Ling Gu and Da Bai

Star

靈骨大白 (Líng Gǔ Dà Bái)

Master Tung — Dao Ma Groups Pain — Sciatica

Master Tung Ching Chang (董景昌, 1916–1975), Tung's Extraordinary Points.

Points

  1. T.22.05 Ling Gu opposite side

    The principal point; moves qi through the whole body

  2. T.22.04 Da Bai opposite side

    The assisting point of the Dao Ma pair

Treatment Principle

Move qi and blood through the affected side by needling its image on the opposite hand, in the territory the Lung and Large Intestine share.

Indications

Sciatica — the primary indicationlow back and hip painhemiplegia and post-stroke weaknessfatigue and low energyamenorrhoea and irregular menstruationheadache and facial paralysisimpotencecough and asthma

Method

Needle Ling Gu deeply, angled proximally along the second metacarpal toward the wrist, then Da Bai. Both on the hand opposite the affected side. Retain 30 to 45 minutes while the patient walks or moves the affected leg.

Needle order: Ling Gu first, then Da Bai — the principal point before the assistant, which is the general rule for a Dao Ma.

⚠ Cautions

Contraindicated in pregnancy — a strongly qi-moving combination. Use reduced stimulation in very weak or depleted patients; Tung's texts warn that the qi-moving action can be excessive in the frail. Not a substitute for assessment of red-flag back pain.

About

Dao Ma (倒馬, 'toppling horse') is Tung's term for needling two or three points along the same line so that they brace one another, as a pair of horses steadies a cart. Ling Gu and Da Bai are the pairing the system is famous for.

Rationale

Both points sit in the web and first-interosseous territory of the hand, which in Tung's mapping images the hip and sacrum. Tung regarded Ling Gu as acting on the whole body rather than a segment — his own writing describes it as moving qi everywhere — which is why its indications run well beyond sciatica into fatigue, amenorrhoea and stroke recovery.

Clinical Notes

The movement is not optional. Have the patient stand and walk with the needles retained; where local treatment would prevent that, this pairing depends on it. Effect is often apparent within the first minute, and a pairing that does nothing in five is usually the wrong side or the wrong depth — Ling Gu needs to reach the junction of the metacarpals.

Sources

  • Tung Ching Chang. Tung's Acupuncture (董氏鍼灸正經奇穴學). Taipei, 1973.
  • Young, Wei-Chieh. Lectures on Tung's Acupuncture: Points Study. Blue Poppy Press.

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