Points Database

Location Guides:

: Yamen : Gate of Muteness

Du-15 : Extraordinary Governing Vessel 15

Classifications:
Point of the Sea of Qi
Master Tung's Seven Stars

Meetings:
Meeting of Governing Vessel with Yang Wei Mai

Location:
On the midline of the nape of the neck, in the depression 0.5 cun inferior to Fengfu Du-16, below the spinous process of the first cervical vertebra (C1,impalpable).

Needling:
Perpendicular insertion slightly inferiorly 0.5 - 1 cun

Warning:
The spinal canal lies between 1.5 and 2 cun deep to the skin surface, varying according to body build. Deep perpendicular insertion is therefore strictly contraindicated, as is superior oblique insertion towards the brain. According to several classical texts this point is contraindicated to moxibustion.


TCM Actions:
Benefits the tongue and treats muteness
Eliminates wind
Benefits the neck and spine

TCM Indications:
  • Stiffness of the tongue with inability to speak, loss of voice, lotus flower tongue, flaccidity of the tongue.
  • Heaviness of the head, head wind, loss of consciousness from windstroke, epilepsy, clonic spasm, mania-depression, loss of consciousness, all kinds of yang heat adn qi exuberance.
  • Absence of sweating, chills and fever, nosebleed that does not stop.
  • Stiffness of the neck, stiffness of the spine, sprain of the spine.

    Neuroanatomy:
    Superficial Innervation: Medial branches of dorsal rami of C3 - C5
    Dermatome Segment: C3

    Notes:
    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 Master Tung's system the uppermost point of the Seven Stars (Xi Qing) overlaps with this point, being located 0.8 cun above the posterior hairline. The others do not correspond to conventional points and are located 1 cun and 2 cun below this, and then 0.8 cun lateral to the middle point and 1 cun lateral to the lowest point. They are pricked to allow a small drop of blood in instances of nausea and vomiting, common cold, headache and high fever in children (McCann, 2014, Pricking the Vessels)

    In Tibetan medicine:
    Moxa point (AMNH, Tibetan Medical Paintings)


    Reference Notes: (click to display)