Category Archives: Entry exit points

Treating the Earth

In Australia we are deep into Late Summer, season of mellow fruitfulness, when nature offers up its abundant produce. It’s a time to enjoy and savour the bounty. The Late Summer season of the Earth Element is represented by the 18 days that are sandwiched between summer and autumn. How appropriate is the word sandwich, evocative of the sights, smells and flavours of food; for the Earth Element is very much about digestion. Northern hemispherical readers will be in the Late Winter, also a period of Earth orientation. (See seasonal dates here.)

Last time I wrote about a treatment pattern for the diaphragm. The feedback was such that I thought to share some other patterns that I use often in clinic. While single points are beneficial, patterns of point combinations are far more powerful. Here we will look at a treatment for the Stomach channel, the yang organ/meridian of the Earth Element, and one which is frequently congested.

This treatment works to encourage the flow of Qi down the body by using some of the most important Stomach acupoints. In doing so, it can address conditions where the Qi is not flowing freely down the channel, and may even be flowing upwards, something known as Rebellious Stomach Qi. This may result in digestive disorders such as nausea, reflux, vomiting, bloating.

A second use of this treatment is for people who spend a lot of time worrying and overthinking. Even a lot of study can produce an excess of Qi in the head. These mental gymnastics are draining of the Earth energies. By drawing this excess away from the head and down the body to the feet, it is as if the worry is digested and metabolised.

A third way this pattern can be useful is for those who are ungrounded. Maybe there is a greater amount of Qi in the upper body than in the lower body. Perhaps the person is not in touch with their legs and feet and there is a sense of not having their feet on the ground. This can be helpful for anyone whose centre of gravity is higher than the navel.

THE POINTS

Let’s look at the acupressure points I’ve chosen. This list is not exhaustive, and practitioners can choose other Stomach channel points if it seems Qi is blocked elsewhere.

Qihu ~ Stomach 13 ~ Qi Door

As the name suggests, this is a doorway or opening that allows the Qi to flow down from the head into the body. If this point is blocked, spend plenty of time opening the door.

ST 13: Immediately below the clavicle, 4 cun lateral to the midline, in line with the nipple

Tianshu ~ Stomach 25 ~ Heavenly Pivot

A pivotal point indeed, for it marks the midway point between the upper and lower body, between Heaven and Earth. Some authorities regard this as the most useful point for any abdominal condition.

ST 25: 2 cun lateral to the centre of the navel, halfway between the midline and the nipple line

Susanli ~ Stomach 36 ~ Leg Three Miles

This point needs no introduction as it is one of the best known and most versatile points of all. It was the very first blog I wrote back in 2014. Treats any ailments of the Stomach and is very energising and grounding.

ST 36: 4 fingers width (3 cun) below the base of the patella, and one finger width lateral to the crest of the tibia

Fenglong ~ Stomach 40 ~ Abundant Splendour

Interestingly, this was part of the diaphragm release from last posting. Here it is used in its capacity as the luo-connecting point of Stomach, which balances Qi between it and its partner Spleen. And as a point in the lower leg, it encourages the flow of Qi down to the feet.

ST 40: halfway between the knee crease and ankle, 2 fingers width (1.5 cun) lateral to the crest of the tibia

Chongyang ~ Stomach 42 ~ Rushing Yang

This is a really important Stomach point. It is both the source point and the exit point of Stomach channel. Source points treat and balance the organ directly, while exit points ensure that Qi moves smoothly out of a channel and into the next in the Qi system, in this case, into Spleen. If this point is blocked, there is a strong chance that Stomach Qi is backing up along the channel and not moving through.

ST 42: on the top of the foot, in a slight hollow 2 fingers width (1.5 cun) distal to the middle of the ankle crease

Gongsun ~ Spleen 4 ~ Grandfather Grandson

While this is not a Stomach point, I’ve chosen it in its capacity as the luo-connecting point which balances the yin-yang pair of meridians. It is especially good at drawing excess Qi from Stomach to Spleen. Also, as the master point of the Extraordinary Vessel Chong Mai, it has a powerful influence over all the organs of the abdomen.

SP 4: in the arch of the foot, in a depression at the base of the first metatarsal bone

METHOD

OK those are the ingredients. Here is the recipe.

Start on the left side. Hold ST 13 + ST 25 for 2-3 minutes. Then decide which of the points is more reluctant to open and stay with it, while moving the other hand to ST 36.  Work down the body in a kind of leapfrog pattern, bringing balance between the pairs. Move next to include ST 36, then ST 40. It is conceivable that if ST 13 didn’t release, that you’d be holding it with all the other points, but that is rare. Finally, finish with ST 42 + SP 4.

Then repeat on the right side of the body. The order may well be different on this side, but again work from upper to lower.

This treatment will take around 30-45 minutes. It can be a stand-alone treatment or it could be incorporated with other work.

This week will be a great time to use this treatment as well as at other times of the year when the seasons are changing, when the Earth Element comes to the fore. However, it will be helpful at any time.

Enjoy!

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.