Acupuncture Points Notebook

Location Guides:

: Renzhong : Man's Middle

Du-26 : Extraordinary Governing Vessel 26

Alternative Name(s): Shuigou, Guigong
Translation: Water Trough, Ghost Palace

Sun Si-miao Ghost point (1st Trinity)
Command point

Meeting of Governing Vessel with Large Intestine and Stomach

Above the upper lip on the midline, at the junction of the upper third and lower two thirds of the philtrum.

Oblique insertion directed superiorly 0.3 - 0.5 cun

TCM Actions:
Restores consciousness and calms the spirit
Benefits the face and nose and expels wind
Benefits the spine and treats acute lumbar sprain

TCM Indications:
  • Sudden loss of consciousness, coma, acute and chronic childhood fright wind, loss of consciousness from windstroke, lockjaw, deviation of the face and mouth, headache with chills and fever, hypertension.
  • Mania-depression, epilepsy, inappropriate laughter, unexpected laughter and crying.
  • Ceaseless nosebleed, clear nasal discharge, constant nasal discharge with difficulty in breathing, inability to distinguish the fragrant from the foul.
  • Wasting and thirsting disorder, drinking water without limit, oedema of the body, swelling of the face with trembling lips, jaundice.
  • Stiffness and pain of the spine, sprain and pain of the lumbar spine.

    Superficial Innervation: Maxillary branch of trigeminal nerve (CN V2)
    Dermatome Segment: CN V2 maxillary branch of trigeminal

    Command point for fainting and collapse added after Gao Wu (Ming Dynasty).

    One of the most important acupuncture points for restoring consciousness. Can be needled or pressed firmly upwards towards the root of the nose. Also powerful point for calming the mind (Deadman et al, 2001)


    Ghost Points:
    The first trinity of ghost points, consisting of this point, Shaoshang Lu-11 and Yinbai Sp-1, represent the initial stages of being taken over. Being at the peripheries of the body they are aimed at expelling the influence before it takes hold.

    This is the first point of invasion for a possessing force, being located between the nose and mouth, the two main entrances for post-natal influences, its effect on the senses and a distal point for the centre of the chest, Shanzhong Ren-17. At this stage possession is characterised by disruption in the senses and unconscious or psychosomatic reactions to external stimuli. There is a sense something is different or wrong. From here the connection to Yangming enables a route to Taiyin and the following two Ghost points of the first trinity: Shaoshang Lu-11 and Yinbai Sp-1.

    The main force at work here is Wind and so this first trinity is usually treated with bleeding to release the ghost in the exterior (Yuen, 2005 3 Spirits & 7 Souls).


    This point would also be on the upper trajectory of the Chong mai in Jeffrey Yuen's descriptions (Yuen, 2005, The Extraordinary Vessels).


    Lad and Durve (2008) in Marma Points of Ayurveda call this point Oshtha and associate it with the doshas: Prana Vayu, Udana Vayu, Tarpaka Kapha, Bodhaka Kapha and Pachaka Pitta.

    They give the following functions:
    - Restores consciousness in case of fainting
    - Enhances cerebral circulation
    - Improves concentration and mental alertness
    - Enkindles agni, improves digestion
    - Coordinates balances between prana and udana vayu
    - Improves colour complexion of the face


    In Thai massage:
    Acupressure point indicated for dizziness, fatigue and mouth disorders (Salguero & Roylance, 2011, Encyclopedia of Thai Massage)


    In Mayan medicine:
    Punctured to treat flu, cough and headaches (Garcia, Sierra, Balam, 1999: Wind in the Blood)


    Medieval phlebotomy point (John de Foxton, 1408: Liber Cosmographiae,; Hans von Gersdorff, 1517: Feldtb├╝ch der Wundartzney,

    Reference Notes: (click to display)