Points Database

: Houding : Behind the Crown

Du-19 : Extraordinary Governing Vessel 19

Classifications:
One of the "59 piercings" for clearing Heat in Su Wen Ch. 61

Location:
At the back of the head on the midline 1.5 cun directly superior to Qiangjian Du-18 and 1.5 cun posterior to Bauhui Du-20.

Needling:
Transverse insertion 0.5 - 1 cun

TCM Actions:
Eliminates wind and alleviates pain
Calms the spirit

TCM Indications:
  • Stiffness and pain of the head and neck, one-sided headache, pain of the vertex, wind dizziness, aversion to wind and cold, painful obstruction with sweating.
  • Mad walking, insomnia, epileptic convulsions.

    Neuroanatomy:
    Superficial Innervation: Greater occipital nerve from C2
    Dermatome Segment: C2

    Notes:
    The "59 piercings" are named in the Su Wen Ch. 61 and mentioned in Su Wen Ch. 32 for treating Heat diseases. This point along with Shangxing Du-23, Xinhui Du-22, Qianding Du-21 and Baihui Du-20 clear Heat from counterflow in the Du channel.

    Ling Shu Ch. 24, On Counterflow Diseases, seems to employs this set of points in treating headache, dizziness and heaviness of the head. It advises draining from the five points on each of the five channels on the top of the head, including this point, followed by the hand Shaoyin and then foot Shaoyin.

    Location of the yang wei mai in Zhang Boduan's Book of the Eight Vessels on alchemical practice (Wang Mu, 2011, Foundations of Internal Alchemy)

    In Mayan medicine:
    Combined with Qianding Du-21 and Luoque Bl-8 to form a cross used to treat asthma and late closure of the fontanel (Garcia, Sierra, Balam, 1999: Wind in the Blood)

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

    They give the following actions:
    - Regulates tarpaka kapha
    - Relieves posterior or occipital headaches
    - Enhances cerebral circulation and circulation of CSF
    - Facilitates optimal function of pituitary gland
    - Relieves meningeal irritation
    - Stimulates memory
    - Calms the mind, balances emotions


    Reference Notes: (click to display)