Points Database

Location Guides:

: Fengfu : Palace of Wind

Du-16 : Extraordinary Governing Vessel 16

Alternative Name(s): Guizhen
Translation: Ghost Pillow

Classifications:
Point of the Sea of Marrow
Point of the Window of Heaven
Sun Si-miao Ghost point (2nd trinity)
Master Tung's Seven Stars
One of the "59 piercings" for clearing Heat in Ling Shu Ch. 23

Meetings:
Meeting of Governing Vessel with Yang Wei Mai

Location:
On the midline at the nape of the neck, in the depression immediately below the external occupital produberance.

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:
Eliminates wind
Nourishes the sea of marrow and benefits the head and neck
Calms the spirit

TCM Indications:
  • Heaviness of the body with aversion to cold, cold shivering with sweating, swelling and pain of the throat, wind painful obstruction all types of wind disease, injury by wind.
  • Headache, head wind, the hundred diseases of the head, visual dizziness, dizziness, blurred vision, nosebleed, upward staring eyes, sudden loss of voice, sudden inability to speak following windstroke, flaccid tongue with inability to speak, windstroke, numbness of the legs, hemiplegia, hypertension.
  • Mania, incessant talking, mad walking and desire to commit suicide, sadness and fear with fright palpitations.
  • Difficulty in breathing, heat in the chest, ceaseless vomiting, jaundice.
  • Pain of the neck with inability to turn the head, stiff neck.

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

    Notes:
    An important point for eliminating all types of wind, internal and external, and treating disorders of the head such as headache and psychological issues. This latter is due to the Daoist notion of the brain (niwan or muddy pellet) being the seat of intelligence and residence of the spirit as well as the Heart which was a more popular notion in medical texts (Deadman et al, 2001).

    The uppermost semispinalis capitis posterior cervical trigger point lies about a cun lateral to this point at the base of the occiput (Travell & Simons, 1998, Trigger Point Manual)

    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).

    Ling Shu Ch. 23, On Heat Diseases, gives a different list of points for the "59 Piercings" to Su Wen Ch. 61 which includes a point on the nape that most likely means this point.

    Ling Shu Ch. 79, On the Dew of the Year, makes reference to this point with regards to malaria. However, Qi Bo's understanding is that Fengfu is not a permanent designation but rather the place where evil Qi enters and battles with the Wei Qi wherever that may be.

    Shang Han Lun Ch. 1, Taiyang diseases, line 24, advises using this point and Fengchi GB-20 if the patient has taken Gui Zhi Tang and remains vexed with the exterior unresolved. These two points are needled and Gui Zhi Tang is administered again.

    Jeffrey Yuen (2005, 3 Spirits & 7 Souls) places this point along with Baihui Du-20 and Yintang as the three points where the three spirits reside: Shen, Hun and Po, in the Jing Shen Shi Jie (world of Jing and Shen). Fengfu Du-16 being on the yang Du channel, most likely represents the Hun. The Hun is produced from the Po then merges with it to form Jing.

    This could make these points equivalent of the highest triad of sephiroth in qabalah with Fengfu Du-16 especially representing Chokmah.

    Ghost Points:
    The second trinity of ghost points, consisting of this point Daling Pc-7 and Shenmai Bl-62, is concerned with the ghost trying to get you to search for the remnants of its past, either by dreamwork or literally going to places and seeking people it longs for. This is the most Yang phase of possession with many signs of Wind and Heat leading to agitation, uncontrollable movement and outbursts. Other common symptoms of this stage include upward staring and sleepwalking.

    As a Ghost Point the name for this point, Guizhen, Ghost Pillow, represents the stage where dreams coming from the ghost begin to interfere with the person's memory making them unable to recall events in their life or recalling events that never happened and defending them rigidly.

    This point is needled with the Zheng Dong technique, to "rattle" the needle as if to shake someone into waking up (Yuen, 2005, 3 Spirits & 7 Souls).

    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)

    Lad and Durve (2008) in Marma Points of Ayurveda call this point Manyamula and associate it with Prana Vayu, Samana Vayu, Apana Vayu, Sadhaka Pitta, Tarpaka Kapha, Pachaka Pitta and Ranjaka Pitta.

    They give the following functions:
    - Enhances blood circulation and circulation of cerebrospinal fluid
    - Enhances lymphatic circulation
    - Relieves neck tension and headaches
    - Improves coordination and equilibrium
    - Stimulates agni (digestive fire) of stomach and pancreas

    They locate two more points slightly to either side called Vidhuram and associate them with Prana Vayu, Udana Vayu, Tarpaka Kapha, Alochaka Pitta and Ranjaka Pitta.

    They give these the following functions:
    - Promotes tarpaka kapha health and function
    - Relieves headaches and neck pain
    - Relieves meningeal irritation
    - Reduces stress
    - Regulates rakta dhatu (blood)
    - Benefits liver and spleen
    - Benefits eyes

    In Thai massage:
    Acupressure point along the central Itha and Pingala sen line of head running from this point to the glabella, Yintang where it branches to the to nostrils, Yingxiang L.I. 20.
    Indicated for headache, hypertension, neck and shoulder pain/injury/arthritis and stress.
    (Salguero & Roylance, 2011, Encyclopedia of Thai Massage)


    Reference Notes: (click to display)