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Du Mai (Governing Vessel) β€” Teaching Deck (18 points)

DU-1

Changqiang "Long Strength"
Du Mai (Governing Vessel)Connecting (Luo) Point β€” Du Mai

Location

Location of DU-1 (Changqiang)

Actions

  • Regulates the Governing and Directing Vessels
  • Resolves Dampness
  • Regulates the two lower orifices
  • Calms the Mind and opens the Mind's orifices
  • Extinguishes interior Wind
Key point: The beginning and Connecting point of Du Mai, linking it to Ren Mai β€” affects both lower orifices and, being at the vessel's lowest end, can also be used to calm the Mind and open its orifices in agitated/manic mental states.

Indications

Lower Orifices

Painful, difficult or retained urination, dark urine, haemorrhoids, difficult defecation, diarrhoea, prolapse of rectum.

Mental / Wind

Manic depression; opisthotonos, tetany, epilepsy, tremor of the head.

Clinical Pearls (summarized from Comments)

  • A common local point for prolapse of the anus and haemorrhoids (resolves Damp-Heat in the anus).

DU-2

Yaoshu "Transporting Point of Lower Back"
Du Mai (Governing Vessel)No special Five-Element classification

Location

Location of DU-2 (Yaoshu)

Actions

  • Extinguishes interior Wind
  • Strengthens the lower back
Key point: A major point for interior Wind (spasms, convulsions) and hence a key point for epilepsy β€” needled obliquely upwards, aiming for the needling sensation to travel up the spine.

Indications

Wind

Epilepsy.

Local

Pain in the sacrum, lower backache, stiffness of the lower back.

Clinical Pearls (summarized from Comments)

  • Also useful as a local point for chronic sacral backache from Kidney-Yang deficiency.

DU-3

Yaoyangguan "Lumbar Yang Gate"
Du Mai (Governing Vessel)No special Five-Element classification

Location

Location of DU-3 (Yaoyangguan)

Actions

  • Strengthens the lower back and legs
  • Tonifies Yang
Key point: A very frequently used local point for lower backache from Kidney-Yang deficiency, especially when the pain radiates down the legs (also strengthens the legs in Atrophy Syndrome).

Indications

Musculoskeletal

Lower backache, sciatica, stiffness of the lumbar region.

Kidney-Yang

Impotence, white leukorrhoea.

Clinical Pearls (summarized from Comments)

    DU-4

    Mingmen "Gate of Life"
    Du Mai (Governing Vessel)No special Five-Element classification

    Location

    Location of DU-4 (Mingmen)

    Actions

    • Tonifies Kidney-Yang and warms the Gate of Life (Ming Men)
    • Tonifies Original Qi
    • Expels Cold
    • Strengthens the Governing Vessel
    • Strengthens the lower back
    • Benefits Essence (Jing)
    • Clears the Mind
    Key point: The most powerful point to strengthen Kidney-Yang and all Yang energies, especially with moxa β€” but caution is needed: only use moxa here when there is genuine internal Cold, since a person can have Kidney-Yang deficiency alongside Heat elsewhere (e.g. Damp-Heat in the Intestines).

    Indications

    Kidney-Yang Deficiency

    Backache, dizziness, tinnitus, cold knees, feeling of cold in the lower back, frequent pale urination, tiredness, chilliness, cold feet, pain from Cold.

    Essence

    Seminal emissions.

    Mind

    Depression, lack of will-power, mental confusion.

    Wind (interior)

    Tremor of head, opisthotonos, epilepsy.

    Clinical Pearls (summarized from Comments)

    • Du Mai affects the Mind three ways β€” via the Essence, via the Heart, and by entering the Brain β€” which is why DU-4 both warms Yang and lifts mood/clears the Mind in Kidney-Yang-deficient depression.
    • Although a warming point, it can (unusually) also be used to clear Heat β€” the author personally does not use it that way.

    DU-8

    Jinsuo "Tendon Spasm"
    Du Mai (Governing Vessel)No special Five-Element classification

    Location

    Location of DU-8 (Jinsuo)

    Actions

    • Extinguishes interior Wind and relaxes the sinews
    Key point: Used for interior-Wind manifestations β€” convulsions, muscle spasms, tremor, epilepsy β€” and simply to relieve spasm/contracture of the sinews even without interior Wind.

    Indications

    Wind / Sinews

    Opisthotonos, spasms, epilepsy, stiffness and contraction of the spine.

    Clinical Pearls (summarized from Comments)

      DU-9

      Zhiyang "Reaching Yang"
      Du Mai (Governing Vessel)No special Five-Element classification

      Location

      Location of DU-9 (Zhiyang)

      Actions

      • Regulates the Liver and Gall Bladder
      • Resolves Damp-Heat
      • Opens the chest and diaphragm
      Key point: A major point for jaundice β€” resolves Damp-Heat in the Liver_pencil_sketch/Gall Bladder, and separately relieves chest/diaphragm Qi stagnation (distension, hiccups, sighing).

      Indications

      Liver / Gall Bladder

      Jaundice, feeling of heaviness, bitter taste, hypochondrial fullness, epigastric fullness.

      Chest

      Chest fullness.

      Clinical Pearls (summarized from Comments)

        DU-11

        Shendao "Mind Way"
        Du Mai (Governing Vessel)No special Five-Element classification

        Location

        Location of DU-11 (Shendao)

        Actions

        • Strengthens the Heart and calms the Mind
        • Clears Heat
        • Extinguishes interior Wind
        Key point: Level with BL-15 (Heart Back-Shu) and shares its Heart focus β€” nourishes the Heart and calms the Mind for depression/sadness/anxiety, but can also clear Heart-Heat/drain Heart-Fire.

        Indications

        Mind

        Sadness, anxiety, poor memory, palpitations, disorientation, timidity.

        Heat

        Fever, feeling of heat.

        Wind

        Epilepsy in children, lockjaw.

        Clinical Pearls (summarized from Comments)

          DU-12

          Shenzhu "Body Pillar"
          Du Mai (Governing Vessel)No special Five-Element classification

          Location

          Location of DU-12 (Shenzhu)

          Actions

          • Clears Lung-Heat
          • Extinguishes interior Wind
          • Calms the Mind and opens the Mind's orifices
          • Tonifies Lung-Qi
          Key point: Opposite actions depending on technique: reducing clears Lung-Heat and interior Wind (epilepsy, convulsions); reinforcing tonifies Lung-Qi (level with BL-13) β€” the author uses it in autumn, combined with BL-13, to prevent seasonal allergic rhinitis flaring in spring.

          Indications

          Lung-Heat

          Heat in the chest, cough, feeling of heat, breathlessness, thirst, agitation.

          Wind / Mental (child)

          Epilepsy in children, opisthotonos, manic behaviour, rage.

          Lung-Qi Deficiency

          Tiredness, weak voice, propensity to catch cold, allergic rhinitis, asthma.

          Clinical Pearls (summarized from Comments)

            DU-13

            Taodao "Kiln Way"
            Du Mai (Governing Vessel)Meeting point (Du Mai β€’ Bladder)

            Location

            Location of DU-13 (Taodao)

            Actions

            • Regulates the Lesser Yang
            Key point: Clears Heat at the Lesser Yang stage β€” its cardinal sign being alternating chills and fever β€” and also clears lingering residual Heat in postviral fatigue syndrome.

            Indications

            Lesser Yang

            Malaria, alternating feeling of cold and feeling of heat.

            Clinical Pearls (summarized from Comments)

              DU-14

              Dazhui "Big Vertebra"
              Du Mai (Governing Vessel)Meeting point of Du Mai with all Yang channelsPoint of the Sea of Qi

              Location

              Location of DU-14 (Dazhui)

              Actions

              • Clears Heat
              • Releases the Exterior and expels exterior Wind
              • Regulates Nutritive and Defensive Qi
              Key point: Its effect flips with technique: reducing releases the Exterior (Wind-Heat specifically) and clears interior Heat/Wind; reinforcing with direct moxa tonifies Yang (especially Heart- and Kidney-Yang) and, as the meeting point of all Yang channels, clears and stimulates the Brain/Mind.

              Indications

              Heat

              Fever, feeling of heat.

              Exterior Wind

              Aversion to cold, fever, body aches, occipital headache and stiffness, slight sweating.

              Wind (interior)

              Epilepsy.

              Mind / Yang deficiency

              Depression, tiredness, poor memory/concentration, chilliness, profuse pale urination.

              Clinical Pearls (summarized from Comments)

                DU-15

                Yamen "Door to Dumbness"
                Du Mai (Governing Vessel)Point of the Yang Linking Vessel (Yang Wei Mai)Point of the Sea of Qi

                Location

                Location of DU-15 (Yamen)

                Actions

                • Extinguishes interior Wind
                • Benefits the tongue and stimulates speech
                • Clears the Mind
                Key point: Mainly used to promote speech β€” children with speech delay, or adults with aphasia after Wind-stroke. (Extraordinary claims about curing deaf-mute children, made during the Cultural Revolution, are now acknowledged by Chinese doctors as largely exaggerated.)

                Indications

                Wind / Emergency

                Loss of consciousness from Wind-stroke, epilepsy.

                Speech

                Stiffness of tongue, inability to speak, loss of voice, flaccidity of tongue.

                Mind

                Feeling of heaviness of the head, poor memory/concentration.

                Clinical Pearls (summarized from Comments)

                  DU-16

                  Fengfu "Wind Palace"
                  Du Mai (Governing Vessel)Point of the Yang Linking Vessel (Yang Wei Mai)Point of the Sea of MarrowWindow of Heaven PointSun Si Miao Ghost PointPoint of the Eye System

                  Location

                  Location of DU-16 (Fengfu)

                  Actions

                  • Extinguishes interior Wind
                  • Expels exterior Wind
                  • Nourishes Marrow and benefits the Brain
                  • Calms the Mind and opens the Mind's orifices
                  Key point: Eliminates both exterior and interior Wind, making it useful across Wind-stroke, epilepsy, severe giddiness and exterior invasions alike β€” and as a point of the Eye System and Sea of Marrow, it's also an important headache point (Liver-Yang rising, Liver-Wind, Liver-Fire).

                  Indications

                  Wind-stroke

                  Opisthotonos, aphasia from Wind-stroke, hemiplegia.

                  Exterior Wind

                  Aversion to cold, fever, body aches, occipital stiffness and headache.

                  Head

                  Headache, dizziness, tinnitus, blurred vision.

                  Mind

                  Manic behaviour, desire to commit suicide, sadness, fear.

                  Clinical Pearls (summarized from Comments)

                    DU-17

                    Naohu "Brain Window"
                    Du Mai (Governing Vessel)Meeting point (Du Mai β€’ Bladder)

                    Location

                    Location of DU-17 (Naohu)

                    Actions

                    • Extinguishes interior Wind
                    • Benefits the eyes
                    • Benefits the Brain
                    • Calms the Mind and opens the Mind's orifices
                    Key point: Used mostly to subdue interior Wind affecting the Brain β€” epilepsy, Wind-stroke, severe giddiness.

                    Indications

                    Wind

                    Epilepsy, lockjaw.

                    Eyes

                    Blurred vision, myopia, eye pain, excessive lacrimation.

                    Head / Mind

                    Feeling of heaviness of the head, dizziness, manic behaviour.

                    Clinical Pearls (summarized from Comments)

                      DU-19

                      Houding "Posterior Vertex"
                      Du Mai (Governing Vessel)No special Five-Element classification

                      Location

                      Location of DU-19 (Houding)

                      Actions

                      • Calms the Mind and opens the Mind's orifices
                      Key point: A powerful calmer of the Mind, very often used for severe anxiety β€” commonly combined with REN-15.

                      Indications

                      Mind

                      Manic behaviour, anxiety, mental restlessness, insomnia.

                      Clinical Pearls (summarized from Comments)

                        DU-20

                        Baihui "Hundred Meetings"
                        Du Mai (Governing Vessel)Meeting point (Du Mai β€’ Bladder β€’ Gall Bladder β€’ Triple Burner β€’ Liver)Point of the Sea of Marrow

                        Location

                        Location of DU-20 (Baihui)

                        Actions

                        • Extinguishes interior Wind
                        • Subdues Liver-Yang
                        • Raises Yang
                        • Benefits the Brain and sense organs
                        • Lifts the Mind
                        • Promotes resuscitation
                        Key point: At the vertex β€” the convergence point of the Yang channels β€” it has a dual action: expelling Excess Yang from the head (headaches from Liver-Yang rising/Wind) or, with direct moxa, powerfully raising clear Yang for prolapse of internal organs and sinking-Qi patterns. Never use moxa here if there are any Heat signs or high blood pressure.

                        Indications

                        Interior Wind

                        Wind-stroke, hemiplegia, opisthotonos, loss of consciousness, epilepsy.

                        Liver-Yang

                        Headache, dizziness, tinnitus, blurred vision.

                        Sinking Qi

                        Prolapse of stomach/uterus/bladder/anus, very frequent urination, incontinence.

                        Mind

                        Poor memory, depression, loss of consciousness.

                        Clinical Pearls (summarized from Comments)

                        • Combine with DU-26 and P-6 to promote resuscitation in loss of consciousness.

                        DU-23

                        Shangxing "Upper Star"
                        Du Mai (Governing Vessel)Sun Si Miao Ghost Point

                        Location

                        Location of DU-23 (Shangxing)

                        Actions

                        • Opens the nose
                        • Brightens the eyes
                        Key point: Mostly used for chronic nose disorders (allergic rhinitis, sinusitis) to open the nose and resolve Dampness from the nose and sinuses.

                        Indications

                        Nose

                        Nasal congestion and discharge, loss of sense of smell, nasal polyps, sneezing, nosebleed.

                        Eyes

                        Blurred vision, pain in the eyes, myopia.

                        Clinical Pearls (summarized from Comments)

                          DU-24

                          Shenting "Mind Courtyard"
                          Du Mai (Governing Vessel)Meeting point (Du Mai β€’ Stomach)

                          Location

                          Location of DU-24 (Shenting)

                          Actions

                          • Calms and lifts the Mind, opens the Mind's orifices
                          • Extinguishes interior Wind
                          • Benefits the nose
                          • Brightens the eyes
                          Key point: Distinctive for being able to both calm AND lift the Mind β€” used for anxiety/insomnia just as much as for depression and sadness (even in psychiatric practice for schizophrenia). Combine with G.B.-13 for severe anxiety and fears.

                          Indications

                          Mind

                          Manic depression, depression, anxiety, poor memory, insomnia.

                          Wind / Head

                          Opisthotonos, epilepsy, dizziness, vertigo.

                          Nose / Eyes

                          Clear nasal discharge, nasal congestion, nosebleed, lacrimation, blurred vision.

                          Clinical Pearls (summarized from Comments)

                            DU-26

                            Renzhong (Shuigou) "Middle of Person"
                            Du Mai (Governing Vessel)Meeting point (Du Mai β€’ Large Intestine β€’ Stomach)Sun Si Miao Ghost Point

                            Location

                            Location of DU-26 (Renzhong (Shuigou))

                            Actions

                            • Promotes resuscitation and extinguishes interior Wind
                            • Opens the nose
                            • Calms the Mind and opens the Mind's orifices
                            • Benefits the lumbar spine
                            • Regulates the Water Passages of the Upper Burner
                            Key point: The classic emergency resuscitation point for loss of consciousness β€” also an empirical distal point for acute sprain of the lower back on the spine's midline (reduce while the patient gently bends backward and forward).

                            Indications

                            Emergency / Wind

                            Loss of consciousness, coma, Wind-stroke, lockjaw, deviation of eye and mouth, epilepsy.

                            Nose / Mind

                            Nosebleed, clear nasal discharge, loss of sense of smell, manic depression.

                            Musculoskeletal

                            Stiffness and pain of the lumbar spine on the midline, inability to bend forward.

                            Fluids

                            Oedema of the upper part of the body.

                            Clinical Pearls (summarized from Comments)