202 - Acu II - Du Point - Part 1 - Du1-Du15
Assignment Details
- Assignments: Submit both the ran and due assignments together next week.
- Minimizes: This reduces the amount of accumulated documents.
- Due Date: Assignments are due on the same day as the quizzes at the end of the day.
- Early Submission: Assignments can be submitted before the due date.
Google Drive Access
- Access Issues: Ensure access to Google Drive and check spam folders.
- Dew Channel Notes: Located under "lecture slides" in Google Drive.
Do Channel (Governing Vessel)
General Information
- Extraordinary Pathway: Similar to the Ren channel, the Du channel is an extraordinary pathway with its own points.
- Point System: Ren and Du channels have their own points (Ren 1-24, Du 1-28), unlike other extraordinary channels that use primary channel points.
- Alternative Names: Also known as the governing vessel or Du vessel.
Pathway
- Origination: Begins in the lower abdomen or lower jiao.
- Emergence: Originates close to Ren 1 but Du 1 is located between the anus and coccyx (perineum).
- Ascent: Ascends along the midline of the body at the back, specifically on the spine.
- Point Location: Points are located between the spinous processes (posterior projections of the vertebral column).
- Needling Angle: Needling angle varies depending on the location on the spine.
- Upper Region: More perpendicular.
- Lumbar Region: Straighter.
- Needle Depth: Use 0.5 to 0.8 cun max, due to the spinal cord's presence.
- Ascent to the Skull: From the lower abdomen the channel ascends to the nape of the neck at the occiput (Du 15, Du 16).
- Deep Branch: Enters the brain from both Du 16 and Du 20.
- Termination: Continues anteriorly to the top of the head and down the middle of the face, terminating inside the mouth at Du 28.
- All midline from the lower abdomen of the perineum all the way up the back of the spine.
Needling Considerations on the Skull
- Superficial Needling: The needling should be quite superficial or horizontal/transverse.
- Avoid Angling: Prevents hitting the skull bone.
Branches of Primary Channel
- Deep Branch 1: Originates in the lower abdomen, ascends into the spine, and connects with the kidney organ.
- Branch 2: Originates in the lower abdomen, winds around the genital area, and ascends through the umbilicus. This overlaps with the Ren channel.
- Branch 3: Emerges at Bladder 1 (inner canthus), follows the bladder primary channel bilaterally along the forehead, converges at Du 20, and enters the brain. The lateral branches converge at the vertex and ends at the ring. The single channel merges at GV 14.
Key Pathway Points
- D 1: Ascends posterior you do do two and then we go to do three all the way up to do 15, 16 to the base of the skull.
- D4, D20: Enters the brain as well as emerge at due four at due 20.
Governing Vessel Pathway Summary
- Origination: Lower abdomen.
- Emergence: Perineum (Du 1).
- Ascent: Midline of the sacrum to the interior of the spinal column to Du 16 (nape of the neck).
- Deep Branch: Enters the brain, ascends to the vertex at Du 20.
- Descent: Midline of the head and bridge of the nose to the philtrum at Du 26.
- Termination: Junction of the upper lip and gum.
Branch Pathways
- Branch 1: Originates in the lower abdomen, descends to the genitals and perineum, winds around the anus, ascends to the interior of the spinal column, and enters the kidneys. Treats hemorrhoids and anal discomfort.
- Branch 2: Originates in the lower abdomen, winds around the external genitalia anteriorly, ascends to the middle of the umbilicus, passes through the heart, ascends to the throat, winds around the mouth, and ascends to the middle of the eyes.
- Branch 3: Emerges at Bladder 1 (inner canthus), follows the bladder primary channel bilaterally along the forehead, converges at the vertex (Du 20), enters the brain, emerges at the back of the head at Du 16, splits, and connects to the kidneys.
Luo Connecting Pathway
- Origin: Arises at Du 1.
- Spread: Spreads along the entirety of the back, sides of the spine, nape of the neck, and occiput.
- Connection: Treats the entirety of the back.
Governing Vessel (Du Channel) Summary
- Extraordinary Channel: The Du channel, along with the Ren channel, has its own points and pathway.
- Principal Function: Ascends the spine to the brain but has an anterior branch.
- Source-Branches: One source with two branches; one goes to the front and the other to the back.
Key Connections
- Kidney Organ: Connects to the kidney organ multiple times.
- Heart Organ: Connects to and goes through the heart.
- Brain: Primary channel enters at Du 16 to go to the brain and connects to the vertex. Primary channel connects to the kidneys multiple times.
Treatment Indications
- Lower Points (Du 1-5): Treat diseases of the anus, rectum, and intestines (hemorrhoids, prolapse, rectal dysfunctions, intestinal disorders).
- Anterior Pathway: Treats painful urinary dysfunction, urinary retention, seminal dysfunctions, leukorrhea, and mental disturbance.
- Spinal Issues: Treats spinal dysfunctions, nerve root issues, and organ-level problems.
- Du 14: Connection of all yang channels; treats heat disturbances and febrile diseases.
- Adjunct to Xung Fu Organ Dysfunction: Supports the treatment of Xung Fu organ dysfunction (e.g., Du-8 for liver disharmony, Du-11 for heart dysfunctions, Du-12 for lung dysfunctions).
- Wind: Treats both exterior and interior wind (e.g., epilepsy, seizures, spasms).
- Sense Organs: Affinity for eyes, nose, ears, and throat due to treating wind and heat.
- Heart Zong: Treats pain, palpitations, and disorders affecting the heart zone.
- Mental-Emotional: Points treat mental-emotional dysfunctions such as depression, manic behavior, agitation, memory issues, and epilepsy.
Extraordinary Pathways
- Only have Luos technically, they have the RenLuo that's branched from Ren 15 and spread across the abdomen.
- The DuLuo connecting pathway actually arises at Du one, and it just spreads along the entirety of the back, along the sides of the spine to the nape of the neck to the occiput, and it spreads along the block the back.
Q&A
- Ren and Dew: D one connects to the tip of the coccyx. They're both right in the paraphernium, so they're both down in that region.
- Divergent Channels: Ren and Dew don't have divergent channels because they don't have Zhang Fu connections.
- Lower spine to the legs: When you're in point three, there are some extra points called the points. They're on either side of the spine. So they're also very helpful for any innervation where maybe there's irritation to the nerve or pressure.
Anatomy Notes
Skeletal System
- Skin Surface: What can be seen, unless working with bones
Vertebral Area: Vertebral column (cervical, thoracic, lumbar, sacral, occipital) - Axial Skeleton (Grayish Color): Main axis where most organs are located.
- Appendicular Skeleton: Appendages (legs, arms).
Surface Areas
- Occiput: Back of the head.
- Deltoid: Where deltoid muscle is.
- Scapular Area: Where the scapula (shoulder blade) is.
- Vertebral Area: Vertebral column (cervical, thoracic, lumbar, sacral, occipital).
- Glutes: Buttocks area.
- Femoral Area: Back of the thigh (hamstrings are located).
- Popliteal: Knee joint.
Axial Skeleton: Protects most of all organs.
Facial and Skull. Spinal Column. - Vertebral Column,Sacrum and Coccyx, Rib Cage: Protects the Heart, Lungs, Liver, Spleen, Pancreas, Stomach Partially, and Abdominal organs covered by fiber sac.
Appendicular Skeleton -Add ons
Notable Bones and Landmarks
- Sternum: Breastbone.
- Clavicle: Collarbone.
- Scapula: Shoulder blade.
- Humerus: Upper arm bone.
- Ulna & Radius: Forearm bones.
- Femur: Thigh bone (largest bone).
- Tibia: Shinbone.
- Fibula: Smaller lower leg bone.
Additional Anatomical Details
- Cranial sutures fuse the bone, with minimal movement (Temporomandibular jaw).
- Key bones include the frontal bone, orbits (supraorbital, infraorbital), maxilla, mandible, zygomatic bone, temporal bone, and parietal bone.
- Surface anatomy is essential for palpation and finding acupoints.
Spine Anatomy
- Cervical Spine: 7 vertebrae (C1-C7). Allows for high degree of rotation.
- Thoracic Spine: 12 vertebrae (T1-T12). Connected to the ribs, limiting movement.
- Lumbar Spine: 5 vertebrae (L1-L5). Larger vertebral bodies to support upper body weight.
- Sacrum: 5 fused vertebrae.
- Coccyx: 3-4 fused vertebrae.
- Spinous Process: Allows needle placement between.
Ribs
- 12 ribs connected from front to back.
True ribs (1-7): Direct connection to the sternum.
False ribs (8-10): Connect indirectly via costal margin.
Floating ribs (11-12): No anterior connection.
Bone Landmarks
- External Occipital Protuberacne: Bump on the back of the head to find
Other information
Head (distal end)
Base (distal end)Du Channel Points (Dew Points)
Du 1 (Changqiang):
- Location: Midway between the anus and the tip of the coccyx.
- Functions: Treats hemorrhoids, benefits the two lower yin openings, calms mind, and alleviates pain.
- Clinical Applications: Hemorrhoids, difficult defecation, prolapse, constipation, mania, epilepsy, and low back pain.
*Luteal connecting point
Du 2 (Yao Shu):
- Location: Sacral hiatus (where the sacrum and coccyx meet).
- Functions: Strengthens the lumbar region and legs, calms spasms and convulsions, and regulates menstruation.
- Clinical Applications: Chronic pain in the lower back and sacrum radiating to the legs, epilepsy, spasm, convulsions, and irregular menstruation.
Du 3 (Yao Yang Guan):
Location: Midline, below the spinous process of the fourth lumbar vertebra (L4).
Functions: Strengthens the lower back and leg, benefits the lower jiao.
Clinical Applications: Back pain radiating to the legs, weakness in the legs, irregular menstruation, nighttime emission, impotence, and leukorrhea.
Haiatal sacrum is located between those tips.
du four is next, and we are actually below the spinous process of the second lumbar vertebra.One thing to keep in mind here is we have skipped, and I'll give you a numbering system to remember which ones you skip.So below below the second lumbar vertebra, deu four, ming men, ming men fire, the it's kind of like the area it's known as the gate of life, this fire, the, you know, the area where the kidneys originate, everything originate between the kidneys so du four is actually level with Shenzhou u b 23.The Baqshu point of the Kidney:.
Points & Anatomy Relation
- Du 3 and Lower Border of L4 = UB 25 (Back-Shu Point of Large Intestine)
- Du 4 and Shenshu UB 23: Level with the kidney back shoe, Ming Men, helps tonify kidney yang expels cold, nourishes the original Qi, strengthens the lower back, benefits the essence of the kidney.
- Du 6 and UB of Spleen: Du 6 Dong Shu with UB helps tonify the Spleen, resolves dampness and benefits the spine
- Du 7 Level with UB 19: Backshoe of the gallbladder
- Du 8 Gan Shu level with u b 18: Soothes the Liver, pacifies wind, calms the spirit and relieves spasm
- Du 9 Level with UB 17 Influential point of blood: Lower border of the level with of the seventh thoracic vertebra with spleen. Helps remove dampness
- Du 10 Level with UB 16: UB is the diaphragm shoe point with heat detioxying for skin conditions such as carbuncles and furuncles. helps clear away from coughs and asthma`
- Du 11 and 15 with the hearth back shoe: Level with the hearth back point. Helps regulate the hearth helps the mind to. So anxiety for memory chest pain.
Shenshu Used twice but points 12 is the lung with coughing asthma.