Points Database

Location Guides:

: Dazhui : Great Vertebra

Du-14 : Extraordinary Governing Vessel 14

Classifications:
Point of the Sea of Qi

Meetings:
Meeting of Governing Vessel with Bladder, Gall Bladder, Large Intestine, Small Intestine, Stomach, San Jiao and Large Intestine Divergent

Location:
On the midline at the base of the neck, in the depression below the spinous process of the seventh cervical vertebra (C7).

Needling:
Perpendicular-oblique superior insertion 0.5 - 1 cun, or transverse inferior insertion up to 6 cun in "xiangwei needling" to connect with Taodao Du-13, Shenzhu Du-12, Shendao Du-11, Lingtai Du-10 and Zhiyang Du-9.

Warning:
The spinal canal lies between 1.25 and 1.75 cun deep to the skin surface, varying according to body build.


TCM Actions:
Expels wind and firms the exterior
Clears heat
Treats malaria
Tonifies deficiency
Pacifies wind

TCM Indications:
  • Injury by cold leading to high fever with agitation and vomiting, aversion to wind with shivering, chills and fever, warm malaria, chronic malaria, throat painful obstruction, fullness of the chest and lateral costal region with dyspnoea.
  • Deficiency sweating, night sweating, steaming bone disorder, heat in the bones, lack of strength, shortness of breath with inability to speak, the five taxations and the seven injuries, wind-taxation, pain of the hundred joints.
  • Epilepsy, chronic and acute childhood fright wind, hypertension, insomnia, vomiting blood, nosebleed that does not stop.
  • Stiffness of the spine, stiffness of the nape and neck with inability to turn the head.

    Neuroanatomy:
    Superficial Innervation: Medial branches of dorsal rami of C8 and T1
    Dermatome Segment: C4

    Notes:
    A very common point for clearing heat caused by external pathogens. It may be cupped, treated with Gua Sha or with Jiu Sha where the skin over this point is grasped and pulled repeatedly until reddened to clear an external pathogen.

    This point is also on the 3rd trajectory of the Chong mai connecting the Chong with the Du for Invigorating Yang in cases of Bi Obstruction due to Blood Stagnation (Yuen, 2005, The Extraordinary Vessels).

    In "xiangwei needling" the Du is needled transversely against the direction of the channel in order to reduce excess conditions, in this case of the brain and upper body (Liu Yan, 2008, Diagrams of Acupuncture Manipulations, p.121).

    In Mayan medicine:
    Used by some curanderos to lower fever (Garcia, Sierra, Balam, 1999: Wind in the Blood)

    Lad and Durve (2008) in Marma Points of Ayurveda call this point Manymani and associate it with Prana Vayu, Vyana Vayu, Apana Vayu and Udana Vayu.

    They give the following functions:
    - Relieves neck pain
    - Helps regulate pituitary, thyroid and parathyroid functions
    - Relieves stress

    In Tibetan medicine:
    mLung point. Edelweiss flowers (Trah-wah) are burnt in cones like moxa over crushed garlic at this point for mental disorders and loss of speech (Bradley, 2000: Principles of Tibetan Medicine)

    In Thai massage:
    Points either side of C7 form acupressure points of the Itha (left) and Pingala (right) sen lines. Indicated for neck and shoulder pain/injury/arthritis.
    (Salguero & Roylance, 2011, Encyclopedia of Thai Massage).

    In Hindu tantrism this point would be the likely equivalent of the Vishuddha chakra.


    Reference Notes: (click to display)