Tag Archives: Metal Element

Thumbs Up for Autumn

In my street in the Adelaide Hills the deciduous trees have almost finished shedding their leaves, forming glorious, multi-coloured piles to line the footpaths. Autumn is drawing to a close. Jut time to squeeze in a Metal blog, a treatment for congestion in the distal end of the Lung channel.

A fairly common complaint in clinic is pain in the thumb that arises from overuse. This may be, for example, a massage therapist who is doing a lot of deep tissue work, a rock climber who is using a lot of hand strength, a gardener who’s been doing a lot of pruning, or a sheep farmer who has been crutching several hundred sheep. Sometimes the pain arises spontaneously and may be related to emotional issues. And then there is arthritis, an inflammation of the joints which typically affects the thumbs first.

The meridian that passes through the thumb is that of the Lung. It begins at the outside of the upper chest, passes down the arm near the biceps muscle, along the inside of the radius bone, through the pad of the thumb, and finishes at the nail bed of the thumb. The exit point of this channel is Lung 7, quite some distance from the end. (See below for point locations and illustrations.) The Qi flows from there into the entry point of its partner meridian at Large Intestine 4 in the webbing of the hand. One might expect these exit and entry points to be the first and last points of a meridian, but this is not always so. In this case, neither the exit point of Lung nor the entry point of Large Intestine is the end point. (The end points are Lung 11 and Large Intestine 1 respectively.)

The only authority I can find who offers any discussion of this is Felix Mann in his 1962 book “Acupuncture: the ancient Chinese art of healing”. He implies that, where the points are not the last or first, there is a secondary connection between the last and first points. Nonetheless, I have noted a tendency in these cases for a stagnation to occur in the sections of the meridian distal to the exit points.

Let’s look at these points on the Lung channel that are distal to the exit point, namely Lung 8, 9, 10 and 11, for these are the points I’m interested in treating when there is pain in the thumb.

The first thing I look for is a block between Lung 7 and Large Intestine 4 which are the true exit and entry points between these Metal meridians. Hold the two points together for about 3 minutes or until there is a feeling of flow and balance between the two points. Then continue to hold Lung 7 with one hand and with the other hand, hold in succession Lung 9, Lung 10 and Lung 11 , feeling for a sense of blockage in the points. (I’ve excluded Lung 8 here because it is so close to Lung 7.)  Often Lung 10 will be the most tight,  sore and blocked.

A further technique that can be employed is to add a gentle stretch to the thumb. This is not acupressure but works at the level of the fascia. * Gently grasp the thumb and apply a slight traction while you hold each point in succession from Lung 7 to Lung 10. Maintain these holds for up to 3 minutes each or until you feel the Qi move and the fascia begin to soften. It can feel like something opening, flowing, spreading or rushing under your fingers.

Finally, check the “secondary” exit and entry points that Mann suggested by holding Lung 11 and Large Intestine 1 together.

For those clients who continue to place strain on the thumbs, and probably for arthritis sufferers too, the effects of this technique will likely be short term but should offer relief. And for those for whom the issue is acute, there is a good chance of resolving the case.

It may also be worthwhile to investigate at the emotional level. Is the person carrying long-term grief? Is there difficulty letting go of a person, object, idea or belief that is no longer serving? If so, then working with other Lung-related points such as Lung 1, Bladder 13 and Bladder 42 can help. It’s interesting to note how the notion of holding on with the mind is reflected in the clenching of the hand, and how the thumb places the cap on the clenching.

The falling autumn energy in Nature demonstrates that letting go is a natural phase of all existence. It may be a good time to take her hint and shed some of the things  that you’ve been hanging on to.

* A review of the recent research into the connection between meridians and the fascial network can be seen here in my article How Does Acupressure Work? Exploring the connection between meridians and fascia (PDF)

Lung 7 is in a notch on the radius bone, 1.5 cun (thumb widths) above the wrist crease
Lung 9 is at the wrist crease in a hollow between the radius and a tendon
Lung 10 is in the pad of the thumb, half way along the metacarpal bone
Lung 11 is at the corner of the nail bed of the thumb

Large Intestine 1 is at the corner of the nail bed of the index finger
Large Intestine 4 is in the webbing, halfway along the metacarpal
Myofascial stretch while holding Lung 10

Endings

The autumn equinox in the southern hemisphere finds us deep into Autumn and the Metal Element. Their falling energies teach us about how to be true to ourselves in the face of endings.

This blog marks the completion of a cycle of 8 articles over the past year as I’ve marked the passing of two solstices, two equinoxes and the four cross-quarter days that lie between. It seems fitting that we end this series in the depth of the Metal Element which resonates with endings, with letting go, and with dying.

Many people find these subtle autumnal reminders troubling. Western cultures tend not to dwell upon the ends of things, particularly the end of life, preferring instead to focus on the yang, rising side of the cycle, on the explosive upward movement of Wood and the wide, expansive, proliferating energy of Fire.

And yet there can be an exquisite savouring of the Metal phase, with its clear, spacious nature. When all that is superfluous has dropped away, we are left with that which is essential, the distilled essence of things. Like appreciating and valuing a small measure of a fine old liqueur.

I am not far away from becoming a septuagenarian and like most others in my age group I can’t believe that number on the board. Still, the evidence is reflected in the mirror, and in the subtle ways the body is slowing down. I can no longer pretend otherwise: I am fast approaching, if not already in the Metal phase of my life.

Each life stage has its age appropriate activities, and we can map these through the Five Element model. Water is the period of life before conception (wherever it is that we come from), our 9 months in the womb, and infancy. This is a time of potential and patient waiting. Wood is the phase of rapid upward growth that occurs in childhood and adolescence, when we explore possibilities and push edges. Fire is the time of our adult maturity, our blossoming and flourishing. It is usually a busy time of career orientation and/or creating family. Earth is the phase of late maturity when we reap the fruits of our life, and transition into retirement to savour the harvest of our life’s work. The Metal phase is when we naturally reflect on what meaning we have distilled from our lives, on what it is to die, to end, to pass on from the world. We anticipate the next cycle and the movement back to the Water phase, the great unknown that beckons after we take our last breath.

Some, possibly many, find these reflections on death to be uncomfortable, morbid, not a topic for polite conversation. Certainly it is a consideration commonly postponed, pushed off into the long future, when we imagine we will have plenty of time at the nursing home to contemplate our demise; or maybe hope for a quick end so we won’t have to think about it at all.

And yet, in many traditions, contemplation of death is a regular part of spiritual practice. Buddhists in particular meditate throughout life on this inevitable event. Indeed, death is the most important thing about life. Death provides meaning and context to life.

I vividly remember these words of my teacher Hameed, his opening words of the Death and Dying Retreat:

“To die is to live. And to live is to die.’ (He proceeded to elaborate for 10 days!)

This profound thought really communicates the depth of Metal’s spiritual lesson: only by letting go of all that we hold on to, can we truly live the depth of a human life. We are given countless opportunities throughout life to let go of our attachments:  the loss of some prized object, the job we really wanted but didn’t get, a big financial loss, the end of a relationship, the death of a loved one, the loss of body function. Each loss is a little death, each a preparation, a training for the big death that will come, when we are called upon let go of it all.

Letting go does not mean abandoning our possessions or relationships. We don’t need to become wandering ascetics. Giving away all we own will not address our attachment to things. Abandoning our relationships does not change our inner relationship to others. Rather, letting go means allowing, surrendering, making space for everything that life brings us. It means living in the present moment, neither hanging on to a past that cannot be changed, nor holding on to ideas about what we imagine the future will be. It means dying to the past. Dying to the future. And living in the only place we have, the now.