for their well being. Such caring is the essence of the Earth Element.

The Earth qualities of caring, support and nourishment are amply demonstrated and demonstrably amplified at the acu-point Dabao – Great Enveloping which lies on the side of the ribcage. Imagine a mother embracing her child, arms wrapped around the little body, holding and squeezing with maternal love. The child’s entire upper body is enveloped, wrapped in mother’s love.

The character of Dabao includes a pictogram of a foetus in the womb to suggest something contained within, wrapped up or enveloped. A foetus receives holding, support and nourishment, all essential qualities of Earth.

Dabao transmits these essences by virtue of its role as the point of the Great Spleen Connecting Channel. This channel arises at SP 21 and radiates throughout the chest, through what are known as the minute collaterals, enveloping the chest with Qi and Blood, and supporting the Heart. The point relieves fullness, oppression and depression in the Heart area, bringing a feeling of freedom, openness, harmony and togetherness. It effects an internal, enfolding, motherly embrace.

This function of moving Qi and Blood extends throughout the body because Dabao controls all the luo-connecting points. We have looked at a number of luo-connecting points so far and seen how these points balance the yin and yang of their Element. In SP 21 we have the Great-luo point, the mother of all connecting points. In this role it treats the whole network of connecting channels and their Blood, thereby nourishing the whole body. In this way, it treats muscular pain that moves throughout the body as well as looseness of the joints.

Another major function of Dabao is as the exit point of the Spleen meridian. From here, the Qi moves into the entry point of Heart meridian at Heart 1 – Utmost Source, which lies in the centre of the armpit. Here is another way that Spleen nourishes the Heart, through the wei-qi cycle. Spleen 21 needs to be open in order to serve the Heart and Heart 1 needs to be open to receive the nourishment.

When Qi becomes blocked at points of exit or entry, an entry-exit block occurs and poses a significant impediment to effective treatment. The Spleen/Heart block is one of the most common of these blocks. Symptoms of such a block can include fullness of the chest, palpitations, pain in the ribcage, pain in the armpit, skin eruptions at or between the points, appetite disorders, fatigue and depression.

Something I have discovered through bodywork is that by holding both SP 21 points simultaneously, a gentle myofascial compression is created. When this hold is maintained for about three minutes, the fascia of the whole ribcage begins to unwind, contributing greatly to the effect that SP 21 has on freeing the Qi of the chest.

This can be done by using gentle pressure with the palms over the points, a hold which often feels very comforting to the recipient, like a supportive, caring embrace.

 

Location of Spleen 21

5.18

 

On the very side of the ribcage, below the armpit, in the seventh intercostal space (some sources locate in the sixth intercostal space). It lies roughly at the level of the xiphoid process at the base of the sternum. The point can be held with moderate, direct pressure or with the palm as suggested above.

 

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