Category Archives: Entry exit points

Summer Solstice

For our northern hemisphere readers, here’s a link to the previous Winter Solstice article to make you feel hemispherically synched.

Today is the summer solstice in the southern hemisphere, the middle of summer and the point at which the year expands to its limit. It’s as if the Earth has taken a long, deep breath in and can expand no more. After today, the yin half of the year begins, and the long slow exhalation propels us towards the winter solstice in 6 months time.

Correspondingly expansive movements of the body include spreading the arms wide and opening the heart centre to give of ourselves and to receive the world. The Heart is the primary organ of the Fire Element whose summer season this is. The Heart, Emperor of our personal kingdom, beats ceaselessly for our whole life, maintaining the steady drumbeat of our personal world.

Another expansive movement is to raise the arms up and out. You often see this movement at festivals and sporting events where whole stadia of people signal their excitement by raising their arms to the heavens and shouting with joy. Showing their armpits to the world with abandon.

UTMOST SOURCE

Speaking of armpits, I want to spend some time here introducing an important acupoint which lies deep in the armpit, an area rarely exposed but kept protected by our arms at the sides. In the modern world most of us don’t raise our arms up high very often unless it’s in the shower or to reach for something on a high shelf. We rarely climb trees or hang from branches as did our primate ancestors. This point is rather secret and somewhat intimate.

The point is Jiquan Heart 1, known variously as Summit Spring, Utmost Spring and Supreme Spring. But I like Worsley’s translation of Utmost Source, because it echoes the nature of the Heart and its resident spirit the shen. Shen is our connection to utmost heaven, the heavenly light that resides within the heart of each one of us.

The Heart Qi arises from the organ of the Heart, passes through the Lung, and emerges in the armpit at Jiquan like a spring bubbling out of the ground. The Qi then travels along the inside of the arm, heading for the little finger as the Heart channel is mapped out through its 9 points.

When the Heart and its channel are open and balanced, there is connection to our True Nature which doesn’t have to do anything. The Heart’s calling is not to do but to be. In the metaphor of the Emperor, his task is simply to sit on the throne and hold the space from a place of stillness. This is a great teaching for us to emulate in our often turbulent times. Holding space, holding stillness, holding presence. Just being.

Back to the armpits, Heart 1 is a common place for Qi to become blocked. In the Wei Qi cycle of the 12 meridians, the previous point is Dabao, Spleen 21 Great Enveloping. Where a channel of one Element moves into a channel of another Element, there is a greater tendency for Qi to become blocked. These are known as Entry-Exit blocks (though the pedant in me would argue for Exit-Entry blocks). Here, where the Earth energy of Spleen moves to the Fire energy of Heart, we find the most common of the Entry-Exit blocks. These blocks are usually diagnosed on the pulse. In this case an excess Spleen pulse and a deficient Heart pulse would indicate a block. But physical and psycho-emotional symptoms can also point to the possibility of a block.

At the physical level, possible indications of this block include pain or constriction in the lateral ribcage or in the armpit, difficulty raising the shoulder, palpitations and shortness of breath. Surgery or injury to the area can also be a cause. Constriction in the flow of lymph to the lymph nodes in the armpit is another. Recently I’ve had a cluster of cases of severe lymphoedema in the legs, and I’ve found that in most of these cases there was a Spleen-Heart block.

At the psycho-emotional level, this block may stem from difficulty in allowing the nourishment of the Earth Element into the Heart. There may be sadness, anxiety, mental restlessness or disconnection from the joy of life.  It may indicate challenges with intimacy or betrayal that have closed the emotional heart. Eating disorders which stem from deep dissatisfaction with one’s life might also be indicators of this block.

If you suspect there is a block in the Qi flow at Heart 1, hold the point with sustained moderate pressure for a few minutes until you feel the subtle Qi flow and that the point is open. Also hold Spleen 21 in the side of the ribcage until you feel the open flow of the subtle energy there. Treat both sides

In Qi Gong practice and in some meditation practices, practitioners are advised to stand or sit with enough space in the armpit to ‘hold an egg’. This allows free flow of Qi through the armpit and along the Heart meridian of the arm. We can take note of this and avoid long periods of holding the arms tightly to the sides.

Jiquan is a spirit point that connects our consciousness to the universal consciousness; it aligns our personal heart with the heart of the universe; and it promotes emotional warmth and connection to others through the Heart. In this season of celebration and family gatherings, it’s good to keep our hearts open.

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.