5 The Eight Extraordinary Vessels (qi jing ba mai) with PointsLocation
On the midline, below the spinous process of the 7th cervical
vertebra (C7).How to find
First, identify C7 (➞3.4.1): Place 2 fingers on the spinous
processes believed to belong to C6 and C7 and ask the patient to
flex and extend their head. In a fully functional spine and with
correct finger placement, C6 will glide anteriorly with neck
extension, while C7 will remain fixed. However, if the vertebra
below the upper finger does not move with neck extension, the
fingers will most probably have been placed on C7 and T1.
Locate Du-14below the spinous process of C7.
Located on the same level are ➞ Ex-B-1 (dingchuan)/
S.I.-15/Ex-B(jiehexue) (0.5/2/3.5 cun lateral to Du-14).Needling
0.3–1 cun strictly vertically to the skin or obliquely in an inferior
direction, with the patient’s back straight or flexed in order to
avoid puncturing the spinal canal. Oblique insertions should
only be carried out by experienced practitioners, as in small per-
sons (irrespective of their body weight), the spinal canal may be
reached after only 1.25 cun. For persistent epistaxis, place a cold
metal object (for example, a spoon) or a cold cloth on Du-14.
Cupping on this point for acute colds.Actions/Indications
● Clears Wind, firms and regulates the surface, dispels patho-
genic factors
● Clears Heat
● Calms (internal) Wind and the shen
● Strengthens Qi and Yang in deficiency conditions
● Benefits the spine, especially the cervical spineSpecial features
Meeting point with all Yang channels, Sea of Qi point.Du-14 Great Vertebra DAZHUI
151718201412849 6474644421 2 3 4 5 6 7 8 910
11
12S.I.-12
S.I.-1011 1313119S.I.-15Ex B-3MidlineSpinous process T7Spinous process T3Spinous process C7 Du-14Medial base of
scapular spineInferior
angleExtension and
flexion of the
headSpinous processes
of C6 and 70.5 cunSpinous process C7 Ex-B-1Medial base of
scapular spineSpinous process C7Du-143.5 cun
Ex-B-10
Medial base of
scapular spine(jiehexue)Ch05b-F10028.qxd 2/22/08 9:55 PM Page 512