Acupuncture Points Notebook

Location Guides:

: Shenting : Courtyard of the Spirit

Du-24 : Extraordinary Governing Vessel 24

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

Meeting of Governing Vessel with Bladder and Stomach

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.

Transverse insertion 0.5 - 1 cun

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.

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

    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)