Points Database

Location Guides:

: Shenting : Courtyard of the Spirit

Du-24 : Extraordinary Governing Vessel 24

Alternative Name(s): Tianting
Translation: Courtyard of Heaven


Meetings:
Meeting of Governing Vessel with Bladder and Stomach

Location:
At the top of the head on the midline, 0.5 posterior to the anterior hairline and 0.5 cun anterior to Shangxing Du-23.

Needling:
Transverse insertion 0.5 - 1 cun

Warning:
Several classical texts suggest needling this point may damage the eyesight or cause mania (Deadman et al, 2001)


TCM Actions:
Benefits the brain and calms the spirit
Eliminates wind and benefits the head
Benefits the nose and upper eyes

TCM Indications:
  • Mania-depression, ascends to high places and sings, discards clothing and runs around, mimics other people's speech, fright palpitations, insomnia, loss of consciousness, tongue thrusting.
  • Upward staring eyes, opisthotonos, wind epilepsy, wind dizziness accompanied by vomiting, vomiting with agitation and fullness, dizziness, head wind, headache with chills and fever, cold sensation of the head.
  • Clear and ceaseless nasal discharge, nasal congestion and discharge, nosebleed, lacrimation, lack of visual clarity, dyspnoea.

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

    Notes:
    In Daoist tradition this point is said to directly access the brain (niwan, muddy pellet) and therefore have a strong effect of psychological disorders.

    In Mayan medicine:
    Punctured in cases of China Pool headache and generally used in conjuction with Touwei St-8 and Hanyan GB-4 (Garcia, Sierra, Balam, 1999: Wind in the Blood)

    Lad and Durve (2008) in Marma Points of Ayurveda locate a point 0.5 cun anterior to this point directly on the hairline called Kapala and associate it with Tarpaka Kapha, Sadhaka Pitta and Prana Vayu.

    They give the following actions:
    - Relieves headaches
    - Facilitates optimal function of pituitary gland
    - Benefits eyes and nose
    - Calms mind, balances emotions, relieves stress

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

    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 fatigue, headache and psychological ailments.
    (Salguero & Roylance, 2011, Encyclopedia of Thai Massage)


    Reference Notes: (click to display)