Acupuncture Points Notebook

Location Guides:

: Baihui : Hundred Meetings

Du-20 : Extraordinary Governing Vessel 20

Alternative Name(s): Niwangong, Sanyangwuhui, Tianshan, Guimen
Translation: Muddy Pellet (Daoist term for the brain) Palace, Three Yang Five Meetings, Mountain of Heaven, Ghost Gate

Classifications:
Point of the Sea of Marrow
Opening point of the San Jiao Divergent channel (Cecil-Sterman, 2012, Advanced Acupuncture)
One of the "59 piercings" for clearing Heat in Su Wen Ch. 61 and Ling Shu Ch. 23

Meetings:
Meeting of Governing Vessel with Bladder, Gall Bladder, San Jiao, Liver and San Jiao Divergent

Location:
At the vertex on the midline, in the depression 5 cun posterior to the anterior hairline and 7 cun superior to the posterior hairline, or 8 cun posterior to the glabella and 6 cun superior to the external occipital protuberance.

Needling:
Transverse insertion 0.5 - 1 cun

TCM Actions:
Pacifies wind and subdues yang
Raises yang and counters prolapse
Benefits the head and sense organs
Nourishes the sea of marrow
Benefits the brain and calms the spirit

TCM Indications:
  • Head wind, one-sided headache, pain of the vertex, heaviness of the head, dizziness, wind dizziness, visual dizziness, tinnitus, protruding eyes, blindness, hypertension, hypotension.
  • Windstroke, hemiplegia, opisthotonos, tetany, loss of consciousness, vomiting of foam, wind epilepsy, lockjaw.
  • Prolapse of the rectum, prolapse of the uterus.
  • Agitation and oppression, sensation of heat and oppression of the Heart, fright palpitations, poor memory, lack of mental vigour, disorientation, much crying, sadness and crying with desire to die, mania.
  • Obstruction of the nose, nasal discharge, nosebleed, inability to taste food and drink.
  • Redness of the face after consumption of alcohol, heat in the body, malaria.

    Neuroanatomy:
    Superficial Innervation: Greater occipital nerve from C2 and ophthalamic branch of trigeminal nerve (CN V1)
    Dermatome Segment: Border of C2 and CN V1 regions

    Notes:
    As the highest point of the body this point has is very important for controlling yang, both subduing excess in the top of the body and raising when deficient in the lower part of the body. Also extremely important in treatment of psycho-emotional disorders that affect both the Heart and brain (Deadman et al, 2001, A Manual of Acupuncture).

    Location for the upper dan tian or cinnabar field in alchemical practice, along with Yintang. Probably between the two in the centre of the head (Wang Mu, 2011, Foundations of Internal Alchemy)

    One of the points in the External Dragons protocol in five element acupuncture, along with Dazhu Bl-11, Shenshu Bl-23 and Pucan Bl-61, for eliminating a blockage between the therapist and patient, or a disconnection from themselves, with the additional presence of external symptoms or trauma.

    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, Baihui Du-20 and Houding Du-19 clear Heat from counterflow in the Du channel.

    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 top of the head that most likely means this point.

    Ling Shu Ch. 24, On Counterflow Diseases, seems to employ the 59 points from the Su Wen 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.

    Ling Shu Ch. 52, On the Wei Qi, suggests this point to release evil Qi in the head (Wu & Wu, 2010, state this point explicitly; Unschuld, 2016, only says "they are to be stopped in the brain"). It advises to press the point for a time until there is a reaction and then pierce with the fine needle and apply a draining technique. Conditions treated are headache, dizziness and falling to the ground, abdominal pain, fullness, distension and accumulation. If it is painful and the pain moves it can be cured easily; if is is a painless fixed accumulation it is difficult.

    Jeffrey Yuen (2005, 3 Spirits & 7 Souls) places this point along with Fengfu Du-16 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). Baihui Du-20 as the highest and most yang point most likely represents the Shen.

    This point is also indicated in problems with the Fourth Level of Manifestation of the Soul, or the Anahata chakra, concerned with creation, "mind becoming matter" and the ability to turn ideas into actions that have consequences. This manifests in hopelessness, cynicism and inability to see reality as illusion.
    The other points in this set are Huiyin Ren-1 or Yinjiao Ren-7 and Huiyang Bl-35 (Yuen, 2005, 3 Spirits & 7 Souls).

    This is also one of the points in the 3 Treasures treatment along with Shanzhong Ren-17 and Yongquan Kid-1.
    The alchemist Ge Hong used moxa on these points for exorcism of ghosts ("Gui") with Baihui Du-20 especially indicated for nightmares of being abusive (ibid.).

    In Tung acupuncture this point is called Zheng Hui, Correct Meeting (1010.01) with a lot of the same indications of regulating Yang, both calming excess and raising deficiency (Chu, 2015).

    Two other Tung points, Qian Hui, Anterior Meeting, 1 cun anterior and Hou Hui, Posterior Meeting, 1 cun posterior to this point. Both are indicated for headache and dizziness with Qian Hue also for unconsciousness, blurry vision and nerve degeneration and Hou Hui for lumbar and coccyx pain and Liver Wind signs like hemiplegia and aphasia (Chu, 2015).

    This could make these points equivalent of the highest triad of sephiroth in qabalah with Baihui especially representing Kether.

    In Hindu tantrism this point would be the location of the Sahasrara chakra.

    In Tibetan medicine this point is used for Golden Needle Therapy where a 24 carat gold needle is inserted for migraines related to mLung and Bad-Kan and nerve disorders. It is the only point punctured in this fashion in Tibetan medicine.
    It may also be treated with burnt cones of edelweiss (Trah-wah) flowers on crushed garlic for vertigo and mLung disorders (Bradley, 2000: Principles of Tibetan Medicine)

    In ayurvedic medicine:
    Adhipati marma point
    Size: 1/2 angula (cun)
    Structure: Joint
    Effect of Injury: Fatal (sadhyapranahar marma)
    (Harish Johari, 1996, Ayurvedic Massage, Sanatan Society; Anupama Bhattacharya, Marma Shastra).
    Death is caused due to fire present in the point (agneyabhuta) (Sieler, 2015, Lethal Spots, Vital Secrets, p.32).

    Lad and Durve (2008) in Marma Points of Ayurveda call this point Murdhni or Adhipati and associate it directly with Prana Vayu, Sadhaka Pitta and Tapaka Kapha, and indirectly with Apana Vayu, Udana Vayu and Vyan Vayu.

    They give the following actions:
    - Regularizes prana, synchronises prana and apana vayu
    - Enhances cerebral circulation and circulation of cerebral spinal fluid
    - Restores consciousness
    - Treats sensory and motor dysfunction, aids in coordination
    - Facilitates optimal functioning of pituitary and pineal gland, regulates hormone secretions
    - Regulates frontal lobe activity
    - Stimulates memory, attention and concentration
    - Relieves headaches
    - Calms mind, balances emotions

    In Thai massage:
    Acupressure point along sen line of head running the base of the occiput Fengfu Du-16 to the glabella, Yintang where it branches to the to nostrils, Yingxiang L.I. 20.
    Indicated for erectile dysfunction, fatigue, headache, hypertension, infertility, loss of libido, menstruation difficulties, PMS, reproductive system ailments and stress.
    (Salguero & Roylance, 2011, Encyclopedia of Thai Massage)


    Reference Notes: (click to display)