Houding DU-19 location
DU-19

Houding DU-19

Behind the Vertex · 后顶 · Hòu dǐng
Governing Vessel

Safety Warnings

  • Dangerous point - requires extra caution
  • Deep needling contraindicated - shallow insertion only

Needle Depth

0.5–0.8 cun

Needle Angle

10-15° (Transverse)

Body Area

Head — Vertex

Location

On the head midline, 1.5 cun above Qiangjian DU-18 or 1.5 cun posterior to Baihui DU-20.

Main Actions

  • Calms the Mind
  • Expels Wind

Commentary

Houding DU-19 is mostly used in severe anxiety situation due to its strong calming effect on the Mind. Therefor, it is also able to ease manic behavior, mental restlessness and insomnia. 

On the other hand, it also expels Interior Wind so as to eliminate stiffness and pain on the neck. Other typical symptoms include head, headache, dizziness and aversion to cold. 

Classical Sources

Jia Yi Jing (Systematic Classic of Acupuncture and Moxibustion): "Houding treats headache, pain and heaviness of the head, dizziness and vertigo."

Zhen Jiu Da Cheng (Great Compendium of Acupuncture and Moxibustion): "Houding is indicated for wind headache, stiffness of the neck, epilepsy, mania, and inability to sleep."

How to Locate

First use Baihui DU-20 located at the vertex as a reference point. Then palpate 1.5 cun in a posterior direction and locate Houding DU-19.

Caution

Located on the skull over thin bone and close to the brain - only transverse (subcutaneous) needling is safe. Never needle perpendicular or deeply. The skull is thin in this region, particularly in infants or those with fontanelle abnormalities. Ensure the needle remains in the subcutaneous layer beneath the galea aponeurotica.

Needle Angle

10-15° (Transverse)

Depth Category

Shallow

Standard Depth

0.5–0.8 cun

Needling Directions

0.5–1 cun transversely.

Expected Deqi Sensation

Local distension and heaviness at the scalp. The sensation may spread across the vertex region. Deqi is typically felt as a dull ache or pressure sensation beneath the needle.

Moxibustion

Recommended

Duration: 5–15 minutes

Cupping

Contraindicated

Bloodletting

N/A

Gua Sha

Contraindicated

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