L. Intestine CONTENTS CONTENTS CONTENTS CONTENTS CONTENTS CONTENTS CONTENTS Stomach The Governing Spleen vessel Heart S.

Intestine Bladder Reaching Yang Kidney

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ZHIYANG DU-9
Pericardium LOCATION
On the midline of the back, in the depression Sanjiao below theBladder spinous process of the seventh Gall thoracic vertebra. Liver

body due to exterior heat or cold pathogen, diminished qi difficulty in speaking. The five types of jaundice, fullness of the chest and lateral costal region, cough, dyspnoea, heat in the Kidneys. Pain of the lumbar spine, stiffness of the spine.
COMMENTARY

Conception Governing Extra Points

Lingtai DU-10

Zhiyang DU-9 is located at the level of Geshu BL-17 (Diaphragm Shu). The diaphragm separates the middle and upper jiao, and Zhiyang DU-9 acts on both these areas. In fact an alternative name for this point is Feidi (Bottom of the Lung), again reflecting its location at the intersection of these two jiao. In the middle jiao it is able to tonify and warm the Stomach and Spleen (cold in the Stomach, inability to eat, emaciation), as well as to drain dampness or damp-heat, especially of exterior origin (heaviness of the four limbs, and general malaise of the body). In modern clinical practice this point is much emphasised in the treatment of jaundice and was classically indicated for the five types of jaundice. In the upper jiao it is able to unbind the chest (fullness of the chest and lateral costal region, cough and dyspnoea), and in common with many of the points of the Governing vessel is indicated for stiffness of the spine and lumbar pain. Finally in the Essential Questions30 Zhiyang DU-9 is indicated for heat in the Kidneys. This indication clearly fell out of favour and was not mentioned in subsequent texts.
COMBINATIONS

Geshu BL-17

lower border of T7

Jaundice: Zhiyang DU-9, Yinlingquan SP-9, Zusanli ST-36, Riyue GB-24, Danshu BL-19 and Yanggang BL-48.

Zhiyang DU-9
LOCATION NOTE

This point is located seven intervertebral spaces below C7. See How to Locate C7.
NEEDLING

Oblique superior insertion 0.5 to 1 cun. Caution: the spinal canal lies between 1.25 and 1.75 cun deep to the skin surface, varying according to body build.
ACTIONS

Fortifies the Spleen, drains dampness and regulates the middle jiao Treats jaundice Unbinds the chest
INDICATIONS

Cold in the Stomach, inability to eat, emaciation, borborygmus, heaviness and pain of the four limbs, weakness of the four limbs with malaise of the whole