Category Archives: Cancer

Healing Trauma

Last month I wrote about the use of Acupressure for cancer patients, linking suggested points to previous articles. It was then that I realised that Bladder 43, the outer shu point of Heart Protector, did not have an article to link to. Therefore I’m reprinting the article from my book ‘The Way of the Five Elements’. This is such an important point for any condition related to the emotional heart. And as you’ll see, its uses range far and wide. You might say it is a point for being human.

Gaohuangshu – Rich for the Vitals – Bladder 43

It is the nature of being human that we are vulnerable. We inhabit fragile bodies and have delicate feelings. We are sensitive to many external stimuli from physical objects, and from what other people do and say to us. We are influenced, even if we don’t know it, by the thoughts and feelings of others. It is this vulnerability that gives us the capacity for deep contact with others and the world. But it also means that we are easily hurt.

Babies are born totally vulnerable. It is one reason they are so adorable. But soon the child develops a protective shell to shield her from the slings and arrows of life in the human realm. When these traumas of life are outrageous, egregious, and they penetrate the shell, it is the Heart Protector which absorbs the shock so as to protect the Heart. When the insults to the Heart are great, the Heart Protector is deeply injured. Therefore healing trauma requires healing the Heart Protector.

One of the best points for working with trauma of all kinds is the outer shu point of the Heart Protector, Gaohuangshu – Rich for the Vitals which lies between the shoulder blades and behind the heart.

This point exerts a strong influence over the official of the Heart Protector, especially at emotional and psychological levels. However, the point name itself refers to the Gaohuang, a region in the chest, whose influence is much wider and deeper than that of the Heart Protector alone.

The Gaohuang or Vital Region, is an area in the chest about four body inches in diameter, lying between the centre and base of the sternum, and extending laterally to the pathways of the Kidney meridian.

When there is illness that is caused by deep heartbreak, betrayal, abuse, shame, or isolation, this vital region is deeply impacted and the effects go deep into our being. Jarrett sees this as a place where deep karmic issues and conflicts reside, and where dark family secrets live. Chronic or incurable disease is said to lodge here.

Classical texts observe that Gaohuangshu deeply nourishes and calms the Heart as well as Kidney and Spleen. The action of this point was considered so great that it was said to strengthen the original Qi and treat every kind of deficiency. Sun Si-miao, the famous 7th century physician, went so far as to say that there is no disorder it cannot treat.

Gaohuangshu is a great tonic point for the physical body, treating exhaustion and general deficiency, increasing stamina and supporting all the organs. It brings warmth and strength and increases blood circulation.

At the emotional level, the point brings warmth when a person is emotionally cold and shut down. It helps to dispel depression and mental negativity. When someone has little capacity for intimacy and humour because they are too depleted or vulnerable, this point lifts the spirit.

Location of Bladder 43

Gaohuangshu, is located between the shoulder blades, 3 cun lateral to the midline, at the level of the junction of T4 and T5 and at the medial border of the scapula. It is approximately half way down the scapula. Use firm, direct pressure. To treat yourself, lie on a tennis ball or other object that presses into the point. Arrange the pressure so you can be as relaxed as possible. Having someone you trust hold this point can be very healing.

Acupressure Work with Cancer Patients

This year it is expected that there will be about 140,000 new cancer diagnoses among Australians, representing about 0.6% of the population. As we age, the chances of being diagnosed go up, and for those of us who reach the age of 85, fully half will have been diagnosed with some form of cancer.

For healthcare practitioners, this means that some of the clients we see will be either living with cancer or in remission from it. The most common forms of cancer are prostate, breast, bowel, melanoma and lung. These five forms account for 60% of all cases.

For all of us, contact with someone living with cancer is common. Who has not had a friend or family member touched by cancer?

Western medicine has a system of treatments for cancer that usually involve surgery, radiation and chemotherapy. These treatments are saving and extending lives. However these treatments impose great strains upon the body, particularly on the immune system. Complementary therapies are well placed to assist these treatments by supporting the immune system, detoxifying the body, and accelerating the healing processes.

Acupressure is one of form of complementary therapy that can provide powerful support to those living with cancer. It addresses the energy system that underlies all organs, systems and functions in the body as well as the emotional, psychological and spiritual levels of human life.

My senior students and I are currently engaged in a program at the Cancer Care Centre in Adelaide in which we are working with clients who are currently living with or are in remission from cancer. Some of these people are in the final stages of their lives. It is a great privilege to work with people who are facing this most challenging of life experiences.

In preparing for this program, I wrote a short paper suggesting some of the ways we can work with such clients. I include a modified version of these notes here so that others can make use of this powerful energy work to support their clients, friends and loved ones.

Where acupoints are noted, there are links to previous blogs where available. Where there is no link, you can find point locations with an internet search.

Contraindications

Acupressure is a very gentle modality and there are few contraindications. But we need to check first if there are any tumours, sites of recent surgery, radiation burns or other conditions that mean we can’t touch a certain area. Before you put your hands on your client, find out if there are any such areas of the body that need to be avoided, or where work is not wanted.

Gentleness

This style of work lends itself to working lightly. A light touch is the first place to begin. It may become clear that a firmer pressure is appropriate, but begin lightly. In areas where there are tumours or there has been surgery, it may be better to avoid touch at all and work above the body with the open palm over the point. Since the meridians are bilateral, you can always work on the opposite side of the body to affect an area which you can’t touch.

Kindness and empathy

Someone who is or has been living with cancer faces a challenging future. Try to imagine how that might be. All kinds of emotional responses might arise: fear, anger, regret and so on. Work from your heart as much as you can.

Listening

Listen carefully to your client. Follow any requests for something to be done or not to be done. Try to listen from your heart rather than your head. While we might think of a great treatment pattern, a simple touch of a single point may feel like the right thing.

Meridians that may need work

Anyone who has undergone or is undergoing chemotherapy and/or radiotherapy will have a challenged immune system. Triple Heater work can help to strengthen the defensive Qi, especially TH 5, CV 5 and BL 22. Kidney will also need lots of attention, including BL 23, GB 25 and KI 3. Spleen is also involved in immunity, so consider SP 3, SP 4, SP 6, SP 21, BL 20 and LV 13. Liver work will help with detoxification, especially LV 3. For the nausea associated with chemotherapy, HP 6 is the classic point.

Another approach might be to work with the Extraordinary Vessels via their master points. These vessels act as reservoirs of Qi, linking the meridian pathways into a large web-like system. Choose vessels based on their trajectories in relation to the location of cancers.

Master Point Vessel Trajectory
SI 3 Governor On the midline, up the back and over the head
LU 7 Conception On the midline from the chin to the perineum
BL 62 Yang Motility Outer sides of body, shoulders, neck and head
KI 6 Yin Motility Inside of leg, abdomen and chest
TH 5 Yang Linking Outer sides of body, shoulders, neck and head
HP 6 Yin Linking Inside of leg, abdomen and chest
GB 41 Girdling Around the waist
SP 4 Penetrating Abdomen and chest including all internal organs

Specific kinds of cancer

Breast cancer is common. Points that may serve include KI 22 and HP 2 (exit/entry points), Stomach and Kidney points of the chest, CV 17 and LU 1. If there has been removal of lymph nodes, then Spleen points will be helpful.

For other organs, use source, mu and shu points of the related organs. For locations of these points, see my article Addressing Emotions in Clinical Practice. Also consider the paired organ. For example for colon cancer, include Large Intestine and Lung points.

Working above and below site

The presence of cancer in the body is an indication of a block in the flow of Qi in the body. One way of working is to choose acupoints that are above and below the site (or former site) of a tumour. Look for acupuncture point charts and hold the points that are immediately above and below the site. This will encourage the normal flow of Qi through the area. This technique can also be used where there has been surgery.

Emotional connections

Use your knowledge of the Five Element emotions to make point choices that relate to the emotional state of your client. For example, help to settle fear with BL 23, BL 52 and KI 3. For depression, consider working with Liver points especially LV 14 and BL 47.

Also consider the emotion that relates to the affected organ. With someone who is suffering from lung or colon cancer, you might check out whether grief, loss or regret are a significant part of the person’s affect, in which case BL 42 with LU 1 would be helpful. Breast cancer is often associated with absence of love, or experience of betrayal. BL 43, HP 7 and CV 17 are useful in these cases.

Self-work

If you yourself are the client, you can work on yourself. While it is better if someone else works on you, you can still get good benefits from self-acupressure. See my previous blog How Effective is Self-Acupressure?

Start anywhere

As soon as we begin to make an intervention into the energetic field, changes begin to happen as the client’s own inner doctor responds. While an accurate assessment and a targeted treatment will be of greater benefit, holding any point, if done with the overarching intention of healing, will be of great service.