The most common headache in the world is not the dramatic migraine. It is the dull, band-like tension headache — pressure across the forehead, a tight neck, shoulders hiked toward the ears, often arriving in the afternoon after hours at a screen.
In Chinese medicine, this kind of head tension is usually understood as blocked flow in the channels that run up the neck and over the head — often linked to Liver qi that is not moving freely and to tight muscles in the neck and shoulders. Acupressure will not fix the cause in one session, but it gives you a direct, drug-free way to encourage that flow and encourage relaxation the moment a headache begins. Here are the four points I teach most often, with exact locations and a ten-minute sequence.
How to Press: The Four Basics
- Use the pad of your thumb or middle finger — never the fingernail.
- Press in and slightly up until you feel a dull, heavy, achy sensation that is tolerable. In Chinese practice this "good ache" (suan zhang) means you have reached the right depth; sharp pain means back off.
- Hold each point for 30–60 seconds, breathing slowly through the nose. You can press steadily or make tiny circles.
- Release gradually, take one breath, then repeat 2–3 times per point.
Press both sides of paired points at the same time when you can — it balances the routine and saves time.
The Four Points
1. Hegu (LI4) — the hand point
Location: On the back of the hand, in the fleshy web between the thumb and index finger. Pinch thumb and finger together; the point lies just to the side of the highest point of the muscle ridge, near the middle of that web.
How: Support the hand with your other hand. Place your thumb on the point on the back of the hand and your index finger underneath for leverage. Press in and slightly toward the index-finger bone, holding 30–60 seconds per hand. This is the classic "release the upper body" point in Chinese practice and is traditionally used for head and face tension.
2. Taiyang — the temples
Location: In the soft depression about one finger-width to the side of the outer edge of the eyebrow, between the outer corner of the eye and the top of the ear.
How: Place the middle fingers of both hands on both temples simultaneously. Press gently (the skull is thinner here) and make slow circles — 9 circles backward, then 9 forward — keeping the pressure light to medium for about 1 minute. This directly relaxes the temporalis muscle, which clenches when you concentrate or grind your teeth.
3. Fengchi (GB20) — the base of the skull
Location: At the back of the head, find the two large muscles that run down the neck (the neck "ropes") and the base of the skull. The points lie in the two hollows between those muscles and the skull, roughly level with the earlobes.
How: Interlace your fingers and cup the back of your head so your thumbs naturally land in those hollows. Let the weight of your head do some of the work. Press upward and inward toward the eyes for 30–60 seconds, breathing out into the pressure. Repeat 2–3 times. This is the single most useful point for the "tight neck pulling into the head" pattern and for headaches that arrive after long screen time.
4. Yintang — the "third eye"
Location: Right in the center between the inner ends of the eyebrows, in the small hollow where the bridge of the nose meets the forehead.
How: Press gently with the middle finger or the knuckle of your index finger for 45–60 seconds, making tiny upward circles. This point is traditionally used to calm the mind and soothe frontal pressure; it also works well for the over-stimulated, wired feeling that comes with too much screen exposure.
The 10-Minute Rescue Sequence
Do this in order the moment you feel the familiar band tightening. Sit upright but relaxed, feet flat, shoulders dropped.
- 0:00–1:00 — Settle. Close your eyes. Three slow breaths, exhaling twice as long as you inhale. Drop your shoulders away from your ears.
- 1:00–3:00 — Fengchi (GB20). Press both hollows at the skull base, 30–60 seconds, release, repeat.
- 3:00–5:00 — Hegu (LI4). One minute on each hand (skip in pregnancy).
- 5:00–7:00 — Taiyang. Slow circles on both temples, forward and back.
- 7:00–8:30 — Yintang. Gentle press with slow circles between the brows.
- 8:30–10:00 — Close. Hands resting in your lap, eyes closed, six deep breaths. Open your eyes slowly and let light back in gradually.
You can repeat the whole routine once after a short break if tension is stubborn. Drink a glass of water afterward — mild dehydration is a common headache partner.
Why Pressure Alone Is Not Enough: Daily Prevention
If tension headaches visit often, the channels are telling you something about the day's rhythm. These habits reduce how often they arrive:
- The screen 20-20-20 rule: every 20 minutes, look at something 20 feet away for 20 seconds, and let your shoulders drop.
- A daily 2-minute neck release: slowly tilt ear toward shoulder for 20 seconds each side, and gently nod "yes" and "no" with a relaxed jaw. Do it mid-morning and mid-afternoon.
- Loosen the jaw. Clenching and nighttime grinding are major temple-headache sources. Rest the tongue behind the front teeth, teeth slightly apart, lips closed.
- Hydrate and eat on time. Low blood sugar and dehydration both arrive disguised as headaches.
- Sleep at a regular hour. In Chinese practice, late nights and poor sleep leave Liver qi and blood under-nourished, which shows up as head and eye tension.
- Move daily. A brisk 20-minute walk moves the qi that desk work stagnates — prevention is often this unglamorous.
Two Helpful Add-Ons
- Warm the neck. A warm towel or shower on the base of the skull for 3 minutes relaxes the muscles before you press Fengchi, and roughly doubles how effective the point feels.
- Scent for the wired-but-tired. A calm herbal aroma nearby — such as a traditional herbal sachet — is traditionally used to help settle an over-active mind during work or before sleep.
Frequently Asked Questions
How hard should I press? To a firm, dull, spreading ache — roughly 6 or 7 out of 10 of pressure sensation, but never sharp or painful. On the temples and Yintang, go noticeably lighter.
How soon will it help? Many people feel the band loosen within the 10-minute sequence. If a headache is well established, do the routine, hydrate, and rest in dim light for 15 minutes rather than expecting instant disappearance.
Can this replace pain medication? No — acupressure is a wellness practice, not a replacement for prescribed or appropriate medical care. It can sit alongside whatever your healthcare provider recommends.
What about migraines? Pressure works for some migraine sufferers, especially in the early tension phase, but migraines are a distinct medical condition. Keep a headache diary and discuss them with your doctor.
Red-Flag Headaches: When to Get Help Immediately
- Suddenly hits like "the worst headache of your life" or peaks within seconds.
- Comes with weakness or numbness on one side, facial droop, confusion, trouble speaking, or loss of vision.
- Follows a head injury, a fall, or a hard blow.
- Brings fever with a stiff neck, repeated vomiting, or a rash that does not fade under pressure.
- Appears during pregnancy, or is new and severe if you are over 50.
- Is a dramatic change from your usual pattern, or wakes you repeatedly from sleep.
The One-Screen Version
- Press to a dull, tolerable ache; hold 30–60 seconds; breathe slowly
- Fengchi at the skull base, Hegu in the hand web (skip in pregnancy), temples, Yintang
- Do the 10-minute sequence; finish with six slow breaths and water
- Prevent with screen breaks, neck releases, jaw relaxation, sleep, and daily walking
- Treat thunderclap or neurologically abnormal headaches as emergencies
Head tension is usually a message from a body that has been still, clenched, and over-focused for too long. These four points buy you ten minutes of relief — the daily habits buy you fewer headaches altogether.
Calm the Air Around You
A traditional herbal sachet hung near your desk or bedside offers a quiet, grounding aroma while you work and rest — a simple companion for a busy mind.
See the Herbal Sachet Daily Tips on TelegramEducational content only — rooted in traditional Chinese wellness practice, not a substitute for medical advice, diagnosis, or treatment. Consult a qualified healthcare provider about dietary or exercise changes, especially if you manage a health condition, are pregnant, or take prescription medication.
Bring it home
A herbal sachet to keep the same calming aroma in your wardrobe or room.
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