Resuscitation Points — GV26 and the Jing-Well Bleeding

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Classical Prescriptions Emergency

Classical first-aid acupuncture.

Points

  1. GV26 Shuigou midline

    The principal resuscitation point

  2. PC9 Zhongchong bilateral

    Jing-Well of the Pericardium; bled

  3. HT9 Shaochong bilateral

    Jing-Well of the Heart; bled

  4. EX-UE11 Shixuan bilateral

    The ten fingertips, bled in severe cases

  5. KI1 Yongquan bilateral

    Descends excess yang; restores consciousness

Treatment Principle

Restore consciousness by opening the orifices and drawing yang downward.

Indications

Fainting and vasovagal collapseloss of consciousnessheatstrokeshockfebrile convulsion in childrenwindstroke with clenched jaw

Method

GV26 first, needled obliquely upward toward the nasal septum with strong stimulation, or pressed hard with a fingernail if no needle is to hand. If consciousness does not return, prick the Jing-Well points to bleed. KI1 is added to draw yang downward.

Needle order: GV26, then the Jing-Well points, then KI1.

⚠ Cautions

This is an adjunct to, never a substitute for, emergency medical care. Call for help first. Any collapse with head injury, chest pain, absent pulse or absent breathing requires resuscitation and emergency services immediately — do not delay that to needle. Do not use where a cervical spine injury is possible.

About

The classical first-aid sequence, and the one every practitioner should be able to perform without reference.

Rationale

GV26 sits on the Governing Vessel at the philtrum, where strong nociceptive stimulation reliably rouses a fainting patient — an effect that needs no theoretical justification to be useful. The Jing-Well points are where the channel qi is said to emerge, and bleeding them is the classical escalation when the first measure has not worked.

Clinical Notes

A patient who faints on the treatment couch should first be laid flat with the legs raised and the needles removed; GV26 is for when that has not been enough. Tung's Shou Jie (T.22.10) serves the same purpose within that system and is worth knowing.

Sources

  • Deadman, Peter; Al-Khafaji, Mazin; Baker, Kevin. A Manual of Acupuncture.

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