Category Archives: Low back pain

How Cold is Cold?

It has seemed a colder winter than usual in the Adelaide Hills. So it was a surprise when I looked at past records for July and discovered that the mean temperature in this area has been a degree warmer than last year, and indeed warmer than most previous years. It must be that my years are catching up with me, since a person’s Kidney Qi declines with age, and that is a factor in one’s resilience to the cold. Indeed, when I rug up to out walking and see young people in shorts and tee shirts, I am reminded that cold is a relative condition.

One of the best acupoints for expelling cold invasion in the body is Governor Vessel 4, Ming Men, Gate of Life. I wrote about this point in The Way of the Five Elements and that article can be accessed here. It revitalises and reinvigorates by strengthening Kidney Qi. It can open the gate to reconnect with our real reservoir of energy, the Jing or Essence.

I’ve been using this point a lot in clinic over the course of the winter in combination with other points. In keeping with the theme for the year, I share here some of my point combinations with Governor Vessel 4.

The first is to combine with Conception Vessel 5, Shimen, Stone Gate. This is the front mu point of the Triple Heater (San Jiao), a place where Qi collects and stagnates if there is an acute imbalance in that channel/organ. One of the functions of Triple Heater is to regulate the heating system and the defensive Qi of the body. In this way it mirrors some of the features of Mingmen. This combination also illustrates a key principle of point combining in Five Element Acupressure, that of holding points that are in the same segment of the body, both front and back. In this case the focus is on the lower abdomen. Gentle pressure on the front pushes towards the back, and pressure in the back pushes towards the front, creating an effect on the fascia of the region, softening and loosening all of the fascial structures and facilitating the flow of Qi throughout the segment, not only in the points themselves.

The second combination is to hold GV 4 with Bladder 40 behind the knee, first on the left side, then on the right. The reasoning behind this combination is that the Divergent Channel of the Bladder meridian breaks off at Bladder 40 and moves up the back very close to the centre of the spine. Treating the Bladder also treats cold in the body. By holding this combination, you can facilitate the movement of Qi through both the Bladder meridian and Governor Vessel, strengthening resistance to the cold.

The third combination I learned very early on in my career and its sources have been lost to memory. With one hand you hold GV 4, while with the other you hold, in sequence, Bladder 62 on the left ankle, Kidney 6 on the left ankle, Kidney 6 on the right ankle, and finally Bladder 62 on the right ankle. Usually, when this final point combination is completed, it feels like a circuit has been connected and there is a rise in the perceptible level of Qi. Bladder 62 and Kidney 6 are important points on channels that treat cold. Furthermore, they are the master points of the Qiao Vessels which support movement, grounding and balance. Here is another article referencing these points.

These three combinations provide a nice off-the-shelf protocol for supporting a person (like me) who is feeling the winter cold more keenly.

Location of Governor Vessel 4

On the spine in the junction between the 2nd & 3rd lumbar vertebrae. It is level with the navel.

Location of Conception Vessel 5

Conception Vessel 5 is 2 cun below the navel, or two-fifths of the distance from the centre of the navel to the top of the pubic bone.

Location of Bladder 40

Bladder 40 is in the middle of the posterior knee crease.

Location of Bladder 62 & Kidney 6

Bladder 62 is half an inch (cun) below the base of the outer ankle bone. Kidney 6 in one inch below the tip of the inner ankle bone.

Calm Perspetive

Rest and be Thankful, Argyll, Scotland

It’s been a strange summer in Australia. La Nina has given us more rain and lower temperatures than usual such that it seems summer has hardly started. So it might come as a surprise to hear that summer is drawing to a close. February 4th, midway between the summer solstice and the autumn equinox, will be the start of Autumn, so we are already in the Late Summer season. I should by rights be writing about Earth points. But I too have been caught unawares of the lateness of the season.

Last time we looked at the xi-cleft points of the “Outer Fire” functions of Triple Heater and Heart Protector. Now we turn our attention to the “Inner Fire”, the actual organs of the Fire Element, Small Intestine and Heart. Xi-cleft points are typically used for acute conditions, blood conditions and for emotional overwhelm. Yet as we shall see, the use of the points extends wider than that frame.

Small Intestine 6 ~Yanglao ~ Support the Aged

The name of this point is intriguing. The left-hand character yang is composed of a sheep seen from behind together with spoons of boiled rice. The overall sense is one of gentle nurturing. Meanwhile the right-hand character lao depicts a 70 year-old man whose hair and beard have turned white. Yanglao can therefore be variously interpreted as Support the Old, Nourishing the Aged, or even Debra Katz’s elegant rendering, “The Nourishment and Cultivation of the Elders”. As a whitebeard approaching 70 myself, I find some affinity with these characters.

The organ of the small intestine is indeed devoted to the extraction of nourishment from food. However, the significance of the name lies in the fact that Small intestine 6 treats a range of conditions that tend to be experienced by the elderly: lower back pain, stiff and painful wrists, shoulder pain, joint pain, poor eyesight, deafness, toxicity, confusion and digestive problems. Many of these conditions lie along the pathway of the Small Intestine channel which travels from the little finger, up the side of the arm to the back of the shoulder, through the neck and finishes at the ear.

Yanglao therefore treats pain along the channel, especially in the shoulder and arm, pain so severe is feels as if there is fracture or dislocation.  It also treats lumbar pain with difficulty sitting and getting up, and foot pain with difficulty flexing and extending the foot. The channel connects with the outer and inner edges of the eye, so is known for eye problems, especially blurring and dimness of vision. It is believed to strengthen the constitution and help long standing conditions.

The yang xi-cleft points are known to work at the emotional level. The emotion of the Fire Element is joy, so in cases where there is a lack of joy, an absence of joi de vivre, Yanglao is good for raising the spirit. It is particularly called for when cynicism, sarcasm and bitterness from past experiences have replaced joy.

A psychological function of the Small Intestine is sorting. Just as the organ itself sorts the components of our food, absorbing that which is nourishing and passing out that which is not, our mind also sorts out the good from the bad experiences of life. When we are weighed down by the negative and have difficulty seeing the positive, Support the Aged can benefit us, no matter how old we are.

Heart 6 ~ Yinxi ~ Yin Cleft

We now reach the fourth of the Fire xi-cleft points. I’ve left this point until last because the Heart is the most delicate, most precious of all the organ-channels and must be approached with care and sensitivity. The ancient classic, the Ling Shu, (chapter 71) tells us that the Heart is the shelter of seminal essence and spirit and any appearance of injury there causes the spirit to depart. Injury therefore appears in the Heart Protector and it is that which must be treated. Some practitioners take this teaching to heart and do not use points of the Heart channel at all. I do treat Heart points, but I do so with the care and sensitivity they require.

Because xi-cleft points treat acute conditions, Heart 6 can be used to address heart pain, stabbing pain in the heart region, chest fullness, palpitations, racing heart from fright, epilepsy and loss of voice. Blood diseases are typically treated using the yin xi-cleft points. However for Blood conditions of the Heart, it is the Heart Protector that is better treated for reasons discussed above. It does however treat night sweats, dry mouth, insomnia and anxiety.

When a person has depleted their inner resources and there is a feeling of “running on empty”, Heart 6 is called for. The original meaning of the word yin was “the shady side of a mountain”. Yinxi can provide a cool and shady respite from the agitated mind, a calm space in which to rest, restore and find a new sense of perspective.

Location of Small Intestine 6

With the hand resting palm downwards, place a finger on the styloid process of the ulna, the large bump on the back of the wrist towards the little finger side. Now bring the hand so the palm is resting on the chest. Your finger will now be in a hollow on the radial (towards the thumb) side of the styloid process. This is Small Intestine 6.

Location of Heart 6

Find Heart 7 on the inner wrist crease, between two tendons and about a quarter of the way across the wrist from the ulnar (little finger) side. Heart 6 is half a cun (about the thickness of the little finger) proximal to (above) Heart 7.

Location of Small Intestine 6
Location of Heart 7