Claudia Focks' Atlas of Acupuncture describes it thus:
The great luo-connecting channel of the Stomach begins in the Stomach, passes through the diaphragm, intersects with Ren-17, and spreads in the Lungs, trachea, and larynx. From the Lung, it travels to the Heart and emerges in the region of ST-18 where the heartbeat is visible.1
Pathology, like other luo-connecting channels, can be separated by full and empty conditions and are listed as thus:1,2,3
Great Luo of Stomach Full: Rapid, irregular breathing, chest congestion, congestive heart failure
Great Luo of Stomach Emptied: Palpitations, fibrillations, tachycardia.
Fig. 1: The heat and stomach in situ |
Looking at the topography first, one sees that the upper portion of the stomach is in close proximity to the heart. In fact, the upper portion of the stomach is called the cardia due to its close proximity to the heart, as it is essentially just on the other side of the diaphragm (Fig. 1).
While many organs are close to each other, the research about to be published by an osteopath in Italy named A.J de Koning helps illustrate the link between these two organs. De Koning is coordinating with an Italian cardiologist, Dr. Stefano Bianchi, who regularly performs cardiac ablation for irregular heart beat due to atrial fibrillation (AFib).
A.J. de Koning is a visceral manipulation practitioner and teaches with the Barral Institute. Dr. Bianchi invited de Koning to work with him and has him evaluate the patients first using osteopathic 'listening' techniques to feel for dysfunction. When applicable, visceral manipulation techniques are performed, and the result has been a greatly reduced necessity for ablation procedures. In particular, visceral manipulation techniques for the stomach have been particularly beneficial. Many of these patients with atrial fibrillation who benefit from visceral manipulation applied to the stomach have a history of gastric problems such as gastritis.
De Koning theorizes that the effectiveness of this approach is due to the dual innervation of the heart and stomach by the vagus nerve. When the stomach is stimulated, the signal is sent to the CNS to a region in the brain which has an effect on the arrhythmia. Essentially, this is a viscero-visceral reflex between the stomach and the heart.4
Here is a summary of de Koning's research
Fig. 2: The Influence of the Chongmai |
In addition, Dr. Wang likens PC-6, a point that is frequently used for stomach conditions such as gastritis and stomach spasms in addition to heart conditions such as angina, to the parasympathetic nervous system. Jueyin closes inward and is the most yin aspect of the six divisions, describing a physiology that reflects the parasympathetic nervous system regulation. It is worth remembering that 90% of the parasympathetic nervous system is innervated by the vagus nerve.
So, in effect, this point combination can be viewed as having a regulatory effect similar to de Koning's description. It can be especially useful when this link occurs between dysfunction in the Stomach affecting the Heart (history of gastitis, ulcers, acid reflux, etc, might serve as clues) as opposed to dysfunction which comes from problems with the Heart directly and might better be treated with the Heart collateral point, HE-5.
In addition to this point pair, the acupuncturist can consider treating joint fixations in the thoracic spine using huatuojiaji points and tuina mobilizations.6 These fixations could manifest anywhere in the thoracic spine, and it would not be surprising to find them in the region of the back-shu of the heart, the stomach, or both.
Fig. 3: Convergence of the Heart and Stomach
sinew channels |
Dr. Travell discusses treatment of this TrP and its effect on heart rhythm as a somato-visceral reflex. Her colleague and co-author, Dr. David Simons, describes witnessing several occasions of conversion of atrial fibrillation to normal rhythm with the application of a vapo-coolant to deactivate this TrP and he states that pressure or needling could also be employed.8
References:
1. Focks, Claudia, Ulrich März, Ingolf Hosbach, and Johanna Schuster. "Acupuncture points of the twelve primary channels." Atlas of Acupuncture. Edinburgh: Churchill Livingstone/Elsevier, 2008. 125. Print.
2. Maciocia, Giovanni. "Identification of patterns according to the 12 channels." The Foundations of Chinese Medicine: A Comprehensive Text for Acupuncturists and Herbalists. Edinburgh: Elsevier Churchill Livingstone, 2005. 751-55. Print.
3. Cecil-Sterman, Ann, and Pat Didner. "The luo channels. Advanced Acupuncture: A Clinic Manual. New York: Classical Wellness Press, 2012. 49-128. Print.
4. "Atrila fibrillation, the stomach and visceral manipulation." International Alliance of Healthcare Educators. N.p., n.d. Web. 28 Dec. 2016. https://www.barralinstitute.com/docs/articles/atrial-fibrillation-aj-de-koning-research.docx
5. Wang, Ju-Yi, and Jason D. Robertson. "The source, cleft, and collateral points." Applied Channel Theory in Chinese Medicine: Wang Ju-Yi's lectures on channel therapeutics. Seattle: Eastland Press, 2008. 513-15. Print.
6. Lau, Brian. "The sinew channels & vertebral fixations." The Illinois Acupuncturist 1 (Mar. 2016): 24-27. Print.
7. Simons DG, Travell JG, Simons LS. Travell and Simons' Myofascial Pain and Dysfunction: The Trigger Point Manual, Volume 1, Upper Half of Body. 2nd ed. Baltimore: Williams & Wilkins; 1999. p.821-2, 829-30.
8. Simons, David G. “Cardiology and Myofascial Trigger Points: Janet G. Travell’s Contribution.”Texas Heart Institute Journal 30.1 (2003): 3–7. Print.
Grand!
ReplyDeleteHave you heard of Liver and Kidney great Luo-s??
I have heard references, but it has been a while and now I don't recall much about them.
DeleteThanks for the comment, btw!
Delete