Point Category Point Category

Ghost Points

十三鬼穴 Shí Sān Guǐ Xué · Thirteen Ghost Points
Also known as: Gui Xue · Ghost Acupoints · Sun Si-Miao Ghost Points · Gui Men Shi San Zhen (Ghost Gate Thirteen Needles) · 13 Ghost Points

A specialized set of thirteen acupuncture points developed to treat severe mental, emotional, and neurological disorders. Originally designed to address conditions ancient Chinese attributed to spirit possession, they are now used for psychiatric disorders, addiction, trauma, and emotional disturbances.

十三鬼穴

Shí Sān Guǐ Xué

Thirteen Ghost Points

Educational content · Consult qualified TCM practitioners for diagnosis and treatment

Overview

The Thirteen Ghost Points (十三鬼穴, Shí Sān Guǐ Xué) represent one of acupuncture's most specialized and powerful point categories, developed specifically for treating severe psychological and neurological conditions. These points derive their evocative name from ancient Chinese beliefs that mental illness was caused by gui (鬼) – ghosts or spirits – possessing or disturbing a person's consciousness.

In modern TCM understanding, the "ghosts" these points address are reinterpreted as pathological phlegm misting the Heart-Mind (心 xīn), blocking the orifices of consciousness and causing mental confusion, emotional disturbance, and aberrant behavior. The points work by clearing heat, dispelling phlegm, calming the spirit (Shen), and restoring mental clarity. They are organized into Four Trinities plus one additional point, representing progressive stages of psychological decline.

While historically associated with exorcism-like practices, modern practitioners value these points for treating conditions like severe anxiety, PTSD, addiction, depression, bipolar disorder, and schizophrenia. They provide a systematic approach to deep-seated emotional and psychological disorders that may not respond to conventional treatment approaches.

Historical Context

The Thirteen Ghost Points first appeared in "Essential Prescriptions Worth a Thousand Gold" (備急千金要方, Bèi Jí Qiān Jīn Yào Fāng), compiled by Sun Si-Miao (孫思邈, 581-682 CE) during the Tang Dynasty. However, Sun attributed this knowledge to the legendary physician Bian Que, suggesting origins possibly dating to 500 BCE. The earliest documented ghost point treatment describes Bian Que reviving a convulsing patient by needling Gui Gong (Ghost Palace).

Sun Si-Miao represented a pivotal transition in Chinese medical thinking – shifting the understanding of mental illness from purely spiritual causation to a more physiological framework involving phlegm obstruction and qi stagnation, while retaining the traditional "ghost" nomenclature. Later texts including "Zhen Jiu Da Quan" (针灸大全, Ming Dynasty) and "Zhen Jiu Da Cheng" (针灸大成, 1601) preserved and systematized these points into the "Song of the Thirteen Ghost Points" (孙真人针十三鬼穴歌), facilitating their transmission through generations.

Comparison

First Trinity

第一组

Points: DU-26, LU-11, SP-1
Stage: Beginning of psychological dysfunction; phlegm beginning to block Heart orifices
Manifestations: Wandering Shen, initial confusion, inappropriate emotional responses
Actions: Expel wind and heat, clear early phlegm accumulation

Second Trinity

第二组

Points: PC-7, BL-62, DU-16
Stage: Ghost gaining deeper access; affecting Heart and brain
Manifestations: Material obsession, walking a destructive path, rigidity and inflexibility
Actions: Protect Heart, address trauma patterns, restore flexibility

Third Trinity

第三组

Points: ST-6, REN-24, PC-8
Stage: Addiction and dependency; using substances to "get the fire going"
Manifestations: Jaw tension, dark thoughts, loss of self, mania/hallucinations
Actions: Release physical tension, address hopelessness, clear Heart heat

Fourth Trinity

第四组

Points: DU-23, REN-1, LI-11
Stage: Ghost has taken over; severe deterioration of health and spirit
Manifestations: Catatonia, complete dissociation, constitutional breakdown
Actions: Clear phlegm from brain, ground deeply, clear systemic heat

Thirteenth Point (Seal)

第十三穴(封穴)

Points: Hai Quan (EX-HN-11) or Yin Tang (EX-HN-3)
Function: Seals the treatment, brings wisdom and enlightenment
Note: Hai Quan (under tongue) is classical but rarely used; Yin Tang is modern substitute
Actions: Complete the treatment, restore connection to self and higher wisdom

Four Trinities Structure

四组三穴

The 13 Ghost Points are organized into Four Trinities (groups of three) plus one extra point. Each trinity represents a progressive stage of mental-spiritual decline: the first addresses early psychological dysfunction with wandering Shen; the second represents the ghost gaining deeper access; the third relates to addiction and dependency; and the fourth marks complete possession and health deterioration. This systematic organization guides point selection based on disease progression.

Phlegm Misting the Heart

痰迷心竅

Sun Si-Miao reinterpreted "ghosts" (gui 鬼) as excess phlegm obstructing the Heart orifices and clouding consciousness. In TCM, this "ethereal phlegm" isn't just physical mucus but represents mental cloudiness, stuck emotions, and obstructed consciousness. It forms from long-standing emotional trauma, weak Jing (essence), poor diet, overwork, or substance abuse. Ghost Points address this phlegm to restore mental clarity.

Gender-Specific Needling Protocol

男从左起针,女从右起针

Classical texts specify that when treating men, practitioners should start needling from the left side of the body; for women, begin from the right side. This reflects traditional TCM principles about yin-yang differences between sexes and how energy flows through the body. For bilateral points, both sides are needled; for midline points, single needling applies.

Sequential Point Application

循序渐进

According to classical protocol, not all 13 points should be needled in one session. Typically only 3 points are used per treatment, selected based on the patient's stage of illness and presenting symptoms. The original text notes: "Not necessarily must all be needled together; stopping at five or six points is usually sufficient." This prevents overwhelming the patient and allows targeted treatment.

Shen Disturbance Treatment

治神志病

Ghost Points specifically target disorders of the Shen (spirit/mind). In TCM, the Shen governs consciousness, mental activity, emotions, and sleep. When Shen becomes disturbed – whether by phlegm, heat, blood stasis, or constitutional weakness – manifestations include mania, depression, confusion, hallucinations, and loss of self. These points work to root, calm, and stabilize the Shen.

Practical Application

In modern clinical practice, Ghost Points are applied thoughtfully for conditions including severe anxiety, PTSD, addiction, depression, bipolar disorder, and schizophrenia. Rather than needling all 13 points, experienced practitioners typically select 2-3 Ghost Points per session based on the patient's presentation, combining them with other appropriate points.

Point Selection by Trinity: For early-stage Shen disturbance (wandering thoughts, initial confusion), use First Trinity points (DU-26, LU-11, SP-1). For addiction and dependency issues, Third Trinity points (ST-6, REN-24, PC-8) are appropriate. For deep-seated trauma or PTSD, Second Trinity points (PC-7, BL-62, DU-16) offer powerful access to stored emotional patterns.

Common Combinations: DU-26 + PC-7 for severe anxiety and consciousness revival; BL-62 + DU-16 for epilepsy and neurological blockages; ST-6 combined with local jaw points for PTSD-related jaw clenching; PC-8 + LI-11 for heat-related manic episodes.

Clinical Considerations: Ghost Points are powerful and should be used judiciously. They work best as part of comprehensive treatment including herbal medicine, lifestyle counseling, and gradual integration of emotional material. These points can bring up intense emotions; ensure patients have adequate support between sessions.

Clinical Relevance

The Ghost Points maintain significant clinical relevance for treating what modern medicine classifies as psychiatric and neurological disorders. Research in China has demonstrated their effectiveness for conditions including post-stroke depression, schizophrenia, anxiety disorders, and addiction. One clinical study showed that combining Ghost Point acupuncture with scalp techniques achieved 89.5% effectiveness for post-stroke depression.

Modern practitioners apply these points for: severe anxiety and panic disorders; PTSD and complex trauma; addiction (substance and behavioral); bipolar disorder and mood instability; depression resistant to other treatments; dissociative states; eating disorders (particularly SP-1 for body image issues); and age-related cognitive decline. The points are particularly valuable when conventional approaches have failed or when there's a clear emotional/spiritual component to illness.

The Ghost Points also offer a framework for understanding how unprocessed emotions and trauma can "possess" a person, altering their behavior, thoughts, and sense of self. This perspective resonates with modern trauma theory and provides patients with a meaningful conceptual framework for their healing journey.

Common Misconceptions

"Ghost Points are about literal ghosts or supernatural entities." While historically framed in terms of spirit possession, the modern understanding interprets "ghosts" (gui) as metaphors for pathological phlegm, unprocessed emotions, trauma, or aspects of self that feel foreign or intrusive. The treatment is physiological and psychological, not spiritual exorcism.

"All 13 points must be needled in each session." Classical texts explicitly state that 5-6 points are usually sufficient, and modern practice typically uses only 2-3 Ghost Points per session. Using too many points can overwhelm patients and may be counterproductive.

"Ghost Points are only for severe psychiatric illness." While developed for extreme conditions, these points are now used across a spectrum of mental-emotional issues, from everyday anxiety to deep trauma. They're not reserved only for psychosis or severe mental illness.

"Ghost Points are dangerous or should be avoided." With proper training and appropriate patient selection, Ghost Points are safe and effective. The caution around them relates more to their potency and the emotional material they may surface, requiring adequate practitioner skill and patient support.

"This is outdated superstitious medicine." The Ghost Points represent one of medicine's earliest systematic approaches to psychiatric treatment. Their continued use reflects genuine clinical effectiveness, now supported by modern research on acupuncture for mental health conditions.

Organizing Principle

The Thirteen Ghost Points are unified by their special capacity to address severe disturbances of the spirit (Shen) and mind. Each point bears a "ghost" name reflecting its role in the ancient exorcism-based treatment paradigm, but more importantly, each targets specific aspects of psychological dysfunction.

The points span multiple meridians – Governing Vessel, Conception Vessel, Lung, Spleen, Pericardium, Bladder, Stomach, and Large Intestine – creating a comprehensive network for treating mental-emotional disorders. They are organized into Four Trinities representing disease progression: (1) DU-26, LU-11, SP-1 address early Shen wandering and phlegm accumulation; (2) PC-7, BL-62, DU-16 treat deeper possession affecting heart and brain; (3) ST-6, REN-24, PC-8 address addiction and loss of vitality; (4) DU-23, REN-1, LI-11 treat severe decline and constitutional breakdown. The 13th point (Hai Quan or Yin Tang) serves as the seal for complete treatment.

Clinically, practitioners select points based on the trinity matching the patient's disease stage, typically using no more than 3 Ghost Points per session combined with other supporting points. This category represents one of TCM's earliest systematic approaches to psychiatric treatment.

Points in this Category

Renzhong DU-26
DU-26

Renzhong

Ghost Palace (鬼宮 Guǐ Gōng) - 1st point; revives consciousness, clears mind; treats inheritance/ancestral trauma, inappropriate laughing/crying

Shaoshang LU-11
LU-11

Shaoshang

Ghost Faith (鬼信 Guǐ Xìn) - 2nd point; clears heat, releases stagnant Lung qi; treats grief, sadness, emotional release

Yinbai SP-1
SP-1

Yinbai

Ghost Fortress (鬼壘 Guǐ Lěi) - 3rd point; stops bleeding, calms mind; treats poor body image, eating disorders

Daling PC-7
PC-7

Daling

Ghost Heart (鬼心 Guǐ Xīn) - 4th point; calms Heart, clears heat; treats emotional upset, heartbreak, material obsession

Shenmai BL-62
BL-62

Shenmai

Ghost Path (鬼路 Guǐ Lù) - 5th point; opens Yang Qiao Mai; treats childhood trauma, sexual abuse trauma, epilepsy

Fengfu DU-16
DU-16

Fengfu

Ghost Pillow (鬼枕 Guǐ Zhěn) - 6th point; clears wind, benefits brain; treats rigidity, resistance to change, lockjaw

Jiache ST-6
ST-6

Jiache

Ghost Bed (鬼床 Guǐ Chuáng) - 7th point; relaxes jaw, benefits face; treats PTSD, jaw clenching, TMJ

Chengjiang REN-24
REN-24

Chengjiang

Ghost Market (鬼市 Guǐ Shì) - 8th point; expels wind, benefits face; treats dark thoughts, worry, inability to smile

Laogong PC-8
PC-8

Laogong

Ghost Cave (鬼窟 Guǐ Kū) - 9th point; clears Heart heat, calms spirit; treats mania, hallucinations, loss of self

Shangxing DU-23
DU-23

Shangxing

Ghost Hall (鬼堂 Guǐ Táng) - 10th point; benefits nose, clears mind; treats catatonia, phlegm misting mind, Alzheimer's

Huiyin REN-1
REN-1

Huiyin

Ghost Store (鬼藏 Guǐ Cáng) - 11th point; regulates Yin, calms spirit; powerful grounding point, treats dissociation

Quchi LI-11
LI-11

Quchi

Ghost Leg/Minister (鬼臣 Guǐ Chén) - 12th point; clears heat, cools blood; treats control issues, IBS from anxiety

EX-HN-11
EX-HN-11

Haiquan

Ghost Seal (鬼封 Guǐ Fēng) - 13th point under tongue; rarely used due to location; brings wisdom, seals treatment

Classical Sources

Bei Ji Qian Jin Yao Fang (Essential Prescriptions Worth a Thousand Gold)

Volume 14, Wind and Epilepsy Chapter (風癫第五)

扁鹊曰:百邪所病者,针有十三穴也,凡针之体,先从鬼宫起,次针鬼信,便至鬼垒,又至鬼心,未必须并针,止五六穴即可知矣

Bian Que said: For diseases caused by the hundred evils, there are thirteen points you can needle. When needling, start from Ghost Palace, then Ghost Faith, then Ghost Fortress, then Ghost Heart. Not all must necessarily be needled together; stopping at five or six points is usually sufficient.

Zhen Jiu Da Cheng (Great Compendium of Acupuncture and Moxibustion)

Song of Sun Zhen Ren's Thirteen Ghost Points

百邪癫狂所为病,针有十三穴须认。凡针之体先鬼宫,次针鬼信无不应

For diseases of the hundred evils causing madness and mania, there are thirteen points one must recognize. When needling, first Ghost Palace, then Ghost Faith - none fail to respond.

Zhen Jiu Da Quan (Complete Collection of Acupuncture)

Ghost Point Song

男从左起针,女从右起针

When needling men, start from the left; when needling women, start from the right.

Modern References

Rooting the Spirit: Clinical Application of the 13 Ghost Points

Rani Ayal (2015)

Comprehensive clinical guide exploring ghost point names, energy, and modern applications based on 30 years of practice

A Manual of Acupuncture

Peter Deadman, Mazin Al-Khafaji, Kevin Baker (2007)

Standard reference text that includes ghost point information within individual point entries

The Foundations of Chinese Medicine

Giovanni Maciocia (2015)

Includes discussion of Shen disturbances and points for treating mental-emotional disorders