Traditional Chinese Medical Criteria About the Use of Yongquan as a Life Support Maneuver

Although I consider the beginning of my formal Dim Mak education since 1993 –when Master Erle Montaigue spread out this theory in the western world (“Dim Mak –Death Point Striking”), my first contact with K-1 Yongquan was in 1976, when I had the opportunity to explore some “almost secret” scripts about this subject. I waited until 1987, during my surgical residence, to apply this knowledge in my first case – a cardiac arrest derived from a pulseless activity with no response of the life support therapy, but with great success using the K-1 maneuver. Since then, my researches are continuous about the acupuncture-point Yongquan manipulation results after both basic and advanced Cardio-Pulmonar Resuscitation (CPR) protocol failure. It surprising results guide me to call this phenomenon the “Lazarus Effect”. It’s necessary to describe briefly the principles that give sense to the K-1 Yongquan maneuver, in order to integrate them to western medical concepts.


Introduction
Although I consider the beginning of my formal Dim Mak education since 1993 -when Master Erle Montaigue spread out this theory in the western world ("Dim Mak -Death Point Striking"), my first contact with K-1 Yongquan was in 1976, when I had the opportunity to explore some "almost secret" scripts about this subject.I waited until 1987, during my surgical residence, to apply this knowledge in my first casea cardiac arrest derived from a pulseless activity with no response of the life support therapy, but with great success using the K-1 maneuver.Since then, my researches are continuous about the acupuncture-point Yongquan manipulation results after both basic and advanced Cardio-Pulmonar Resuscitation (CPR) protocol failure.It surprising results guide me to call this phenomenon the "Lazarus Effect".It's necessary to describe briefly the principles that give sense to the K-1 Yongquan maneuver, in order to integrate them to western medical concepts.

Jing: Our energetic inheritance
The ancestral u original energy represents the value of our energetic inheritance, or Jing.The Innate Jing, received from our parents is hidden in the Kidneys (Yin) and in the Mingmen (Yang) to generate the initial Qi for our vital processes (Jing Yue Quan Shu -Zhang Jie Bin).The Adquired Jing gives the substrate of the anterior one.It is contained into the five zhang and the six fu, nurturing our vital substance.The Yin or Nurture Qi enters in our energy system from the Earth through K-1 Yongquan; and it will be selected in its "pure form" by the Spleen before reaching the Lungs and Heart.In that way, the last organs will be able to elaborate Zheng Qi or Central (thoracic) energy for its vital priority of his active cardio-respiratory function.

Kidney and traditional Chinese medicine
In acupuncture, the Kidneys (Shen) represents Water, so that is the Yin organ "par excellence".Their main function, similar to the allopathic medical knowledge, is" to control the body Water distribution" (Su Wen,chap. 34).In the same way, it will be responsible of filtering wastes, eliminate toxins, the water intake excess and the mineral salts incorporated by diet, in order to regulate the blood Ph.
For the Chinese Medicine, the Kidney develops the following functions: 1. "to store the Jing and dominate reproduction, growth and development" This includes the mastering of derived functions as birth, growing, development and reproduction, for Kidneys are our natural ancestral energy depot -the purified and condensed modality of Qi (Jing) -that will aid us to get each of the human development stages (Su Wen ,chap.1). 2. "to produce the bone marrow" (Su Wen ,chap.5).This statement involves the following properties: - The control of the bones and their marrow (Su Wen,chap.23).

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To elaborate the blood -Xue-(were the Chinese intuitive about erythropoietin's existence?).-To nurture the brain (for Chinese people, the brain represents the "Sea of Marrow").We can see that the "Medullae concept" in TCM results very much transcendental than their western significance.Not only involves the bone marrow, but the matrix of the fundamental components of the Central Nervous System.3. "to dominate Water" (Su Wen,chap.34)This function has been analyzed before in this chapter.Is obvious to understand this meaning in the regulation of the methabolism of water and corporal fluids ("Jin ye").

"to control the reception of Qi"
In the sense that Shen is the depot of the Ancestral energy or Yuan Qi (Ling Shu.chap.5),Kidneys are capable to captivate the Qi for recycle it energetically, taking influence over the following zhang:  Over the Spleen and its "couple in Earth" Stomach, allowing the correct digestives procedures  Over the Heart, getting the equilibrium in the Water.Fire harmony (Kan Li)  Over the Lungs, helping to gather and descend the Qi during inspiration  Over the Liver, ensuring a soft and harmonious Qi flux all around the body  Over the Triple Heater, promoting the "Water transformation" through its energetic methabolism 5. "It manifests in the hair".As indicated in Su Wen (chap.5),hair's characteristics show the internal sufficiency of the Qi of Shen.6. "to open the ears" (Ling Shu, chap.17).It was written in this chapter " The Qi of the Kidneys go to the ears; when the Kidneys are in harmony, the ears can hear the Five Sounds"… _ thus referring not only to the five notes from the pentathonic Chinese music, but the effect of the Kidneys ( Shen ) over the other organs or zhang.We must remember the hearing disorders as a consequence of treating patients with nephrotoxic drug (ej.antibiotics) to understand how advanced was the Chinese medical wisdom.Among this, and searching for motives of the spectacular reaction through Yongquan in resuscitation, again in Ling Shu (chap.10) appears the link between Kidney and Heart(by its internal vessel) and with the Lungs (by a secondary vessel),that justifying this powerful influence.

Specific analysis about the K-1 Yongquan acupuncture point
Its name means "Gushing spring" or "Bubbling well".The ancient book I-Ching instructs us about the Water ("Kan") trigram:"…its correspondence is to Water; is the Water in movement, the spring that falls into deepness…" 4.1 K1-Resuscitation maneuver: Chinese fundamentals Located in the sole of the foot, in a depression where the sole makes its plantar flexion.Tracing a line from the base of the second toe up to the heel, and dividing it in three equal parts, the point is found at the junction between the anterior and the middle third.Anatomically speaking, Yongquan´s precise ubication is between the second and third metatarsal bones, at the level of the plantar fascia.Medial to it are the longus and brevis flexor digitorum pedis tendons and the second lumbricalis pedis muscles.In its deepest position, the point lay in the interossei plantaris muscles.It is innervated by the second common plantar digital nerve, and irrigated by the lateral plantar and the anterior tibial arteries anastomose in the plantar arch.In the major acupuncture classical texts, K-1 Yongquan is considered the first and Jing (Tsing)-well point of the Kidney meridian.But through the Ling Shu analysis (chap.5),K-1 is also hierarched as the "root" point of the Shao Yin .This energetical level, formed by the Kidneys and the Heart, is the most profound among all others, giving us a special reason why K-1 Yongquan can act as an effective cardiac pacemaker.Moreover, Yongquan is the main place for the ascending Yin Qi from the Earth into our body.Therefore, this kind of energy will nurture the zhang, especially those placed in the most Yang part of the torso, in order to interact and compensate the Heavenly energy, essential for organs with a non-interruptable function to maintain our life, like the heart and the lungs.It can be read in Ling Shu, chap 9:"Yin rules the organs, while Yang rules the viscus.Yin absorbs the Heavenly energy, while Yang absorbs the energy from the Five Organs".Thus, the Celestial Yang Qi provides them with continous motility in the Upper Jiao of our body, for a perfect vital equilibrium.

Main applications for K-1 Yongquan in TCM
Traditional Chinese Medicine "officially" recognizes the following as the main applications of K-1 Yongquan:

Valorative comparison between Oriental and Occidental axioms
In "Impending Death situation" patients, both Oriental and Western Medicines explain some biological reactions that make organs and viscus to take a peculiar concatenation that could be followed by a logical sequence.In this manner, we can understand this mutual cooperation as a result of K-1 stimulation in a dynamic way.

A common embryological origin
It is well known in Occident that both the skin and the Central nervous System recognize a common embryological origin.
In the beginning of the 3th week, a trilaminar embrion enhance its cranial extreme, and an axial depression appears in its ectoderm.This fissure is the Neural fold ;a structure that few days later will make the Neural tube ,and the first draught of raquis.Over this, alternative medicines found arguments that support their action vehicled by the skin.This represents, in current neurological physiology ,the visceral-cutaneous reflex.

Survival axis components
Among the Kidneys, there are another organs to be integrated under the structure of what is presented as the "Survival Axis".Integrated diagrams will configure this notions in a dynamic way.

Suprarenal glands
Not only an anatomical relationship -for there are positioned over-entail them with the Kidneys, but also represent the Yang function of the mentioned channels (remember that Kidneys themselves maintain the Yin part of this balance).
In the mid 20 th century, german investigator Hans Seyle described the "Stress reaction", while in North America, Cannon menctioned it as the "Fright, fight or flight" behaviour.Both were clearly coincident about the suprarenal response to an emergency state, producing glucocorticoids (the main one in primates is cortisol), mineralocorticoids (aldosteron) and androgens.The final release of catecholamines (L-dopa, ephynefrine, norephynefrine) will prepare our body to stress.All the last derive from phenylalanine´s molecule; so that it injection can enhance our alarm reaction.This hypothesis is another evidence of the "Mother and son" rule from the Five Element´s theory in TCM.K1-Yongquan hypothalamus-adrenal bio-feedbak

Brain
Above all emotions, FEAR is the natural response against any situation that put life into risk (is the emblematic emotion of the Water element).The sensorial perceptions are interpreted as a menace in the limbic system.From this site of the temporal lobe, signals will run down from the hypothalamus to hypofisis to stimulate suprarenal glands, preparing us to face DANGER.Among all the cutaneous reflexes, the Babinski one is the best known and of utmost importance, because this plantar stimulation ,after the age of 2 ,can diagnose a pyramidal lesion with a patognomonic hallux extension -casualty scratching near the K-1 Yongquan!.This evidence even more the axiom "Kidney masters the Sea of Marrow".Interaction of the Water Element (Tai Yang Level)

Heart
Chinese related it with the Kidney by internal passways.Moreover, TCM considered this two organs conform the most profound energetic level in a human being: The Shao Yin.
Heart could be conceived in a Yin and a Yang phase: the "right heart" includes the right auricule and ventricle; same consideration can be made with the left side.The right side acts as an "admission pump" the blood (Xue) follows a centripetal route towards the heart, so it can be understanded with a Yin nature.
The left auricle and ventricle transport oxygenated blood to the body, reaching them in a centrifugal travel impulsed by the systolic ejection.So this "propulsive part" of the Heart behaves as the Yang side.
In the right auricle, Keith & Flack´s sinoauricular node normally functions as our cardiac pacemaker.Because its same Yin polarity line of Kidney -and connected by profound collaterals -, it could be very influenced by it.

Kidneys and the Ancestral Energy
For the Chinese, they are the "Ancestral Energy Depot", and they also considered it as the "Prenatal Emperor" for their activity during pregnancy (perhaps they already knew that Kidneys are directly involved in the amniotic fluid production).
During the 3th week -in the vitelin sack, very near from the alantoid process -,a group of haploid cells travel through the inguinal stretch to testicles (or to ovaries) where will rest the cromosomic potential for our species perpetuation.This essential energy, or Yuan is a kind to be convoked into emergency states, so that stimulating the route of our "Survival Axis".In Traditional Chinese Medicine (TCM), it is generally accepted that, if the principal property from the Curious Vessels is to conduct the Yuan or ancestral energy into themselves, the reason is that all of this Particular Meridians have their origin in the Kidneys (Shen).
In chapter 9, Ling Shu tells us: "Curious Vessels as Chong Mai and Ren Mai are connected to the Chao (Shao) Yin level".So through the Chong Mai -the "Mother of the Twelve Meridians" -it can be understood in what way Kidney influences over the other body channels.More specifically talking, those Curious Vessels of Yin nature (Yin Wei -Yin Qiao -Chong Mai) recognize their initial point in K-1 Yongquan, while the rest of them endowed with

Conclusions
Comparison between my first 30 patients against the best results of Emergency Services and Rescue Teams (around 19 % survival in CPR), justified its publication in the Resuscitation Journal (j.resus.4183.JAN-2010; DOI information: 10.1016).
In October, 2010 I was invited to participate as speaker in the 8 th International Congress of Drug Development, Science and Technology in the Convention Center of Beijing.There I exposed about the theoretical effect of phenylalanine inyection over K-1 Yongquan, based in its convertion into catecholamines and its action over the glomic micro-structure of the acupuncture point (Dr.Sergio Gutierrez Morales, Canarias).Hipothetically speaking, this allows the cardiac arrest victims to "respond" more effectively to the Yongquan maneuver, thus improving to higher survival rates.Actuarial statistics show a mortality percentage in heart stoppage in aprox.1,5/1000 healthy individuals.Translating this proportion to the current world population, nearly 8.000.000deaths occur per year for this cause, a very much lethal situation that any epidemic or pandemic danger actually known.From them, only a limited 19% -it means, 1.520.000persons -can be rescued.The K-1 Yongquan resuscitation maneuver could raise up this rate to, at least, 38%.This signifies that more than 3.500.000people could be potentially saved each year -as was informed in FILASMA Congress in Sevilla, in November 2010, where Dr.Enrique Ruffa summed another new 3 cases to the Yongquan resuscitation statistics.This number is comparable with the actual population of our neighbough country, Uruguay -aprox.4.000.000people.
Once the World Resuscitation Committee accepts this therapeutic maneuver, this whole theory will open the possibility of converting cardiac arrests victims into responders, allowing the K-1 Yongquan maneuver inclusion in the life-support protocols, upgrading the survival rates even much more.