[Category]

crossing point: governor vessel (GV), Yangwei meeting.

[Origin]

Dumb, unable to speak; door, portal. Governor vessel (GV) comes from this and is related to the tongue, which is related to the vocal organ. It mainly treats "dumbness and inability to speak", hence the name. "Silent" and "dumb" have the same pronunciation and meaning.

[Location]

Behind the midline of the nuchal areahairline is a 0.5-inch depression directly superior to the midline. Its depth is approximately between the posterior arch of the first cervical vertebra (annular vertebra) and the spinous process of the second cervical vertebra. .

• Zhenjiu Jiayi Jing: "After hairline Wanwanzhong, it is related to lingual book";
• Bronze Figure acupoint acupuncture and moxibustion: "In the center of the item, enter the hairline five-point Wanwan center."

[Anatomy]

• Muscles: The skin and subcutaneous tissue layers are thicker, and the deep parts are the nuchal ligament, nuchal muscle, and posterior circumoccipital membrane.
• Nerves: The third cervical nerve and the branches of the greater occipital nerve. The spinal canal is the cervical segment of the spinal cord.

[Manipulation]

Sit upright at the desk, tilt your head slightly forward to relax the nuchal muscles, and then slowly insert 0.5 to 1.2 inches in the direction of the chin protuberance of the mandible. Do not insert deeply or repeatedly lift, insert, or twist. If the electric shock sensation dissipates, the needle should be withdrawn immediately. When the needle reaches the nuchal ligament, there is a tight feeling under the hand, and advancement should be stopped; if it encounters tough and elastic resistance, it is the interarcuate ligament or the circumoccipital membrane, and then the needle A loose feeling appears at the bottom, indicating that the needle tip has entered the outer cavity of the hard membrane in the spinal canal; if it encounters soft resistance again or a lightning-like needling sensation occurs, it means that the needle tip has penetrated the hard spinal membrane, and the needle should be withdrawn immediately. Generally, when the needle is inserted 1.5 inches deep (no more than 1.8 inches for those with well-developed nuchal muscles), the needle tip has reached the hard ridge membrane. If the patient develops dizziness, headache, vomiting, limb dysfunction, etc. after the injection, the patient should consider whether it has caused subarachnoid hemorrhage and spinal cord injury, and take corresponding rescue measures immediately. Do not puncture deeply toward the nose to avoid injuring the medulla oblongata through the retrooccipital membrane and medulla oblongata membrane above the posterior tubercle of the annulus. Moxibustion is prohibited.

[Efficacy]

Soothes the tongue, resuscitation, and clears the mind.

• Classical: Slow tongue, strong tongue, inability to speak, aphonia, strong neck, headache, heavy head, apoplexy, Hanre wind spasm, strong backbone reflex, scabies, epilepsy Disease, epistaxis.
• Modern: deafness and dumbness, aphasia, paralysis, neurological vomiting, cerebral hypoplasia, epilepsy, hysteria, schizophrenia, tetanus, chorea.

[Recipe]

• Head weight: Yamen (GV15), Tongtian (BL7), Fu Yang.
• Talking slowly and silently: Yamen (GV15), Guanchong (TE1).
• Strong tongue: Yamen (GV15), Shaoshang (LU11), Yuji (LU10).
• Epilepsy: Yamen (GV15), Renzhong, Houxi (SI3).