Acupuncture Points Notebook

Location Guides:

: Shangxing : Upper Star

Du-23 : Extraordinary Governing Vessel 23

Alternative Name(s): Mingtang, Guitang, Guigong, Shentang
Translation: Hall of Brightness, Ghost Hall, Ghost Palace, Hall of the Spirit

Classifications:
Sun Si-miao Ghost point (4th trinity)
One of the "59 piercings" for clearing Heat in Su Wen Ch. 61

Location:
At the top of the head on the midline, 1 cun posterior to the anterior hairline and 0.5 cun posterior to Shenting Du-24. Can also be seen as midway between Baihui Du-20 and the glabella.

Needling:
Transverse insertion 0.5 - 1 cun

Warning:
Several classical texts warn that excessive moxibustion at this point will raise the yang and lead to lack of clarity of vision (Deadman et al, 2001).


TCM Actions:
Benefits the nose and eyes
Eliminates wind, benefits the head and dispels swelling
Calms the spirit

TCM Indications:
  • Nasal obstruction and discharge, nasal obstruction accompanied by headache, inability to distinguish the fragrant from the foul, nasal polyps, clear nasal discharge, rhinitis, ceaseless bleeding from the nose and mouth.
  • Visual dizziness, pain of the eyes, short sightedness, redness and swelling of the face, swelling of the skin of the head, head wind.
  • Malaria, febrile disease with absence of sweating, mania-depression.

    Neuroanatomy:
    Superficial Innervation: Ophthalamic branch of trigeminal nerve (CN V1)
    Dermatome Segment: CN V1 ophthalamic branch of trigeminal

    Notes:
    Mainly used for disorders of the nose and eyes.

    Ghost Points:
    The fourth trinity of Ghost Points, consisting of this point, Quchi LI-11, Huiyin Ren-1 and Huiqian or Yintang, is concerned with self-destructive behaviour, self-harm and attempts at suicide.

    This point's actions to open the portals to the senses reflects its ability to treat psychosomatic sensory loss. It is also classically indicated to stop bleeding caused by self harm. This point is generally bled with plum blossom needling (Yuen, 2005, 3 Spirits & 7 Souls).

    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 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 set of "59 Piercings but includes 3 points 1 cun above the hairline and 3 fen to either side which would be to either side of this point if the hairline implied is the anterior hairline.

    Ling Shu Ch. 24, On Counterflow Diseases, seems to employs the 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.


    Reference Notes: (click to display)