DU9 Zhiyang

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

DU9 (Zhiyang, “Zhiyang”) 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). This point is on the Governing Vessel. A related set of points, also called Yanggang, are located on the Bladder channel, 3 cun lateral to the midline at the same vertebral level. It clears heat and resolves dampness, soothes the Liver and Gallbladder, regulates the Spleen and Stomach, and alleviates pain.

Location

On the posterior midline, in the depression below the spinous process of the tenth thoracic vertebra (T10). This point is on the Governing Vessel. A related set of points, also called Yanggang, are located on the Bladder channel, 3 cun lateral to the midline at the same vertebral level.

Needling

Slightly superior oblique insertion, 0.5 to 1.0 cun. Needling this point on the Du Mai is deep to the spinal canal; caution is required.

TCM functions

Clears heat and resolves dampness, soothes the Liver and Gallbladder, regulates the Spleen and Stomach, and alleviates pain..

Indications

Abdominal fullness and distention, diarrhea, loose stools, borborygmus, abdominal pain, inability to eat, lack of appetite, lassitude, body heat, jaundice, yellow eyes, reddish urine, difficult urination, pain in the chest and back..

Clinical notes

Yanggang is a significant point for treating jaundice and other disorders of the Liver and Gallbladder, such as abdominal distention and pain. Its classical indications strongly point to its role in resolving damp-heat affecting the middle jiao. It is also used for digestive issues like borborygmus, diarrhea, and poor appetite, reflecting its ability to regulate the Spleen and Stomach. The location on the back also makes it relevant for pain in the thoracic spine and abdomen.

On the Governing Vessel channel

DU9 is one of 28 points on the Governing Vessel Meridian. Nearby points:

Frequently asked questions

Where is DU9 located?

DU9 (Zhiyang) is located on the posterior midline, in the depression below the spinous process of the tenth thoracic vertebra (T10). This point is on the Governing Vessel. A related set of points, also called Yanggang, are located on the Bladder channel, 3 cun lateral to the midline at the same vertebral level.

What is DU9 used for?

DU9 clears heat and resolves dampness, soothes the Liver and Gallbladder, regulates the Spleen and Stomach, and alleviates pain. Common clinical indications include abdominal fullness and distention, diarrhea, loose stools, borborygmus, abdominal pain, inability to eat, lack of appetite, lassitude, body heat, jaundice, yellow eyes, reddish urine, difficult urination, pain in the chest and back.

How is DU9 needled?

Slightly superior oblique insertion, 0.5 to 1.0 cun. Needling this point on the Du Mai is deep to the spinal canal; caution is required.

Which meridian is DU9 on?

DU9 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.