GV27

Du Mai (Governing Vessel) Channel

Sharp Tip

兑端Duì Duān

Anatomical location

On the tubercle of the upper lip, at the junction of the skin and the mucous membrane, on the midline.

Main function

Expels Wind, calms the Shen, benefits the mouth.

Therapeutic indications

  • Toothache
  • facial paralysis
  • facial spasms
  • deviation of the mouth
  • gum pain
  • stomatitis
  • mania
  • nasal obstruction
  • intense thirst

Name and classical tradition

Duiduan, 兑端, is the “sharp tip.” 兑 (兌) is equivalent here to 銳, sharp, pointed; 端 is the extremity. The point lies on the tubercle of the upper lip, on the border between the skin and the vermilion of the lip, the tip that crowns the mouth. 兌 is also one of the eight trigrams of the Yijing (Book of Changes), the one associated with the mouth. The reading that links the tip and the trigram of the mouth is plausible, but no source makes it explicit; the same play appears in ST45, Lidui.

The sources count it among the points recorded in the Zhenjiu Jiayi Jing (Systematic Classic of Acupuncture and Moxibustion), with no literal quotation. No alternative names or additional historical data are known for it. It is one of the Du Mai points with the least information.

Location of point GV27, Sharp Tip
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View point on the 3D modelGV27 on the anatomy
Needling techniqueOblique insertion upward 0.2-0.3 cun.
Depth0.2-0.3 cun
MoxibustionContraindicated
PrecautionsAvoid deep needling to prevent damage to facial structures.
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 GV27 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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