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GV-1 Long Strong

长强 〔長強〕cháng qiáng

Alternate names: 曹溪路 cáo xī lù, Cao's Ravine Road; 朝天巅 cháo tiān diān, Heavenward Looking Summit; 骶骨 dǐ gǔ, Sacral Bone; 骶上 dǐ shàng, Sacrum Above; 骨骶 gǔ dǐ, Sacral Bone; 龟尾 guī wěi, Tortoise Tail; 龟尾长疆 guī wěi cháng jiāng, Tortoise Tail Long Border; 河车路 hé chē lù, River Cart Road; 脊骶端 jǐ dǐ duān, End of the Sacral Spine; 厥骨 jué gǔ, Jué Bone; 橛骨 jué gǔ, Peg Bone; 龙虎 lóng hǔ, Dragon Tiger; 龙虎穴 lóng hǔ xué, Dragon and Tiger Point; 气郄 qì xī, Qi Cleft; 气之阴郄 qì zhī yīn xī, Yin Cleft of Qi; 穷骨 qióng gǔ, End Bone; 三分闾 sān fēn lǘ, Three Fen From the Gate; 伤山 shāng shān, Damage Mountain; 上天梯 shàng tiān tī, Stairway to Heaven; 为之 wéi zhī, That's It; 尾翠骨 wěi cuì gǔ, Tail Kingfisher Bone; 尾骨下空 wěi gǔ xià kōng, Hollow Below the Tail Bone; 尾榈 wěi lǘ, Tail Palm; 尾蛆骨 wěi qū gǔ, Tail Maggot Bone; 阴郄 yīn xī, Yin Cleft; 鱼尾 yú wěi, Fish Tail

Channel: GV, Governing () Vessel

Modern location: An acupoint located in the anal cleft, midway between the tip of the coccyx and the anus.

Classic location: Three fēn below the tip of the tail bone. The point is found in prostrate posture. (Zhēn Jiǔ Dà Chéng)

Local anatomy: The branches of the inferior hemorrhoid artery and vein. The posterior ramus of the coccygeal nerve, the hemorrhoid nerve.

Action: Courses and regulates localized channel qì; harmonizes yīn and yáng; rectifies intestinal qì and arrests diarrhea; disperses swelling and relieves pain.

Modern indications: Diarrhea; bloody stool; constipation; hemorrhoids; prolapse of the rectum.

Classic indications: Throughflux diarrhea (dòng xiè); bloody stool and the five hemorrhoids; seminal emission; fright epilepsy (jīng xián); tugging and slackening; mania and withdrawal; retching of blood; strangury-turbidity (lìn zhuó); lumbar pain and stiffness of the spine; difficult defecation and difficult urination; red and white dysentery.

Needle stimulus: Needling: 0.5‒1.0 cùn upward oblique or perpendicular insertion. Moxa: 3‒15 cones; pole 10‒30 min.

Needle sensation: Localized pain and distension, sometimes extending down to the anus.

Point groups: Network point (luò xué); intersection point (jiāo huì xué) of the governing vessel and the kidney and gallbladder channels.

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