Category Archives: Gall Bladder pain

Outer Mound

Gall Bladder 36 ~ Waiqiu ~ Outer Mound

Here in the Adelaide Hills spring is waiting impatiently in the wings, itching to leap into action. After our long, cold, wet winter, South Australians too are ready. Last week the maximum temperature was 11 degrees at my place. This week it’s predicted to jump to 30. That’s spring for you. Sudden growth and movement.

Last week my body told me it was spring when my gall bladder decided to complain forcefully about the chocolate brownie I ate, something I know is not good for me. The thing about spring is that its rising Wood energy puts pressure on any aspect of Wood that is out of balance, whether that is the organs of liver and gall bladder, the tendons and ligaments, the eyes, the emotion of anger or any of the other resonances of that Element.

The Gall Bladder point we are examining today is perfect for acute conditions of the gall bladder organ. Very timely for me. Once again, I am offered an opportunity to live the writing.

Gall Bladder 36 is the xi-cleft point of the channel. As we saw when we looked at Bladder 63, the xi-cleft points of the yang meridians are used for acute conditions and for pain. They are also used to address the emotion associated with the channel when the emotion has become overwhelming.

The name Outer Mound refers to the location of the point at the outside of the mound of muscle that is the calf. There are other mounds on the Gall Bladder channel in the leg: Yang Mound Spring (GB 34) and Mound of Ruins (GB 40). Outer Mound makes me think of the pitcher’s mound in baseball, a raised place which offers a good view of the batter and from where the pitcher can throw fast and direct. All of these are qualities which echo Wood’s resonances. As far as I know the ancient Chinese weren’t into baseball, but I thought I’d offer this whimsical, modern interpretation.

The point can be used to treat acute conditions of the organ of gall bladder, like the sudden spasms and nausea that can accompany a gall bladder attack. But it is best known for its effectiveness in treating pain along the channel pathway. The Gall Bladder pathway is the most complicated of all of the meridians as it zig-zags its way down the body, starting at the outside corner of the eye, crossing over the head twice and around the ears before passing through the neck and shoulders, down the sides of the ribcage, passing through the front and back of the pelvis, before straightening out down the side of the leg and ending at the fourth toe. The wandering nature of the pathway means that pain in many otherwise unrelated locations could offer a unified picture of imbalance. Of all of these places along the pathway, Gall Bladder 36 is particularly known for treating neck pain and stiffness.

Another of the point’s uses is in relaxing the sinews, the tendons and ligaments, and tissue of the Wood Element. In addition, it treats invasion of Wind, the climate resonance of Wood. Symptoms of Wind include occipital headaches and neck pain, jerky or shaky conditions such as restless legs, migratory pain, or an intense aversion to being outside in windy conditions. Gall Bladder 36 is also known for treating skin conditions and clearing toxins due to its capacity to clear heat from the body.

At the emotional level, Gall Bladder is associated with anger which can turn into judgement of others or just as easily, into anger at oneself as self-attack. A healthy Gall Bladder official is able to see the big picture clearly, make sound decisions, and move swiftly to action. Stagnation in this official often leads to lack of clarity, poor judgements, hesitation and vacillation. Waiqiu can support the clarity of mind that is needed to act wisely in the world.

If the rising energy of Spring is causing some niggling problems in your liver or gall bladder organs; if it is causing irritability or frustration, making you short-tempered and swift to judge others; or if you are having trouble making decisions and seeing clearly how to move ahead with your plans, Waiqiu can support you with clarity and ease of movement.

Location of Gall Bladder 36

The point is located on the outside of the lower leg. It is 7 cun above (superior to) the tip of the outer ankle bone, and lies at the anterior border of the fibula in the cleft between the fibula and tibia.

Begin by finding the midpoint between the knee crease and the outer ankle bone. Go down (inferior) by 1 cun (body inch) and at that level, first find the back of the fibula bone, then roll forward (anterior) until you feel the cleft between the bones.

September Equinox

Today is the September Equinox. Here in the southern hemisphere it is the Spring Equinox, the middle of our journey through the Wood Element; while in the northern hemisphere it is the Autumn Equinox within the Metal Element. For everyone all over the world, the nights and days are of equal length. The difference is that in the southern part of the globe, our days are getting longer and temperatures warmer, while for those of you in the top bit, your days are growing shorter and colder. But for one brief day, we meet in the middle. It makes me think of children on a see saw where one goes up as the other goes down, but they meet in the middle as the positions change. Today is literally a pivotal day in our passage between the Great Yin and Great Yang of the winter and summer solstices.

Lord of the Rings fans will be well aware that this is the birthday of Bilbo and Frodo Baggins, though they never grow older than their 111 and 33 when they first entered the mind of JRR Tolkein. Happy Birthday Bagginses!

In something of a departure from the usual, in this blog I am republishing my review of Lorie Dechar’s new book Kigo which had it’s publication date of September 21st. It’s a wonderful addition to the library of Five Elements books and I’m delighted to recommend it. This review was first published in Pointers, Journal of the Shiatsu Therapists Association of Australia, Spring 2020 edition.

KIGO
Exploring the Spiritual Essence of Acupuncture Points Through the Changing Seasons
LORIE DECHAR ILLUSTRATED BY LORELEI CHANG

In Kigo, Lorie Dechar gifts us her poetic vision of the spirit of Chinese medicine. Nature and spirit are ravelled through this beautiful work and Lorie is our perceptive guide through the seasons. She unfolds the Chinese characters to pluck wisdom from their embedded symbols, inspiring practitioners to draw on their own inner resources to match the majesty of the points.

The Japanese word kigo means “season word”, very appropriate to the spirit of Five Element Acupuncture. Japanese haiku poets use such words to evoke the “Ah!-ness” of things. Dechar calls on the power of the kigo to remind us of the Ah!-ness of the healing encounter and to re-enliven our spiritual connection to the points.

As Dechar points out, “This book is not meant to be a how-to manual but something more like a letter of introduction to some of my most beloved friends, a series of meditations on time and place and the mysterious healing of the soul.” This perspective sets her book apart from many others which are oriented towards the treatment of conditions. Hers is first and foremost a work of the spirit of the points.

While the book is slanted towards acupuncture, an appendix details other ways of treating the points including flower essences and essential oils. Dechar also weaves Taoist, Western Classical and Jungian archetypes into the work, and incorporates the mythology of the Taoist spirit animals.

The names of her 52 beloved friends are paramount: “In order to grasp the spirit-level meaning of the point names, I find that it is important to meditate not only their poetry but also on the wisdom contained in the graphic design and energetics of the original Chinese characters.” To this end the characters are displayed as clear graphics within the text, a riddle to be deciphered, a message in a bottle that has been waiting thousands of years to be opened.

Dechar unpacks the subtle meanings of the characters, not only of the points, but also those of the elements, organs, colours, spirits, directions and other resonances, making for an easy way into Classical Chinese for the newcomer. Standing firmly in the Five Element Acupuncture tradition, Dechar chooses points that are particular to spirit. The selections often surprise, as she includes points that might be overlooked in a more mechanical approach to treatment.

Her personal relationship to the points is evidenced by prefacing them with her own haiku, each an homage to the spirit of the point.  In fact, prose poetry is woven through the text which makes the book such a delight to read.

Dechar’s  52 “friends” are divided among the five elements. While it is impossible to find just one to reflect the richness of her tapestry, I’ve chosen an example that is appropriate to our southern spring.

Gall Bladder 24 – Sun and Moon – Ri Yue

日月

Spring equinox. Twilight.
The sun dips down behind my back
as I greet the rising moon.

The haiku provides a prologue to an exploration of the balance of yin and yang, inner and outer as they manifest both at the equinox and within ourselves. Then follows an unpicking of the characters of Ri Yue which illuminates the philosophical and spiritual implications of the Gall Bladder’s capacity for wise judgement, standing one’s ground, and the balance between extroversion and introversion, action and receptivity, speech and silence. Dechar then explores a clinical case of a woman whose hip surgery (which cut through Gall Bladder 30) leads to insights about her anxiety at the uncertainty of her plans. She takes us through the conversation of honouring both inner and outer, as if placing her hand on the door before inserting the needle that will open it.

The treatment of the points, however, is not formulaic and the structure of each varies. She offers needle techniques, treatment strategies, the use of words, touch, oils and flower essences to “open others and ourselves to these transcendent realms.”

Acupuncturists will find much to engage with in terms of needle technique and the incorporation of the whole practitioner into clinical practice. But equally practitioners of other modalities as well as patients and the interested layperson will find Kigo a fascinating tour of the seasons, the elements, and the points that are the vehicles for transforming body, psyche and spirit.

Kigo publication date 21 September 2020, Singing Dragon Press