GV9

Du Mai (Governing Vessel) Channel

Reaching Yang

至阳Zhì Yáng

Anatomical location

Below the spinous process of T7.

Main function

Regulates the Liver and Gallbladder, strengthens the spine.

Therapeutic indications

  • Chest pain
  • jaundice
  • cough
  • back pain
  • Chest and rib-side pain
  • Asthma
  • Stiffness of the back
  • Gastric pain
  • Cholecystitis

Name and classical tradition

Zhiyang, 至阳, means “extreme yang.” 至 is the utmost, the extreme. The explanation the sources give is one of accumulation: the back is yang; the number seven is yang, and the point lies below the seventh thoracic vertebra. It would thus be yang within yang, at its highest degree. It is also linked to its position at the level of the diaphragm, where the spine passes from the upper thoracic region to the rest.

The Zhenjiu Jiayi Jing (Systematic Classic of Acupuncture and Moxibustion) locates it “在第七椎節下間,” in the space below the seventh vertebra, and assigns it indications that have survived: “寒熱懈懶,淫濼脛酸,四肢重痛,少氣難言,至陽主之.” Chills and fever with listlessness, tingling and weakness of the legs, heaviness and pain in the four limbs, shortness of breath and difficulty speaking: Zhiyang takes care of all of these.

The reference works give it the alternative name 肺底, “base of the Lung.” At its level, on both sides, lies BL17, Geshu.

Location of point GV9, Reaching Yang
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View point on the 3D modelGV9 on the anatomy
Needling techniquePerpendicular insertion 0.5-1 cun.
Depth0.5-1 cun
MoxibustionApplicable (3-7 cones or 5-15 minutes, indirect moxa)
PrecautionsAvoid deep needling so as not to injure the lung.
Cover of the guide “Protocols for the 20 most common patterns”

Free guide · PDF

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 GV9 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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