GV18

Du Mai (Governing Vessel) Channel

Strong Gate

强间Qiáng Jiān

Anatomical location

1.5 cun above GV17, at the occiput.

Main function

Calms Internal Wind, benefits the head, calms the Shen.

Therapeutic indications

  • Headache
  • vertigo
  • epilepsy
  • insomnia
  • Cephalalgia
  • Stiff neck
  • Mania

Name and classical tradition

Qiangjian, 强间, is the “space of stiffness.” 强 (強) is rigid, tense; 间 (間), the space, what lies between. The point is at the junction of the parietal and occipital bones, and it treats stiffness of the nape: the name captures both its position and its use.

The Zhenjiu Jiayi Jing (Systematic Classic of Acupuncture and Moxibustion) devotes a full entry to it: «強間,一名大羽,在後頂後一寸五分,督脈氣所發,刺入三分,灸五壯». Qiangjian, also called Dayu, lies one and a half cun behind Houding; it is a place where the Qi of the Du Mai emerges; needle to a depth of three fen and apply five cones of moxa. The citation gives the alternative name, 大羽, “great feather,” the location relative to GV19, and the needling technique, and it is one of the best-verified citations for the Du Mai.

Other names

  • 大羽Jiayi Jing
Location of point GV18, Strong Gate
CC BY-ND 4.0 (opens in a new tab)
View point on the 3D modelGV18 on the anatomy
Needling techniqueOblique downward insertion 0.3-0.5 cun.
Depth0.3-0.5 cun
MoxibustionContraindicated
PrecautionsAvoid deep needling so as not to injure the brain.
Cover of the guide “Protocols for the 20 most common patterns”

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Protocols for the 20 patterns you see most in practice

Each pattern with its tongue, its pulse, the treatment principle and the points to tonify and disperse. Made for the treatment table, not the bookshelf.

Do you use GV18 with your patients?

In the Clinic you record it in the patient's file, next to the tongue, the pulse and the measurements, so at the next session you know exactly what you used. The Atlas is built in.

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