Category Archives: Headache

How Effective Is Self-Acupressure?

One of the most common questions I get from clients and students is, “Can I do this on myself?” The answer is, certainly! But as you might expect, it is not as effective as working with a skilled acupressure therapist. (I want to keep my job after all.) Even so, there are some things you can do to make self-acupressure an important and effective part of your health maintenance program.

With all my experience and knowledge, I cannot treat myself as well as another practitioner can. The main reason for this is that when you self-treat, you are trying to be both practitioner and client at the same time and so your intention becomes divided. As client you cannot fully relax because you are holding and focusing on the point; as practitioner you cannot bring all your attention to treating the point because you are trying to relax into it.

Another major reason that self-acupressure is limited is that it is almost impossible to see ourselves objectively. You can’t see your own blind spots. So when you try to diagnose your imbalance, you simply can’t see what you can’t see. Another practitioner is more able to view your case objectively and so may be able to choose points that will more effective for you.

When it comes to treatment of self or other, there are four levels of increasing depth at which we can treat:

  1. First Aid
  2. Symptomatic
  3. Diagnostic
  4. Constitutional

Self-acupressure is best suited to the first level, that of First Aid. Let’s say you are feeling bloated and nauseated after eating too much. Holding Stomach 36 will probably ease your condition. Maybe you have a headache with pain at the back of your head and behind your eyes. Gall Bladder 20 is a good choice for easing the pain. At this level of treatment we are choosing a single point for a single condition.

The second level, what I call the Symptomatic Level of treatment, is where you notice a range of symptoms and associations from which you recognise that a particular Element is calling for attention. Let’s say you have stomach pain and reflux, are feeling more fatigued than usual, and there is a build up of fluid in your lower legs and ankles. The Earth Element is clearly calling for attention. A treatment pattern that combines Stomach and Spleen points is probably going to treat you more deeply than simply holding Stomach 36. However, if you are doing self-acupressure, it can be difficult to hold points in combination because of the contortions you have to make. For example, holding Spleen 4 with the opposite Spleen 21 would be a good combination, but even Houdini might be stretched with this one.

The third level, the Diagnostic, looks at the interplay of all the Elements. In the above example, where the Earth is out of balance, I would be most interested in the mother Element which in this case is Fire, and the grandmother Element which is Wood. How are these other Elements involved, or even contributing to the Earth imbalance? While a practitioner can observe you objectively, you may not be able to see your own wobbles. This is especially true when working at the psycho-emotional level where our old patterns, beliefs and behaviours might obscure a clear view of ourselves.

The deepest level of treatment is at the Constitutional Level where treatment focuses on points of the Element that is at the core of our energetic structure. It can be particularly difficult to self-diagnose our Constitution. It’s hard enough to do it for someone else. If you know your Constitutional Element, then you can focus on the points of that Element, but it is not possible to sink deeply into the treatment when you are focused on doing the treatment

So far I’ve been pointing out the limitations of self-acupressure. But that is not to say that you can’t get some very good benefits from working on yourself. Here are some suggestions for getting the most out of a self-acupressure treatment.

Choosing the right point

While holding any acupoint at all will make a positive intervention into your own energetic structure, the more closely you can match your symptoms and conditions with appropriate points, the better the results will be. My book ‘The Way of the Five Elements’ is useful because it describes the locations and related conditions of 54 powerful points. It also has a good index to match points to conditions. In addition, each point comes with a list of related points so you can make your work more effective with point combinations. If you don’t have my book, simply go online and search for your condition + acupressure and you will come up with many suggestions. You could begin with a keyword search of this blog site.

Finding the point accurately

An acupuncturist who is inserting a needle needs to be accurate within 1-2 millimetres; but when using finger pressure we have more latitude as the pressure is exerted over a wider area. Even so, the more accurate you are, the more powerful the treatment will be. While a point location book will give you a picture or an anatomical description, this is not the point itself. A map is not the territory. What you must search for is the feeling of the Qi of the point. Feel for the pulsing, waving, whooshing, tingling vibration that is the sensation of the movement of Qi. This is how you will know you have the point. If you don’t feel this, try moving your finger slowly around in a small circle, looking for that feeling. It may take time for you to develop this skill, but be patient and the Qi will come to you.

Being present with the point

Do your self-treatment when you are in a quiet, restful place. Doing it while watching TV or chatting to someone will not make for effective outcomes. As you hold the point, send your mind down into the point. The Japanese symbol for an acupoint (tsubo) shows a vessel with a long neck and a little lid over it. Sustained pressure will remove the lid and allow your intention to go down into the depth of the point and influence the Qi. Treat your session as a meditation.


Noticing the effects

Observe what happens as you hold the point. Be as present as you can with the physical sensations, and any emotions, thoughts or memories that might arise. Just be with them without judgement or a need to change anything. You might notice energy moving in other parts of your body and perhaps other points calling to you for treatment. Don’t rush to treat elsewhere, but wait until the point you are holding feels complete before moving on. You will find one level of release after two or three minutes, but sustained holding will go to deeper and deeper levels of release.

Concluding the treatment

After you’ve finished your work, sit or lie with the effects. Notice what has changed. Notice what has not changed. You might hold your hands over your belly centre (Conception Vessel 6) as you contemplate your treatment. And when you do get up, try to take the new awareness of yourself into your daily life.

I wish you well in your explorations.


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).

Rising Above Life’s Tears

Toulinqi – Head Above Tears – Gall Bladder 15

above-tearsSoon this long, cold, wet spring will transition to summer. Time for one last Wood point before we move on to the Fire Element.

Toulinqi is a point that is regarded quite differently in the Five Element tradition when compared to the TCM tradition. TCM practitioners regard this as a minor point and little used. When it is utilised, it is for headache, nasal congestion, eye pain, tearing or lack of tearing. It helps to dispel wind that has invaded the body.

In the Five Element tradition it is more often used to address mental and emotional conditions. Recently I used this point on a client who was feeling confused and lacked mental clarity. As I held the two points, which lie just inside the hairline above the eyes, I had the sense that the client’s eyes were rising up her forehead to meet my fingers. This strange notion was validated when I read that Toulinqi  helps a person to get a better sense of perspective, to see further and more widely in the context of her life. If your eyes were to rise up into your hairline, you’d certainly be able to see further!

Head Above Tears is one translation of Toulinqi. Others include Head Overlooking Tears, Head Governor of Tears, Head Before Crying, and Treating Tears. While eyes watering from the wind is certainly one use of the point, it can also be used where a person has difficulty crying, or where frustration has become so extreme as to burst into tears. Readers may remember that last spring we looked at a point in the foot named Foot Above Tears. This can be used to drain excess Qi from the Gall Bladder meridian and to relieve frustration and headache. Head Above Tears is its natural partner and the two can be treated at the same time.

The Gall Bladder Official’s job is to make decisions and to take action in the world. Where there is strong moving back and forth between highs and lows, action and inaction, elation and despair, this point is called for. It helps a person who is tense and uptight, inflexible and only able to see a single course of action.

Dizziness and visual disturbance can sometimes be the result of a difference between our inner and outer reality. When there is a disconnect between inner vision and outer vision. Toulinqi helps to reconcile these differences.

Gall Bladder 15 can give us a wider perspective on life, allowing us to make better sense of its patterns, to rise above the tangled thickets of our inner confusion and to see the bigger picture of our place in the cosmos.

Location of Gall Bladder 15



Directly above the pupil when the eye is looking forward, and 0.5 cun inside the hairline.