L.

Intestine
CONTENTS
CONTENTS
CONTENTS
CONTENTS
CONTENTS
CONTENTS
Stomach
The Governing vessel
Spleen

General
Index
Indications
Index
Point
Names
Index
Glossary
Points
Index
General
General
General
Index
Index
Index
Indications
Indications
Indications
Index
Index
Index
Point
Point
Point
Names
Names
Names
Index
Index
Index
Glossary
Glossary
Glossary
Points
Points
Points
Index
Index
Index
Points
GeneralIndex
Index Indications
IndicationsIndex
Index Point
PointNames
NamesIndex
Index Glossary
Glossary
PointsIndex
Index General
Previous
Point
Next
Point
Combinations
Index
Previous
Previous
Previous
Point
Point
Point
Next
Next
Next
Point
Point
Point
Combinations
Combinations
Combinations
Index
Index
Index
1
See Notes
Previous
Combinations
PreviousPoint
Point Next
NextPoint
Point
CombinationsIndex
Index

Heart
S. Intestine
CHANGQIANG
DU-1

LongBladder
Strong
Kidney
Luo-Connecting
point of the Governing vessel
Pericardium
Meeting
point of the Governing vessel with
Sanjiao
the Conception vessel and the Gall Bladder
Gall Bladder
and Kidney channels
Liver

Conception
LOCATION
On the
midline, midway between the tip of the coccyx and
Governing
the anus.
Extra Points

INDICATIONS

Haemorrhoids, the five types of haemorrhoids,

chronic haemorrhoids, difficult defecation, cold or
damp (dong) diarrhoea, blood in the stool, prolapse
of the rectum.
The five types of painful urinary dysfunction, difficult urination, retention of urine, dark urine, sexual
taxation, seminal emission due to fear and fright.
Pain of the lumbar region, heavy sensation of the
sacrum, heaviness of the head, shaking of the head,
stiffness of the spine, pain of the Heart.
Mania, fright epilepsy, upward staring eyes, mad
walking, tetany, clonic spasm, vomiting blood.
COMMENTARY

Changqiang DU-1

LOCATION NOTE

This point may be located and needled with the patient

either: i. lying on the front, ii. lying on the side with knees
drawn up, or iii. first sitting on the heels and then leaning
forwards and resting the upper body weight on the elbows with the head on the hands.
NEEDLING

Perpendicular insertion 0.5 to 1 cun.

ACTIONS

Treats haemorrhoids
Benefits the two lower yin
Activates the channel and alleviates pain
Calms the spirit

Changqiang DU-1 is the first point and the luo-connecting

point of the Governing vessel, and all its indications
reflect the pathways and functions of the Governing
vessel principal and luo-connecting pathways.
The Governing vessel winds around the anus, and
Changqiang DU-1 is an important local point in the treatment of haemorrhoids, prolapse of the rectum and
disorders of defecation. The Governing vessel enters the
Kidneys and its anterior pathway winds around the genitals. Changqiang DU-1 is therefore also indicated for
various disorders of urination such as painful urinary
dysfunction, difficult urination and retention of urine, as
well as sexual taxation and the unusual symptom of seminal emission induced by fear and fright, emotions which
are classically considered to injure the Kidneys and Heart.
The Governing vessel ascends along the entire length of
the spinal column and enters the brain, whilst its luoconnecting channel spreads in the occiput. As well as
lumbar and sacral pain and stiffness of the spine,
Changqiang DU-1 is indicated for heaviness of the head.
The Spiritual Pivot24 gives specific indications for disorders of the Governing luo-connecting channel. If it is
excess there is stiffness of the spine, and if deficient there
is heaviness of the head and shaking of the head.
Although the Heart is most frequently cited as the
residence of the spirit, since its early beginnings Chinese
medicine has been able to hold the concurrent belief that
the head and brain also influence the spirit (see introductory discussion above). Thus the Essential Questions25 stated
the head is the residence of the intelligence and Sun Simiao, in the Thousand Ducat Formulas said The head is the
supreme leader, the place where mans spirit concentrates. Since the Governing vessel enters the brain and its
anterior pathway ascends through the Heart, Changqiang
DU-1 is indicated for such manifestations of disordered
spirit as mania, mad walking and fright epilepsy, as well
as for pain of the Heart.

L. Intestine
CONTENTS
CONTENTS
CONTENTS
CONTENTS
CONTENTS
CONTENTS
CONTENTS
Stomach
2
Spleen

Index
Index
Names
Index
Points
Index
General
General
General
Index
Index
IndexIndications
Indications
Indications
Indications
Index
Index
IndexPoint
Point
Point
Point
Names
Names
Names
Index
Index
IndexGlossary
Glossary
Glossary
Glossary
Points
Points
Points
Index
Index
IndexGeneral
General
Index
Indications
Index
Point
Names
Index
Glossary
General
Index
Indications
Index
Point
Names
Index
Glossary
Points
Index
Points
Index
General
Index
Indications
Index
Point
Names
Index
Glossary
Points
Index
Previous
Point
Point
Combinations
Index
Previous
Previous
Previous
Point
Point
PointNext
Next
Next
Next
Point
Point
Point vessel
Combinations
Combinations
Combinations
Index
Index
Index
Previous
Point
Next
Point
Previous
Point
Next
Point
Combinations
Index
Combinations
Index
Previous
Point
Next
Point
Combinations
Index
The
Governing
See Notes

Heart
S. Intestine
According to qigong theory, there are three important
Bladder
gates or
passes (sanguan) in the practice of qi circulation
Kidney
through the Governing vessel. These gates, through which
it is more
difficult to circulate the qi are the Coccyx Pass
Pericardium
(Weiluguan)
Sanjiaoin the region of Changqiang DU-1, the Lumbar Pass (Jiajiguan) in the region of Mingmen DU-4, and the
Gall Bladder
Occipital Pass (Yuzhenwan) in the region of Yuzhen BL-9.
Liver DU-1 has been accorded a great variety of
Changqiang
Conception
different
names. Its best known, Changqiang (Long
Strong),
is said to refer either to the Governing vessel (of
Governing
which Extra
this isPoints
the first point) which is long and strong, or
to this points ability to make the penis long and strong.
Alternative names include Longhuxue (Dragon and Tiger
Point), Chaotiandian (Heavenward-Looking Summit) and
Shangtianti (Stairway to Heaven).
COMBINATIONS

The five types of haemorrhoids: Changqiang DU-1,

Weizhong BL-40, Chengshan BL-57, Feiyang BL-58,
Yangfu GB-38, Fuliu KID-7, Taichong LIV-3, Xiaxi
GB-43, Qihai REN-6 and Huiyin REN-1 (Great Compendium).
The nine types of haemorrhoids (with bleeding):
Changqiang DU-1 and Chengshan BL-57 (Song of the
Jade Dragon).
Chronic haemorrhoids: Changqiang DU-1, Erbai
(M-UE-29) and Chengshan BL-57 (Great Compendium).
Prolapse of the rectum and haemorrhoids:
Changqiang DU-1, Erbai (M-UE-29), Baihui DU-20
and Zhishi BL-52 (Great Compendium).
Prolapse of the rectum: Changqiang DU-1,
Dachangshu BL-25, Baihui DU-20, Jianjing GB-21,
Hegu L.I.-4 and Qichong ST-30 (Compilation).
Prolapse of the rectum in children: Changqiang
DU-1, Baihui DU-20 and Dachangshu BL-25 (Great
Compendium).
Difficult urination and defecation, dribbling and retention of urine: Changqiang DU-1 and
Xiaochangshu BL-27 (Thousand Ducat Formulas).
Hot constipation, qi constipation: first needle
Changqiang DU-1 then Dadun LIV-1 and
Yanglingquan GB-34 (Song of Points).
Intestinal wind (blood in the stools): Changqiang
DU-1 and Chengshan BL-57 (One Hundred Symptoms).
Childhood fright epilepsy: Changqiang DU-1 and
Shenzhu DU-12 (Supplementing Life).
Childhood epileptic convulsions, vomiting and diarrhoea, fright and fear: Changqiang DU-1 and Qimai
SJ-18 (Systematic Classic).
Pain of the Heart with shortness of breath: Changqiang DU-1, Qimen LIV-14, Tiantu REN-22, Xiabai
LU-4 and Zhongchong P-9 (Thousand Ducat Formulas).