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GV-14 Great Hammer
大椎 〔大椎〕dà zhuī
Alternate names: 百劳 bǎi láo, Hundred Taxations
Channel: GV, Governing (dū) Vessel
Modern location: An acupoint located on the upper back, inferior to the spinous process of the seventh cervical vertebra.
Classic location: Above the first vertebra. (Yī Zōng Jīn Jiàn)
Local anatomy: The branch of the transverse cervical artery. The posterior ramus of the eighth cervical nerve and the medial branch of the posterior ramus of the first thoracic nerve.
Action: Courses exterior evils in the yáng channels; frees yáng qì of the whole body; clears the heart and quiets the spirit; clears lung heat and regulates qì.
Modern indications: Febrile disease; malarial disease; cough; panting;
Classic indications: Vexation and retching in cold damage with pronounced heat effusion; heat effusion with aversion to cold; cough; pulmonary distension and rib-side pain; stiff nape; throat impediment (hóu bì); qì fullness and panting; the five taxations and seven damages; wind taxation; acute and chronic child fright wind; vacuity sweating.
Needle stimulus: Needling: 0.5 cùn sideways and upward oblique insertion. Moxa: 3‒15 cones; pole 15‒30 min.
Needle sensation: Twinge and distension, heat, or coolness extending downward, upward and toward the shoulders.
Point groups: Intersection point (jiāo huì xué) of the six yáng channels and the governing vessel.
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