Acupuncture Points Notebook

漿 : Chengjiang : Container of Fluids

Ren-24 : Extraordinary Conception Vessel 24

Alternative Name(s): Guishi
Translation: Ghost Market

Sun Si-miao Ghost point (3rd trinity)
One of the "59 piercings" for clearing Heat in Ling Shu Ch. 23

Meeting of Conception Vessel with Du Mai, Large Intestine and Stomach

Above the chin, in the depression in the centre of the mentolabial groove.

Transverse-oblique insertion directed superiorly 0.2 - 0.3 cun, or transverse insertion along the lower lip to join with Dicang St-4

TCM Actions:
Extinguishes wind and benefits the face
Regulates the Ren Mai

TCM Indications:
  • Hemiplegia, deviation of the mouth and eye, lockjaw, wind epilepsy, stifness of the head and nape, tetany, mania-depression.
  • Pain and numbness of the face, swelling of face, pain of the teeth and gums, sudden loss of voice, purple lips, excessive production of watery saliva, dry mouth, wasting and thirsting disorder with great desire to drink, nosebleed.
  • Dark urine, sweating, shan disorder in men, abdominal (zheng jia) masses in women.

    Superficial Innervation: CN V3 mandibular branch of trigeminal
    Dermatome Segment: CN V3 mandibular branch of trigeminal

    This point would also be on the upper trajectory of the Chong mai in Jeffrey Yuen's descriptions (Yuen, 2005, The Extraordinary Vessels).


    Ghost Points:
    The third trinity of Ghost Points, consisting of this point, Jiache St-6 and Laogong Pc-8, is mainly concerned with extreme isolation as the body attempts to deprive itself of any stimulation in order move into a state of suicidal ideation. It generally refers to institutionalised situations, including catatonic states. In a modern clinical setting this trinity is probably better represented by depression with social isolation, loss of appetite, tension in the jaw and extreme rumination. The name "Ghost Market" may represent this tendency to try to bargain oneself out of depression.

    The characteristic feature of this point is the person who is drooling or has extremely dry parched mouth and that either lets food drop out of their mouth or it passes through undigested. Fluids and food are not staying in resulting in them becoming parched and wasted. It is another form of being unable to assimilate. Symptoms more likely to be seen in a modern clinic might include a refusal to eat or drink, dry mouth or undigested food in the stool.

    This point is generally treated with needling using the Zheng dong method to "rattle" the needle as if to shake someone into waking up (Yuen, 2005, 3 Spirits & 7 Souls).


    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 below the mouth that most likely means this point.


    Avicenna describes venesection at this point in his treatise On Venesection:

    "The area between the lower lip and chin is venesected in cases of foul mouth smell." (Aspects of Treatment According to General Diseases, 21st section in Abu-Asab, Amri & Micozzi, 2013, Avicenna's Medicine)


    In Mayan medicine:
    Punctured in case of toothache (Garcia, Sierra, Balam, 1999: Wind in the Blood)


    Medieval phlebotomy point (John de Foxton, 1408: Liber Cosmographiae,; Hans von Gersdorff, 1517: Feldtb├╝ch der Wundartzney, although Gersdorff appears to approach the point from inside the lip.


    Lad and Durve (2008) in Marma Points of Ayurveda call this point Hanu and associate it with the doshas: Bodhaka Kapha, Apana Vayu and Sadhaka Pitta.

    They give the following functions:
    - Regulates bodhaka kapha and salivary secretion
    - Relieves pain
    - Improves colour complexion of the face and tone of the facial muscles
    - Regulates apana vayu
    - Relieves stress and unresolved emotions


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


    In Thai massage:
    Acupressure point indicated for constipation, mouth disorders and vomiting (Salguero & Roylance, 2011, Encyclopedia of Thai Massage)


    Very common piercing, often stretched, in many tribal cultures for various reasons: beauty (Makololo of Malawi), status (Aztecs & Mayans, native Americans and Inuit), religious significance (Dogon of Mali) or betrothal rite (Saras-Djinjas of Chad) (Morrison, 1998: Piercing History, Painful Pleasures)

    Reference Notes: (click to display)