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Alternate names: 巅上 diān shàng, Mountain Top; 岭上 lǐng shàng, Ridge Top; 岭上天满 lǐng shàng tiān mǎn, Ridge Top Celestial Fullness; 泥丸宫 ní wán gōng, Mud Ball Palace; 三阳 sān yáng, Three Yang; 三阳五会 sān yáng wǔ huì, Three Yang Fivefold Convergence; 天满 tiān mǎn, Celestial Fullness; 维会 wéi huì, Linking Convergence; 五会 wǔ huì, Fivefold Confluence

Channel: GV, governing (dū) vessel

Modern location: An acupoint located on the superior aspect of the head, 7 cùn above the posterior hairline and 5 cùn behind the anterior hairline on the midline.

Classical location: One cùn and five fēn directly above Behind the Vertex (GV-19), in the depression that is in line with the apexes of the ears. From The Golden Mirror of Medicine (医宗金鑑 yī zōng jīn jiàn)

Local anatomy: The anastomotic network formed by the superficial temporal arteries and veins and the occipital arteries and veins of both side. The branch of the great occipital nerve.

Action: Subdues liver yáng and extinguishes liver wind; upbears yáng and stems desertion.

Modern indications: Headache; dizziness; loss of speech wind stroke; tinnitus; mania and withdrawal; prolapse of the rectum; yīn protrusion (prolapse of the uterus).

Classical indications: Fright palpitation; forgetfulness; epilepsy; deathlike reversal; deafness; wind dizziness and heavy-headedness; blindness; vertex headache; yīn protrusion (yīn protrusion (prolapse of the uterus)); hemorrhoidal disease; tetany; clenched jaw; hemiplegia; vexation and oppression in the heart; loss of taste.

Needle stimulus: Needling: 0.3 cùn backward transverse insertion. Moxa: 5‒7 cones; pole 5‒20 min.

Needle sensation: Localized distension with numbness or heaviness, extending to the forehead.

Point groups: Intersection point (jiāo huì xué) of the bladder channel and the governing vessel.

Point name meaning:

• 百 bǎi: one hundred
• 会 huì: meeting, convergence

According to the Nàn Jīng, yáng converges at the head. GV-20 is the intersection (jiāo huì) point of the six yáng channels and the governing vessel. In Chinese, the number one hundred stands for many; hence, the meeting of many channels is called Hundred Convergences. Further, the numerous bones of the skull all meet at this point.

A passage in the text Daoist Storehouse (道藏 dào zàng) refers to the head as the most important part of the body, and further states that it is the meeting place of the hundred spirits. As the uppermost point on the head GV-20 represents the place of convergence of the hundred spirits, or Hundred Convergences.

The numerative hundred may also be a reference to this point’s effectiveness treating the hundred diseases, as is stated in the The Life-Promoting Classic of Acupuncture (针灸资生经 zhēn jiǔ zī shēng jīng). See acupoint names: origins, meanings, and translations.

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