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LESSON 22 THE GOVERNOR VESSEL I'AGE J
Du 3 (Go-3): Can a l s o b e n e e d l e d w i t h p a t i e n t s e a t e d , b a c k b e n t f o r -
wards. This p o i n t o f t e n becomes t e n d e r t o p r e s s u r e i n c a s e s o f lum-
bago, s c i a t i c a and p a i n f u l g y n e c o l o g i c a l c o n d i t i o n s . Note t h i s p o i n t
i s s o m e t i m e s c o n f u s e d w i t h GB-33 o f t h e same n a m e , a l t h o u g h m o s t good
a c u p u n c t u r e c h a r t s and t e x t s q u a l i f y one o r b o t h o f t h e s e p o i n t s i n
some m a n n e r . Some a u t h o r i t i e s c o n s i d e r t h i s p o i n t f o r b i d d e n t o moxa
however we can find no c l a s s i c a l or c l i n i c a l c o n f i r m a t i o n for such a
contra-indication.
Du 4 (Go-4): U s u a l l y on t h e same h o r i z o n t a l l e v e l as t h e u m b i l i c u s
[ s e e F i g . 106, page 193 o f t e x t b o o k ] . Can b e p u n c t u r e d w i t h p a t i e n t
s e a t e d , back bent forward, but the prone p o s i t i o n is recommended. This
is probably the most important p o i n t in a c u p u n c t u r e for i n c r e a s i n g or
decreasing sexual function. ;If u t i l i z i n g t h i s p o i n t f o r s o m e t h i n g l i k e
lumbago, you s h o u l d a l w a y s make t h e p a t i e n t a w a r e . o f t h e p o s s i b i l i t y
of r e s u l t i n g changes ( i n e i t h e r way) i n h i s / h e r s e x u a l f u n c t i o n i n g . .
For s p e r m a t o r r h e a t h i s p o i n t i s u s u a l l y used a l o n g w i t h S p - 6 . Tradi-
t i o n a l l y a c u p u n c t u r i s t s a r e c a u t i o n e d a g a i n s t d o i n g t o o much m o x i b u s -
t i o n on t h i s p o i n t on p a t i e n t s beyond the age of twenty, for t h e r e is
a r i s k of causing s t e r i l i t y .
LESSON 22 THE GOVERNOR VESSEL PAGE 3
Yang a t t a c k e d a t t h e same t i m e , t h i s p r e s e n t s s t i f f n e s s o f t h e n e c k ,
syncopal t e n d e n c i e s , a c c u m u l a t i o n of -energy at the c h e s t , and a s e n s a -
t i o n of c o n s t r a i n t below the h e a r t . I n t h i s c a s e one must p u n c t u r e
this point.
For p a i n and c o n t r a c t u r e of t h e neck and t h e nape of t h e n e c k ,
this p o i n t i s u s u a l l y coupled with GB-20. To treat tuberculosis it is
used w i t h B l - 4 3 (Kao M a n g ) . T o t r e a t a s t o p p e d - u p n o s e i n t h e common
cold it is used w i t h Go-23 ( S h a n g - H s i n g ) . It a l s o has a p o s s i b l e ac-
tion o n t h e t h y r o i d g l a n d (De L a F u y e , f a m o u s F r e n c h a c u p u n c t u r i s t ) .
P a t i e n t should be seated u p r i g h t , head bent forward. When n e e -
d l e d , s e n s a t i o n s of l o c a l s o r e n e s s , t i g h t n e s s or numbness should be
generated. If a s e n s a t i o n l i k e an e l e c t r i c shock is p r o d u c e d , immedi-
a t e l y w i t h d r a w t h e n e e d l e a p p r o x i m a t e l y two f e n . Do not use ' l i f t i n g -
p l a n t i n g ' n e e d l e t e c h n i q u e , and p u n c t u r e any d e e p e r t h a n o n e - a n d - a
half pouce is not advised. See n e e d l e d i r e c t i o n and d e p t h i n ' I n d i c a -
t i o n ' s h e e t s a t t h e end o f t h i s L e s s o n .
p o i n t c o m b i n a t i o n s and f o r m u l a s i n v o l v i n g p o i n t s o n t h i s m e r i d i a n n u m e r i c a l l y g r e a t -
er than Go-6.
Du 25 (Go-25): [ N o t e some a u t h o r i t i e s c a l l t h i s G o - 2 4 , 2 6 , o r 2 7 . ] At
the extremity of the c a r t i l a g e prolongment of the nose bone, on the
tip of the nose. Good p o i n t f o r i n t o x i c a t e d p e r s o n a s n e e d l i n g t h i s
p o i n t f r e q u e n t l y c a u s e s immediate v o m i t i n g (be p r e p a r e d for i t ) . Also
supposed to be a good p o i n t for "Brandy n o s e " , but we have never h e a r d
t h i s e x p r e s s i o n a n d d o n o t know w h a t i t m e a n s m e d i c a l l y can any of
you r e a d e r s a d v i s e us on what it means? FORBIDDEN T O M O X I B U S T I O N .
Du 26 (Go-26): [ N o t e some a u t h o r i t i e s c a l l t h i s G o - 2 5 , 2 7 , o r 2 8 . ]
Change words " u p p e r l i p " t o r e a d " p h i l t r u m " i n s t e a d i n t e x t b o o k ' s
'Location' information for t h i s point. This point then is in the
p h i l t r u m ( g r o o v e between u p p e r l i p and n o s e ) a t one t h i r d t h e d i s t a n c e
thereof below the nose, on the muscle o r b i c u l a r i s o r i s . Patient should
be s i t t i n g u p r i g h t , with back of head supported a g a i n s t a head r e s t ,
or laying supine. The L a r g e I n t e s t i n e and Stomach m e r i d i a n s meet a t
this point. I t i s s o m e t i m e s u s e d a l o n g w i t h L I - 4 (Ho-Ku) t o r e l i e v e
d i s c o m f o r t e x p e r i e n c e d b y t h e p a t i e n t from n e e d l i n g p o i n t s o n t h e lower
p a r t s of the body. For permanent foul s m e l l i n g b r e a t h it is used along
w i t h EH-7 ( T a - L u n g ) . If the p a t i e n t ' s pulse stops in emergency s i t u a -
t i o n s t h i s p o i n t i s n e e d l e d for r e v i v a l [some a u t h o r s say a l o n g w i t h
L i v e r - 3 ( T ' a i - C h ' u n g ) a l t h o u g h Go-26 is a v e r y powerful r e s p o n d i n g
p o i n t i n i t s own r i g h t ] . According to the Yellow Emperor's C l a s s i c
(Nei C h i n g ) , t h i s i s a v e r y i m p o r t a n t p o i n t f o r f a c i a l edema, w i t h t h e
f l u i d g o i n g away s h o r t l y a f t e r n e e d l i n g and t h e c u r e h a p p e n i n g u n e x p e c t -
edly. T r a d i t i o n a l l y it is a very e f f e c t i v e point for such i n d i c a t i o n s
a s lockjaw; e p i l e p s y ; f a c i a l p a r a l y s i s ; and c u r v a t u r e o f t h e s p i n e . For
t h e l a s t two, L I - 1 1 ( C h ' U - C h ' i h ) i s u s u a l l y n e e d l e d a t t h e same t i m e .
Du 27 (Go-27): [ N o t e some a u t h o r i t i e s c a l l t h i s G o - 2 6 , 2 8 , o r 2 9 . ]
This point c l a s s i c a l l y belonged to the Large I n t e s t i n e meridian as i t s
t w e n t y - f i r s t p o i n t , b u t was l a t e r i n c o r p o r a t e d i n t o t h e G o v e r n o r m e r i d -
ian. Add t h e f o l l o w i n g t o t h e l i s t o f ' I n d i c a t i o n s ' g i v e n f o r t h i s
point in the textbook: " A p h t h a e ; e p i s t a x i s ; dry t o n g u e ; e p i l e p s y ; and
diabetes". Some s a y t h i s p o i n t i s f o r b i d d e n t o m o x i b u s t i o n , h o w e v e r
t r a d i t i o n a l l y MOXIBUSTION i s s i m p l y NOT ADVISED a t t h i s p o i n t .
Du 28 (Go-28): [ N o t e some a u t h o r i t i e s c a l l t h i s G o - 2 7 , 2 9 , o r 3 0 . ]
O f t e n d e s c r i b e d a s b e i n g o n t h e gums o f u p p e r j a w , i n a d e p r e s s i o n , b e -
tween t h e r o o t s o f t h e two m i d d l e i n c i s o r t e e t h , j u s t b e l o w t h e i n s e r -
tion of the frenulum of the upper l i p . This point c l a s s i c a l l y belong-
e d t o t h e C o n c e p t i o n V e s s e l a s i t ' s t w e n t y - f o u r t h p o i n t , b u t was l a t e r
incorporated into the Governor Vessel i n s t e a d . It is an intersection
p o i n t for t h e Governor, Conception and Stomach m e r i d i a n s . The i n d i c -
a t i o n for "hemorrhoids" given in textbook cannot be confirmed at t h i s
t i m e , but do add t h e f o l l o w i n g to t h e ' I n d i c a t i o n s ' t h e r e : "Inflamma-
t i o n and i t c h i n g a t i n n e r c o r n e r o f e y e s ; n o s e and eye d i s o r d e r s ; t o o t h -
ache". Some a u t h o r s s a y t h i s p o i n t i s f o r b i d d e n t o m o x i b u s t i o n , h o w -
e v e r t h e r e i s a s p e c i a l moxa . t e c h n i q u e g i v e n i n t r a d i t i o n a l l i t e r a t u r e
for t h i s p o i n t , and c l a s s i c a l l y i t i s not c o n t r a - i n d i c a t e d t o moxibus-
tion. I n o r d e r t o moxa t h i s p o i n t , t h e C h i n e s e p r o c e e d a s f o l l o w s \
Take a f i n e s p l i n t e r o f bamboo t h a t has b e e n s o a k e d i n c o o k i n g o i l , i g -
n i t e i t , and w i t h i t ' s i n c a n d e s c e n t t i p d o the m o x i b u s t i o n ( c l a s s i c s
sa,y p u n c t u r e w i t h t h e b u r n i n g e n d ? ? ? ) .
LESSON 22 PAGE 9
NOTE: T h i s i s b y n o means a c o m p l e t e l i s t i n g o f a l l i n d i c a t i o n s p o s -
s i b l e for each given p o i n t , but r e p r e s e n t s r a t h e r t h o s e o f p r e v a i l i n g
u s e , in everyday t r e a t m e n t . The p o i n t s c i r c l e d b e l o w a r e t h e most
s i g n i f i c a n t o r MAJOR o n e s , and a l l i n f o r m a t i o n g i v e n f o r them s h o u l d
b e MEMORIZED i n f u l l . Those n o t c i r c l e d a r e t h e ' S e c o n d a r y ' p o i n t s ,
or points of l e s s e r t h e r a p e u t i c importance or value. Memorization of
Secondary p o i n t information is not r e q u i r e d for examination p u r p o s e s .
INDICATIONS: E p i l e p s y ; a p o p l e x y $ s t r o k e ; h e a d a c h e and
migraine; dizziness; vertigo; anal prolapse; hemorrhoids;
t i n n i t u s ; d e a f n e s s ; r h i n i t i s ; may i n c r e a s e c o n c e n t r a t i o n
a b i l i t y ; h e m i p l e g i a ; n e r v o u s and m e n t a l d i s o r d e r s ; coma,
syncope, etc.
NEEDLE: 2 to 5 Fen [15] towards back or front of head.
MOXA: 5 to 10 m i n u t e s
"Jen-Chung" ( M i d d l e o f Man)
a l s o known a s "Shuei-Ko" (Water Ditch)
Thoracic
vertebrae
ody
Lumbar
vertebrae
LUMBAR VERTEBRA
Spinous proe*
T H O R A C I C VERTEBRAE Sacral
vertebrae
Coccygeal
vertebrae
LESSON 22 SUPPLEMENTARY PAGE 2
The s e c o n d s p i n a l c u r v a t u r e , t h e t h o r a c i c s p i n e , h a s 1 2 v e r t e -
brae (which a t t a c h to the twelve r i b s ) with t h e i r spinous p r o c e s s e s
having a very d i f f e r e n t shape as compared to the lumbar s p i n a l sec-
t i o n immediately below i t . P l e a s e t a k e c a r e f u l n o t e o f how t h e s p i -
n o u s p r o c e s s e s o f t h e l u m b a r v e r t e b r a e a r e much l o n g e r a n d l a r g e r
than those of the thoracic. The s p i n o u s p r o c e s s e s o f t h e t h o r a c i c
v e r t e b r a e , u p o n p a l p a t i o n , f e e l much s m a l l e r i n d i a m e t e r a s c o m p a r e d
to the lengthy p r o j e c t i o n s of the lumbar v e r t e b r a e .
O n t h e a v e r a g e a d u l t , t h e 1 2 t h t h o r a c i c ( a b b r e v i a t e d T12) upon p a l p a t i o n w i t h
t h e f o r e f i n g e r f e e l s a b o u t t h e s i z e o f t h e m i d d l e k n u c k l e o f t h e f i s t when i t i s
clenched. The l u m b a r s p i n o u s p r o c e s s ( 1 s t l u m b a r ) i m m e d i a t e l y b e l o w i t w i l l f e e l
much l o n g e r i n l e n g t h . L I would c o m p a r e r o u g h l y t o p a l p a t i n g t h e l a s t p h a l a n x o n
t h e p o s t e r i o r s u r f a c e o f t h e l i t t l e f i n g e r w i t h t h e hand p l a c e d f l a t o n a s u r f a c e
in f r o n t of you.
The l u m b a r s p i n e , t h e t h i r d c u r v a t u r e (more p r o n o u n c e d i n f e -
m a l e s ) , c o n c a v e s i n w a r d t o w a r d s t h e b o w e l s from T12 t o t h e l u m b o -
sacral joint. The f o u r t h c u r v a t u r e , t h e p e l v i c c u r v e ( i n c l u d i n g s a -
c r a l and c o c c y g e a l s p i n e s ) , c o n v e x e s o u t w a r d away from t h e b o w e l s .
The s p i n o u s p r o c e s s e s o f t h e s a c r a l v e r t e b r a e a r e s m a l l e r t o t o u c h
as compared to t h o r a c i c v e r t e b r a e . Although sacral vertebrae are
n o t landmarks for any Governor V e s s e l p o i n t s , d e s c r i p t i o n is given
h e r e t o h e l p you when you r e a c h L e s s o n #24 o n t h e B l a d d e r m e r i d i a n .
In the middle of the sacrum are t h r e e or four t u b e r c l e s , which
represent the rudimentary spinous processes of the sacral vertebrae.
O f t h e s e t u b e r c l e s , t h e f i r s t i s u s u a l l y p r o m i n e n t and p e r f e c t l y d i s -
t i n c t f r o m t h e r e s t , a l t h o u g h f a t t y t i s s u e i n t h i s a r e a may b e a n
o b s t a c l e , excluding it as a reference point. The s e c o n d and t h i r d
tubercles are either separate or united into a tubercular ridge,
which d i m i n i s h e s i n s i z e from above downward; t h e f o u r t h and f i f t h
usually always, remain undeveloped (see diagram below).
The l o w e r b o r d e r o f t h e
sacrum is the l o c a t i o n of the
s a c r a l h i a t u s which is in the
crease between the buttocks.
The s a c r a l h i a t u s i s t h e gap a t
the end of t h e sacrum, exposing
the spinal canal. The apex o f
t h e s a c r u m , d i r e c t e d downward
and s l i g h t l y f o r w a r d , p r e s e n t s
a small, oval, concave surface
for a r t i c u l a t i o n with the coccyx.
The i m p o r t a n t p o i n t Go-2 ( Y a o - S h u ,
sometimes c a l l e d "Lion's Locus")
is located by palpating the sacral
cornu (see diagram) which marks
t h e end of t h e sacrum and t h e b e -
ginning of the coccygeal spine.
P a l p a t i n g f u r t h e r downward t o -
wards the t i p of t h e coccyx, you
can feel the d i s t i n c t ending of
t h e s p i n e and r i g h t t h e r e i s t h e
l o c a t i o n o f t h e p o i n t Go-1 o r
"Ch'ang-Ch'iang".
LESSON 22 SUPPLEMENTARY PAGE 4
PRACTICAL APPLICATION
Symptomatology and T r e a t m e n t :
F u l l n e s s : S t i f f n e s s of the v e r t e b r a l column; s e d a t e Go-1.
E m p t i n e s s : Head h e a v y , head which s h a k e s ; t o n i f y G o - 1 .
2. The Eight Extra Channels:
T h e Eight E x t r a Channels are the Du, Ren, Chong, Dai, Yinwei, Y a n g -
wei, Yinchiao and Yangchiao Channels. T h e y are different from the
Twelve Channels as they do not pertain to any of the internal organs.
T h i s i s t h e r e a s o n for c a l l i n g t h e T w e l v e C h a n n e l s t h e R e g u l a r C h a n n e l s
and the Eight Channels the Extra Channels.
1. C h a n g q i a n g (Du 1):
Location: M i d w a y b e t w e e n the tip of the coccyx and the anus, located
w i t h t h e p a t i e n t i n p r o n e o r k n e e - c h e s t p o s i t i o n . ( S e e F i g . 105.)
Indications: Hemorrhoids, prolapse of rectum, diarrhea.
P u n c t u r e : P e r p e n d i c u l a r l y 0.5-1.0 i n c h d i r e c t l y b e l o w c o c c y x .
2. Y a o s h u (Du 2):
Location: At the junction be-
t w e e n t h e s a c r u m a n d the coccyx,
at the hiatus of the sacrum.
Indications: Pain in the sacro-
l u m b a r region, irregular m e n -
struation, spermatorrhea, impo-
tence, enteritis, diarrhea.
Changqiang ( D u 1)
Puncture: O b l i q u e l y 0.5-1.0
inch u p w a r d .
3.
Y a o y a n g g u a n (Du 3):
Fig. 105 Location: In the interspace of
the spinous process between the
4th and 5th lumbar vertebrae. Locate the point with the patient in prone
position.
Indications: Lumbago, spermatorrhea, impotence.
P u n c t u r e : P e r p e n d i c u l a r l y 1.0-1.5 i n c h e s w i t h n e e d l e t i l t e d u p w a r d .
4. M i n g m e n (Du 4):
Location: W i t h t h e patient in p r o n e position, it is b e t w e e n t h e spinous
process of t h e 2nd and 3rd l u m b a r vertebrae, at t h e midline. (See Fig.
106.)
Indications: Lumbago,
spermatorrhea, impotence.
Puncture: Perpendicu-
l a r l y 1.0-1.5 i n c h e s w i t h
needle tilted slightly u p -
ward.
M i n g m e n ( D u 4)
Umbilicus
5. X u a n s h u (Du 5):
Location: Below the
s p i n o u s p r o c e s s of t h e 1st
lumbar vertebra. Locate
the point with the patient
in prone position.
Indications: Lumbago,
back pain, dyspepsia, en-
teritis, diarrhea. Fig. 106
Puncture: O b l i q u e l y 0.5-1.0 i n c h , slightly u p w a r d .
7. Z h o n g s h u (Du 7 ) :
Location: With the patient in p r o n e position, it is below t h e spinous proc-
ess o f t h e 1 0 t h t h o r a c i c v e r t e b r a .
Indications: Back pain, gastralgia, anorexia, failing eyesight.
Puncture: O b l i q u e l y 0.5-1.0 i n c h , s l i g h t l y u p w a r d .
8. J i n s u o (Du 8 ) :
Location: Below the spinous process of the 9th thoracic vertebra. Locate
the point w i t h t h e patient in p r o n e position.
Indications: Back pain, gastralgia, neurasthenia, epilepsy, hysteria.
P u n c t u r e : O b l i q u e l y 0.5-1.0 i n c h , s l i g h t l y u p w a r d .
9. Z h i y a n g (Du 9 ) :
L o c a t i o n : B e l o w t h e s p i n o u s p r o c e s s o f t h e 7 t h t h o r a c i c v e r t e b r a , level t o
the inferior angle of t h e scapula.
Indications: Cough, dyspnea, jaundice, gastralgia, chest a n d back pain,
stiffness of t h e s p i n a l c o l u m n .
Puncture: O b l i q u e l y 0.5-1.0 i n c h , s l i g h t l y u p w a r d .
11. S h e n d a o ( D u 11):
Location: Below the spinous process of the 5th thoracic vertebra. Locate
the point with patient in prone position.
I n d i c a t i o n s : P o o r m e m o r y , a n x i e t y , stiffness o f b a c k , c o u g h .
P u n c t u r e : O b l i q u e l y 0.5-1.0 i n c h , s l i g h t l y u p w a r d .
15. Y a m e n ( D u 15):
L o c a t i o n : A t t h e n a p e , 0.5 c u n a b o v e t h e h a i r l i n e , b e t w e e n t h e s p i n o u s
p r o c e s s o f t h e 1st a n d 2 n d c e r v i c a l v e r t e b r a e . ( S e e F i g . 90.)
I n d i c a t i o n s : D e a f n e s s a n d m u t e n e s s , p o s t e r i o r h e a d a c h e , stiffness o f
neck, schizophrenia, neurosis.
P u n c t u r e : Ask patient to bend neck slightly, insert needle p e r p e n d i c -
ularly and slowly t o w a r d s t h e m a n d i b l e to a d e p t h generally not exceed-
i n g 1.5 i n c h e s . M a n i p u l a t i n g t h e n e e d l e i s n o t a d v i s a b l e . ( S e e F i g . 107.)
17. N a o h u ( D u 17):
L o c a t i o n : 1.5 c u n a b o v e F e n g f u ( D u 16), s u p e r i o r t o t h e o c c i p i t a l p r o t u -
berance.
Indications: Stiffness a n d p a i n in t h e neck, h e a d a c h e , dizziness, epilepsy.
Puncture: Obliquely 0.5-0.8 inch.
18. Qiangjian ( D u 1 8 ) :
L o c a t i o n : 1.5 c u n a b o v e N a o h u ( D u 17), m i d w a y b e t w e e n F e n g f u ( D u
16) a n d B a i h u i ( D u 20).
Indications: Headache, vomiting, dizziness.
P u n c t u r e : O b l i q u e l y 0.5-0.8 inch::
2 0 . B a i h u i ( D u 20):
Location: 7 c u n a b o v e t h e p o s t e r i o r h a i r l i n e , m i d w a y o n a line c o n -
n e c t i n g t h e a p e x oC b o t h e a r s . ( S e e F i g . 108.)
Indications: Epilepsy, schizophrenia, apoplexy, headache.
P u n c t u r e : 0.3 i n c h h o r i z o n t a l l y p o s t e r i o r l y .
2 1 . Q i a n d i n g ( D u 21):
L o c a t i o n : 1.5 c u n a n t e r i o r t o B a i h u i (Du 20).
I n d i c a t i o n s : V e r t i c a l h e a d a c h e , d i z z i n e s s a n d v e r t i g o , facial swelling,
convulsions in children and infants.
P u n c t u r e : Obliquely 0.5-0.8 inch.
2 2 . X i n h u i (Du 22):
Location: 3 c u n a n t e r i o r to B a i h u i (Du 20).
5 cun
7 cun
Fig. 108
Indications: Headache, dizziness and vertigo, nasal obstruction, epistaxis,
convulsions in children and infants.
P u n c t u r e : Obliquely 0.5-0.8 inch.
23. S h a n g x i n g (Du 2 3 ) :
Location: 1 cun a b o v e the m i d d l e of t h e a n t e r i o r hairline, 4 cun a n -
t e r i o r t o B a i h u i ( D u 20).
Indications: H e a d a c h e , eye diseases, rhinitis, nasal obstruction, epistaxis.
P u n c t u r e : O b l i q u e l y 0.5-0.8 inch.
24. S h e n t i n g (Du 2 4 ) :
Location: 0.5 c u n a b o v e t h e m i d p o i n t o f t h e a n t e r i o r h a i r l i n e .
Indications: F r o n t a l headache, dizziness a n d vertigo, rhinitis, epilepsy,
anxiety, insomnia.
P u n c t u r e : O b l i q u e l y 0.5-0.8 i n c h .
28. Y i n j i a o ( D u 28):
L o c a t i o n : B e t w e e n t h e u p p e r lip a n d t h e u p p e r g u m i n t h e l a b i a l f r e n u m .
(See F i g . 104.)
Indications: Pain and swelling of the gum, hemorrhoids.
P u n c t u r e : O b l i q u e l y u p w a r d , 0.1-0.2 i n c h , o r p r i c k w i t h t h r e e - e d g e d
n e e d l e a n d let o u t b l o o d .