# GV09 Zhiyang (Reaching Yang) – Governing Vessel

至陽 · zhì yáng

Location: Below spinous process of the 7th thoracic vertebra approximately at the level with inferior angle of the scapula.

Cautions: No specific contraindications.

Canonical page: https://acuiq.com/points/gv09

## Indications

An indication list is a reference index, not a prescription – see the protocols below for sourced treatments.

Benefit Regulate Jiao Middle, Benefit Spleen, Benefit Spleen, Boil / Furuncle Woolly, Boil Furuncle Woolly, Stomach Rumbling, Stomach Rumbling, Clove Sores, Common Cold, Common Cold, Cold Pathogen, Cold Pathogen, Cold Stomach, Cold Stomach, Cough, Damp, Qi Deficiency, Qi Deficiency, Disease Heart Acute, Disease Heart Acute, Disease Stomach, Disease Stomach, Eating Problems, Eating Problems, Shortness of Breath, Emaciation, Enteritis, Fever, Chest Fullness, Chest Fullness, Costal Lateral Fullness, Costal Lateral Fullness, Heat, Heat Kidneys, Heat Kidneys, Heaviness Limbs, Heaviness Limbs, Hemiplegia, High Blood Pressure, High Blood Pressure, Spinal Stiffness, Immobility Spine, Jaundice, Jaundice Five Types, Jaundice Five Types, Numbness, Foot Numbness, Foot Numbness, Hand Numbness, Hand Numbness, Lower Back Pain, Lower Back Pain, Headache, Headache, Limbs Pain, Limbs Pain, Lumbar Spine Pain, Lumbar Spine Pain, Stomach Ache, Stomach Ache, Papules, Paralysis, Regulate Jiao Middle, Speech Impairment, Speech Impairment, Organs Phase Stagnation, Organs Phase Stagnation, Stroke, Wind Cold Acute Syndrome, Wind-cold Acute Syndrome, Wind Cold Interior Syndrome, Wind-cold Interior Syndrome, Unbind Chest, Unbind Chest, Vomiting, Heart Zang Weakness, Heart Zang Weakness, Limbs Weakness, Limbs Weakness, Wind Organs Phase, Wind Organs Phase

## Most often selected alongside GV09

Sourced protocols in the index pairing each point with this one. Corpus frequency, not a combination to use.

- GV14 (Great Vertebra) – 24 protocols
- GV20 (100 Convergences) – 19 protocols
- GV04 (Life Gate) – 12 protocols
- GV03 (Yang Lumbar Gate) – 11 protocols
- GV16 (Wind Mansion) – 10 protocols
- GV11 (Spirit Path) – 9 protocols
- ST36 (Leg Three Miles) – 9 protocols
- GV24 (Spirit Court) – 8 protocols

## Protocols using GV09

| Symptoms | Points | Course | Source | Kind | Caveat |
|---|---|---|---|---|---|
| Neuropathy Peripheral, Neuropathic Pain, Paresthesia, Chemotherapy-Induced Neuropathy, Sensory Loss, Muscle Weakness | ST25, ST36, ST43, SP06, SP10, BL13, BL17, BL58, GB41, LV03, GV09, GV11, GV12, GV14 | 84 days | doi:10.1186/s12885-016-3037-z | trial | Point selection reported in a published study. |
| Hyperglycemia, Prediabetes, Impaired Glucose Tolerance | LI04, ST36, ST37, ST39, ST40, SP06, SP09, BL18, BL20, BL21, LV03, LV13, LV14, CV12, GV09 | 112 days | doi:10.1186/s13063-017-2014-4 | trial | Point selection reported in a published study. |
| Anxiety, Depression, Heartburn, Gastroesophageal Reflux Disease, Acid Reflux, Chest Pain Noncardiac, Upper Abdomen Pain | GV09, GV10, GV11, GV14, GV20 | 42 days | doi:10.1155/2020/5415813 | trial | Point selection reported in a published study. |
| Ischemic Stroke, Neurological Deficit, Paralysis Hemiplegia | GV04, GV09, GV14 | 1 days | doi:10.1097/MD.0000000000025480 | trial | Point selection reported in a published study. |
| Headache, Sore Throat, Joint Pain, Muscle Pain, Fatigue Chronic, Sleep Unrefreshing, Memory Impaired, Fatigue Post-exertional, Cold Intolerance, Concentration Impaired, Yang Deficiency Spleen-kidney, Lumbar Weakness | BL11, BL13, BL14, BL15, BL17, BL18, BL19, BL20, BL21, BL22, BL23, BL25, GV02, GV03, GV04, GV05, GV06, GV07, GV08, GV09, GV10, GV11, GV12, GV13, GV14 | 28 days | doi:10.1186/s12967-023-04250-z | trial | Point selection reported in a published study. |
| Memory Impairment, Attention Deficit, Cognitive Impairment Vascular, Sequela Stroke | GV03, GV04, GV09, GV14, GV16, GV20, GV24 | 28 days | doi:10.1097/MD.0000000000044257 | trial | Point selection reported in a published study. |
| Hiccups Persistent, Stroke Cerebral Infarction | ST36, PC06, GV09 | 1 days | doi:10.1097/MD.0000000000044036 | trial | Point selection reported in a published study. |
| Stroke, Hiccups Persistent | ST36, PC06, GV09 | 1 days | doi:10.1097/MD.0000000000044036 | trial | Point selection reported in a published study. |
| Opioid Dependence, Withdrawal Insomnia, Withdrawal Anxiety, Withdrawal Craving, Withdrawal Restlessness | GV04, GV09, GV10, GV11, GV14, GV20 | 10 days | doi:10.3389/fpsyt.2021.767613 | trial | Point selection reported in a published study. |
| Memory Impaired, Cognitive Impairment Mild | GV04, GV09, GV14, GV20 | 84 days | doi:10.3389/fneur.2022.942682 | trial | Point selection reported in a published study. |
| Nasal Congestion, Allergic Rhinitis, Sneezing, Nasal Itching, Rhinorrhea Clear | SP15, BL13, BL25, GB20, CV06, CV12, GV09, GV14 | – | doi:10.1016/j.heliyon.2024.e29262 | trial | Point selection reported in a published study. |
| Transient Ischemic Attack, Stroke Prevention | GV03, GV04, GV09, GV12, GV14, GV15, GV16, GV20 | 42 days | doi:10.4103/1673-5374.180735 | trial | Point selection reported in a published study. |
| Insomnia, Stroke Sequelae, Motor Impairment, Motor Dysfunction Post-stroke, Sleep Quality Poor, Fatigue Post-stroke | GV03, GV04, GV09, GV14, GV16, GV20, GV24 | 14 days | doi:10.13703/j.0255-2930.20240201-k0003 | trial | Point selection reported in a published study. |
| Gastroparesis Postoperative, Digestive Tract Tumor Postoperative | ST21, ST25, ST36, CV12, GV06, GV07, GV08, GV09, GV10, GV11 | 14 days | doi:10.13703/j.0255-2930.20250528-k0002 | trial | Point selection reported in a published study. |
| Anxiety, Depression, Sleep Disturbance, Motor Dysfunction Post-stroke, Fatigue Post-stroke | GB20, GV03, GV09, GV11, GV14, GV16, GV20, GV24 | 28 days | doi:10.13703/j.0255-2930.20231114-k0008 | trial | Point selection reported in a published study. |
| Paralysis Facial, Facial Nerve Palsy Peripheral Refractory | LI04, ST04, ST06, SI18, PC06, TB17, GB14, LV03, CV12, GV04, GV09, GV14, GV16, GV20, GV24, XH03 | 28 days | doi:10.27282/d.cnki.gsdzu.2024.000964 | trial | Point selection reported in a published study. |
| Spasm Facial, Blepharospasm, Meige Syndrome, Dystonia, Meige Syndrome, Orofacial Dystonia | KD03, KD06, GV08, GV09, GV12, GV14, GV20 | 56 days | doi:10.13703/j.0255-2930.20250615-k0002 | trial | Point selection reported in a published study. |
| Anxiety, Depression, Insomnia, Stroke Sequelae, Sleep Quality Poor, Fatigue Post-stroke | GB20, GV03, GV09, GV11, GV14, GV16, GV20, GV24, XB09, XH01A, XH01B, XH01C, XH01D | 28 days | doi:10.13703/j.0255-2930.20231114-k0008 | trial | Point selection reported in a published study. |
| Cough, Dyspnea, Copd Stable | BL13, BL14, BL15, BL17, BL20, BL23, BL43, CV04, CV06, CV17, GV09, GV14 | 56 days | doi:10.13703/j.0255-2930.20240725-0001 | trial | Point selection reported in a published study. |
| Cough, Chest Pain, Reflux Gastroesophageal, Cough Gastroesophageal Reflux | GV09, GV10, GV11, GV14 | 42 days | doi:10.13703/j.0255-2930.20241225-k0001 | trial | Point selection reported in a published study. |
| Ischemic Stroke, Cognitive Impairment Vascular | GV03, GV04, GV09, GV14, GV16, GV20, GV24 | 28 days | doi:10.1097/MD.0000000000044257 | trial | Point selection reported in a published study. |
| Anxiety, Depression, Pigmentation Facial, Melasma, Qi Liver Stagnation | GV09, GV10, GV20, GV24, XH01A, XH01B, XH01C, XH01D | 84 days | doi:10.13703/j.0255-2930.20250827-0003 | trial | Point selection reported in a published study. |
| Vomiting, Gastritis, Hematemesis, Psychogenic Vomiting | ST36, SP04, PC06, LV03, CV06, CV12, GV09, GV10, GV11, GV14, GV20 | 14 days | doi:10.13703/j.0255-2930.20251022-k0001 | trial | Point selection reported in a published study. |
| Prediabetes | LI04, ST36, ST37, ST39, ST40, SP06, SP09, BL18, BL20, BL21, LV03, LV13, LV14, CV12, GV09 | 90 days | doi:10.12669/pjms.41.6.12153 | trial | Point selection reported in a published study. |
| Neuralgia Trigeminal | ST07, SI12, BL10, BL12, TB17, GB03, GB19, GB20, GB21, GV09, GV16, GV20, XH03 | – | doi:10.13703/j.0255-2930.20250123-0001 | trial | Point selection reported in a published study. |
| Spinal Cord Injury, Bowel Dysfunction Neurogenic, Neurogenic Bowel | GV03, GV04, GV09, GV14, GV20 | 84 days | doi:10.13703/j.0255-2930.20181224-0004 | trial | Point selection reported in a published study. |
| Allergic Rhinitis | BL13, BL23, GV09, GV14 | 28 days | doi:10.13703/j.0255-2930.20190613-0001 | trial | Point selection reported in a published study. |
| Cognitive Impairment Vascular | GV03, GV04, GV09, GV14, GV16, GV20, GV24 | 28 days | doi:10.1097/MD.0000000000044257 | trial | Point selection reported in a published study. |
| Adolescent Idiopathic Scoliosis, Laser Acupuncture | SP06, GB30, LV08, GV02, GV04, GV06, GV09, GV12 | – | Effect of Schroth Exercises Combined With Laser Acupuncture Therapy in Adolescent Idiopathic Scoliosis. ClinicalTrials.gov NCT05823493 | text | Point selection recorded in a clinical text or case report. |
| Jaundice | SI03, SI04, BL19, BL48, KD01, KD07, PC08, CV12, GV09 | – | 杨薇付修文李月玲杨华升. 古代针灸歌赋中治疗黄疸的穴位分析. 继续医学教育 ., 2018 [CNKI] | text | Point selection recorded in a clinical text or case report. |
| Stroke Sequela, Paralysis Spastic | GV03, GV09, GV14, GV16, GV20, GV26 | 28 days | 孙培养储浩然 李佩芳朱艳王涛吴杰李难刘辉. 通督调神针法结合夹脊穴治疗脑卒中后痉挛性瘫痪. 安徽中医药大学学报 ., 2019 [CNKI] | text | Point selection recorded in a clinical text or case report. |
| Leg Pain, Shoulder Pain, Neck Pain, Lumbar Pain, Yang Type Pain | SI06, BL23, BL28, BL40, BL43, BL60, PC07, GV09, GV14, GV20 | – | 曹文忠. 提高针灸治痛疗效创新理论的探讨. 江西中医药 ., 2011 [CNKI] | text | Point selection recorded in a clinical text or case report. |
| Paralysis Spastic Post-stroke Hemiplegia | LI04, LI10, SI03, KD06, TB05, TB10, TB14, GB29, GB31, GB34, GB39, GB40, GV01, GV03, GV05, GV08, GV09, GV14, GV17, GV20 | 20 days | Liu Xiafei, Bao Chunling, Dong Guirong. Using acupoint-to-acupoint penetrative needling to treat poststroke spastic paralysis: a clinical progress review. Journal of Traditional Chinese Medicine 2014 October 15; 34(5): 609-615. | text | Point selection recorded in a clinical text or case report. |
| Jaundice, Jaundice Yang, Jaundice Yang | ST36, SP09, BL18, BL19, GB34, LV03, GV09 | 7 days | sacredlotus.com | web | Point selection published on a website. Not peer-reviewed – check it before relying on it. |
| Jaundice, Jaundice Yin, Jaundice Yin | ST36, SP09, BL18, BL19, BL20, BL48, GV09 | 7 days | sacredlotus.com | web | Point selection published on a website. Not peer-reviewed – check it before relying on it. |

---

AcuiQ-authored prose (symptom and meridian descriptions, the wiki, the auricular crosswalk) is licensed CC-BY-4.0: https://creativecommons.org/licenses/by/4.0/. The assembled protocol compilation is not: build on it with attribution, but do not redistribute it whole as a dataset – https://acuiq.com/terms. The underlying findings are the cited sources' claims – each entry carries its citation; verify against the source before relying on it. Not medical advice: https://acuiq.com/terms