5 The Eight Extraordinary Vessels (qi jing ba mai) with Points
Location
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 spine
Special features
Meeting point with all Yang channels, Sea of Qi point.
Du-14 Great Vertebra DAZHUI
15
17
18
20
14
12
8
49 6
47
46
44
42
1 2 3 4 5 6 7 8 9
10
11
12
S.I.-12
S.I.-10
11 13
13
11
9
S.I.-15
Ex B-3
Midline
Spinous process T7
Spinous process T3
Spinous process C7 Du-14
Medial base of
scapular spine
Inferior
angle
Extension and
flexion of the
head
Spinous processes
of C6 and 7
0.5 cun
Spinous process C7 Ex-B-1
Medial base of
scapular spine
Spinous process C7
Du-14
3.5 cun
Ex-B-10
Medial base of
scapular spine
(jiehexue)
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