DU7 Central Pivot

Reviewed by · Licensed Acupuncturist & TCM Physician · Last reviewed June 2026

DU7 (Zhongshu, “Central Pivot”) is an acupuncture point on the Governing Vessel Meridian. It is located on the posterior midline, in the depression below the spinous process of the tenth thoracic vertebra (T10). It benefits the spine, regulates the Liver and Gallbladder.

Location

On the posterior midline, in the depression below the spinous process of the tenth thoracic vertebra (T10).

Needling

Oblique insertion superiorly 0.5-1 cun. Caution for pneumothorax.

⚠ Pneumothorax risk: oblique/shallow only, never deep perpendicular over the chest wall.

TCM functions

Benefits the spine, regulates the Liver and Gallbladder.

Indications

Low back pain, stiffness of the spine, jaundice, cholecystitis.

Clinical notes

DU7 is primarily indicated for lumbar pain and stiffness, particularly when accompanied by a sensation of cold. It also has a notable effect on regulating the Liver and Gallbladder, making it useful for hypochondriac pain, jaundice, and other Liver/Gallbladder disharmonies. Its influence on the Liver suggests its use for sinew problems in the lower back. It can be combined with BL18 and BL19 for Liver/Gallbladder issues.

On the Governing Vessel channel

DU7 is one of 28 points on the Governing Vessel Meridian. Nearby points:

Frequently asked questions

Where is DU7 located?

DU7 (Zhongshu) is located on the posterior midline, in the depression below the spinous process of the tenth thoracic vertebra (T10).

What is DU7 used for?

DU7 benefits the spine, regulates the Liver and Gallbladder. Common clinical indications include low back pain, stiffness of the spine, jaundice, cholecystitis.

How is DU7 needled?

Oblique insertion superiorly 0.5-1 cun. Caution for pneumothorax. Caution: ⚠ Pneumothorax risk: oblique/shallow only, never deep perpendicular over the chest wall.

Which meridian is DU7 on?

DU7 is a point on the Governing Vessel Meridian (Dū Mài).

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⚠️ This page is for general education and is not medical advice. Acupuncture is a traditional practice; evidence varies by condition and study quality, and individual results differ. It does not replace diagnosis or treatment by a licensed professional. Always consult a qualified acupuncturist or physician.