Category Archives: Agitation

Hypertension

I’ve been watching some World Cup matches lately, following the Australia and England teams through their tense encounters. While I haven’t been measuring my blood pressure, I am sure that it was elevated during the games, especially in England’s penalty shootout with Colombia. Excitement, anxiety, anger, fear, worry, shock – all of these emotions have an effect on blood pressure. It is well known that the anxiety of having your blood pressure taken by a doctor tends to elevate the reading.

Hypertension is the long-term elevation of blood pressure, a condition that poses health risks. One of its features is that it has no symptoms, so we can be in danger without even knowing it. Another complicating factor is that there is no clear agreement about what is a dangerous level of blood pressure. Broadly speaking, normal blood pressure is between 90/60 and 120/80. * Above 140/90 is considered hypertension, while anything over 180/120 is considered severe and requiring immediate attention.

Long-term hypertension causes damage to the arteries, with the risk of rupture (aneurysm). This includes possible rupture of the blood vessels of the brain, leading to stroke. The heart is also affected by hypertension with risks of coronary artery disease and possible heart failure.

It’s no wonder that doctors are quick to prescribe medications that will lower blood pressure, but these also have side effects. Ways to lower blood pressure by lifestyle changes include losing weight, lowering fats and sugars in the diet, eating more fibre, avoiding tobacco and alcohol, and exercising regularly. Reducing the stressors in your life is key, and you can help this by mindfulness practices, meditating, practising Qigong or Tai Chi. And of course, getting Acupressure treatments.

Early in my career I discovered the power of Acupressure treatments in general, and the use of Gall Bladder 21 in particular, to lower blood pressure. A client regularly monitored her BP before treatment, after treatment, and when she got home. The reading was always lower at the end of the session, but even lower still when she got home after driving on the California freeways!

Since then Gall Bladder 21 has been my favourite point for hypertension, but there are many more. A quick look at my primary references, Deadman and Jarmey, show these 26 points as indicated for hypertension:

Meridian Element Points
Lung Metal 7
Large Intestine Metal 4, 11, 15
Stomach Earth 9, 36, 40, 41
Spleen Earth 6
Small Intestine Fire 3
Kidney Water 1, 6
Heart Protector Fire 6, 8, 9
Triple Heater Fire 5
Gall Bladder Wood 20, 21, 34, 43
Liver Wood 2, 3
Governor Vessel 14, 16, 20, 26

I was interested to note that 16 of these 26 points are in the 51 Point Palette in my Level 1 Five Element Acupressure course, meaning that they are quite common points with other uses. You might also observe that two-thirds of the points are on yang meridians, and that many of the points are used for reducing yang or to descend Qi. This of course addresses the nature of the condition which is one of excess yang.

It doesn’t make sense to use all of these points. For a start, it would make for a very long session and probably too much treatment. When treating, I find it most powerful to use point combinations, a focal point with one hand, while the other hand holds several other related points in succession.

Drawing from the points list above, here are some suggestions for some point combinations that I use often in the treatment room. Most of these points link to previous articles. For the others, consult your point location book or internet search.

Note that Large Intestine 4 and Spleen 6 are forbidden during pregnancy. If you are  treating a pregnant client, omit these points.

Focal Point Related Points
Large Intestine 4 Large Intestine 11,  15;  Lung 7
Stomach 36 Stomach 40,  Spleen 6
Kidney 6 Kidney 1,  Lung 7
Triple Heater 5 Heart Protector 6,  8,  9
Gall Bladder 21 Gall Bladder 20,  34;  Stomach 36;  Large Intestine 4
Liver 3 Spleen 6,  Gall Bladder 34
Governor Vessel Small Intestine 3 + Governor Vessel 14,  16,  20

How do you choose which pattern to use? One way is to consider the person you are treating. Which Element and emotion is presenting? If the person is someone who is predominantly angry, who gets outraged at injustice, or alternatively suppresses anger, then focus on the Wood points of Gall Bladder and Liver. If the person is a caretaker, constantly putting the needs of others before self, or if obesity is a problem, then treat the Earth points of Stomach and Spleen. Or maybe the person is showing their Metal, hanging on, perfectionistic, grieving or suppressing grief, then treat the Metal points of Lung and Large Intestine. If the person’s predominant emotion is fearfulness or conspicuous absence of fear, focus on Water points of Kidney. Or if the person is over-excited and chaotic or heart-broken and joyless, focus on the Fire points of Small Intestine, Triple Heater and Heart Protector. Points of the Governor Vessel will be helpful for everyone.

It is best if you can receive treatment from someone else. That way you can relax into the treatment, focus on your breathing and generally slow down. If you are treating yourself, some of these combinations will be awkward if not impossible, in which case treat the points individually in the order suggested.

I hope this has given you some ideas on how to help reduce blood pressure in a natural way that can support a medical approach.  Good luck to your team in the World Cup and hold points during penalty shootouts!

 

* BP is expressed as a measurement with two numbers, with one number on top and one on the bottom. For example, 120/80 mm Hg. The top number refers to the amount of pressure in the arteries during the contraction of the heart muscle (systolic). The bottom number refers to the pressure between heartbeats (diastolic).

Building for the Guest

 

Zhubin – Guest House – Kidney 9

PregnancyA recent seminar on Acupressure for Pregnancy puts me in mind of the importance of Zhubin – Guest House, a powerful point on the Kidney meridian. Kidney 9 helps to sustain the mother through her pregnancy, and there is a Japanese tradition of using this point to support the foetus in the womb, especially in the 3rd, 6th and 9th months. One of its names is Building for the Guest which envisions the creation of a welcoming, comfortable environment for the closely related being who inhabits the inner guest room for nine months.

This is one of a category of points known as the xi-cleft or Accumulation points. In this case, it is the xi-cleft point of the Yin Wei Mai, one of the Eight Extraordinary Vessels. Xi-cleft points treat acute conditions, namely those of sudden and recent onset; in addition these points of the yin meridians and vessels are supportive of Blood. The Yin Wei Mai is very important because it unites all the yin meridians as well as the Conception Vessel (appropriate in this case), thereby making it tremendously supportive of overall yin. The condition of pregnancy is one that is emblematic of yin and so is well supported by Kidney 9.

Another of its merits is the treating of manic mental disorders such as bipolar. Among the evocatively descriptive conditions it can address are raving fury and cursing, vomiting of foamy saliva and tongue thrusting. While we may not often encounter such displays, we are often confronted with milder versions of this agitation. Zhubin is an excellent choice for profoundly calming the mind, clearing oppression of the chest, vague anxieties, depression, nightmares and palpitations.

This range of symptoms implies its usefulness when the Heart and Kidney are in disharmony, when shen and jing are disconnected. When the knowledge of how to be in the world is undermined by exhaustion, Zhubin can conjoin the shen of the Heart and the jing of the Kidney to empower the person to stabilise, settle and be nourished. Then the power of the Water Element can appropriately direct the energies to confront the problems of life.

While most of us are rarely in the state of pregnancy (and at least half of us never are!), we are continually conceiving of notions for our lives, gestating them in mind and heart, before birthing them into the world. Guest House is the perfect place to support the gestation of our creations.

Location of Kidney 9

Kidney 9

 

 

On the inside of the lower leg, 5 cun above the tip of the inner ankle bone and 1 cun behind the back of the tibia. It lies on a line drawn between Kidney 3 and Kidney 10.

Cometh the Hour, Cometh the Point

Dadun – Big Mound – Liver 1

horary-clockI’ve been holding my big toes this week.

On a recent trip to Sydney, I stayed in accommodation that was a toxic soup of chemicals: outgassing Ikea furniture, polished wooden floors and highly scented linens. This severely challenged my liver which had difficulty detoxifing the heavy load of chemicals. One of the effects of this has been waking up every morning at 1 am in a state of somatic agitation and unable to go back to sleep until 3 am.

This was a clear message that the Liver official was struggling because this time of day, 1 am to 3 am, is the time when the high tide of the wei Qi passes through the Liver. Ongoing disturbance of any kind at this time of day calls for treatment. One of the best points to use in this case is the Element of the Element point. Liver is the yin organ of the Wood Element so the point to hold is the Wood point of this Wood meridian. This point is Dadun, Liver 1 which is on the big toe.

In Five Element Acupuncture and Acupressure, this is known as the horary point, from the Latin word hora meaning hour. Treating the Wood point on a Wood meridian at the Wood time of day is a powerful treatment. When it is done in the Wood season of spring it is even more effective. And for a person of Wood constitution such as myself, it is like getting five bells up on a slot machine.

So when I’ve been waking at 1 am, I’ve been holding these points on my toes for a few minutes. The points have been quite sore which indicates a congestion of Qi and is confirmation that they need treatment. Last night I held the points when I woke at 1 am and was able immediately to go back to sleep for the first time in a week, indicating that the stress on Liver is lessening.

Gall Bladder is the yang partner of Liver. Its high tide is 11 pm to 1 am. Many people have difficulty going to sleep at this time. If this is a problem for you, then holding the Wood point of Gall Bladder at this time will help to calm the Woody agitation and assist in falling asleep. This point is Foot Above Tears Gall Bladder 41 which we looked at previously. You can read about it here.  Make sure you are in bed and horizontal by 11 pm. It won’t help much if you’re still watching TV.

Location of Liver 1

lv-1

 

The point is at the lateral side of the corner of the big toe nail. Draw lines along the lateral border of the nail and the base of the nail. Where these lines intersect is the LIver 1.