# GV21 Qianding (Before The Vertex) – Governing Vessel

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Location: 3.5 thumb widths directly above the midpoint of the anterior hairline 1.5 thumb widths anterior to the GV20.

Cautions: No specific contraindications.

Canonical page: https://acuiq.com/points/gv21

## Indications

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

Aversion Cold, Aversion Cold, Aversion Wind, Aversion Wind, Benefit Head, Benefit Head, Convulsions, Discharge Nasal Clear, Discharge Nasal Clear, Epilepsy (infant), Epilepsy Infantile, Epilepsy Wind, Epilepsy Wind, Eyesight / Vision Dizzy, Dizzy Vision, Ghost Syndrome Childhood Fright Wind, Ghost Syndrome Childhood Fright Wind, Edema, Pain, Facial Redness, Facial Redness, Muscle Spasms, Muscle Spasms, Facial Swelling, Facial Swelling, Head Vertex Swelling, Head Vertex Swelling, Wind, Wind Head, Wind Head

## Most often selected alongside GV21

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

- GV20 (100 Convergences) – 10 protocols
- GV19 (Behind The Vertex) – 6 protocols
- GV24 (Spirit Court) – 6 protocols
- SP06 (Three Yin Intersection) – 5 protocols
- GB06 (Suspended Tuft) – 4 protocols
- GV14 (Great Vertebra) – 4 protocols
- LV03 (Great Surge) – 4 protocols
- XH03 (Hall Of Impression Or Seal Hall) – 4 protocols

## Protocols using GV21

| Symptoms | Points | Course | Source | Kind | Caveat |
|---|---|---|---|---|---|
| Paralysis, Motor Dysfunction, Ischemic Stroke, Hemiparesis Upper Limb | GB06, GB07, GV20, GV21 | 21 days | doi:10.1186/s13063-016-1611-y | trial | Point selection reported in a published study. |
| Weakness, Insomnia, Poor Memory, Fatigue Cancer-related, Fatigue Mental, Fatigue Physical | ST36, BL07, PC06, GV19, GV20, GV21 | 28 days | doi:10.1097/MD.0000000000015659 | trial | Point selection reported in a published study. |
| Limb Pain, Spasticity Post-stroke, Spasm Limb, Contracture Joint | LI04, LI11, SP09, BL40, LV03, CV12, GV20, GV21, GV22 | 28 days | doi:10.1097/MD.0000000000020368 | trial | Point selection reported in a published study. |
| Headache, Insomnia, Bradykinesia, Rigidity, Muscle Tension, Anxiety Parkinson's Disease, Tremor Rest | SP06, HT07, GV19, GV20, GV21, GV24 | 28 days | doi:10.1155/2022/5180193 | trial | Point selection reported in a published study. |
| Fatigue, Anxiety, Constipation, Drooling, Parkinson's Disease, Tremor Hand, Stiffness Neck, Dry Mouth, Bradykinesia, Dysphagia, Rigidity, Tremor Limb, Stiffness Back, Cramp Foot | LI04, LI10, LI11, ST25, ST37, SP06, SP09, BL40, BL57, GB19, GB34, GB39, LV03, CV04, GV04, GV08, GV14, GV17, GV19, GV20, GV21, GV24 | 28 days | doi:10.3389/fneur.2023.1330054 | trial | Point selection reported in a published study. |
| Tinnitus Unilateral | LI20, SI19, BL02, TB12, TB17, TB22, GB02, GB07, GB12, GB20, GV14, GV15, GV16, GV20, GV21 | 35 days | doi:10.1186/1472-6882-12-97 | trial | Point selection reported in a published study. |
| Vertigo Cervical, Dizziness Cervicogenic | GB20, GB21, LV03, GV13, GV14, GV21 | – | doi:10.3831/KPI.2018.21.027 | trial | Point selection reported in a published study. |
| Paralysis Upper-limb, Motor-impairment Hemiplegia, Stroke Cerebral-infarction, Sensory-disorder | GB06, GB07, GV20, GV21, MS06, MS07 | 21 days | doi:10.3390/brainsci10020087 | trial | Point selection reported in a published study. |
| Bradykinesia, Paralysis Motor, Postural Instability, Stroke Ischemic Bilateral Basal Ganglia, Impaired Self-care | GB06, GV21, MS06 | 28 days | doi:10.3389/fneur.2025.1604342 | trial | Point selection reported in a published study. |
| Anxiety, Tremor, Parkinson Disease | SP06, HT07, GV19, GV20, GV21, GV24, XH03 | 56 days | doi:10.1001/jamanetworkopen.2022.32133 | trial | Point selection reported in a published study. |
| Headache Migraine, Migraine Without Aura | GB04, GB06, GV20, GV21, GV24, XH03 | 1 days | doi:10.13703/j.0255-2930.20201203-k0007 | trial | Point selection reported in a published study. |
| Spasticity, Spasticity Post-stroke | GV20, GV21, GV22 | 28 days | doi:10.13703/j.0255-2930.20210506-k0001 | trial | Point selection reported in a published study. |
| Parkinson's Disease, Anxiety Parkinson's Disease | SP06, HT07, GV19, GV21, GV24, XH03 | 56 days | doi:10.1001/jamanetworkopen.2022.32133 | trial | Point selection reported in a published study. |
| Constipation, Tremor, Parkinson's Disease, Dysphagia | LI04, LI10, LI11, ST25, ST37, SP06, SP09, BL40, BL57, GB19, GB34, GB39, LV03, CV04, GV04, GV08, GV14, GV17, GV19, GV21, GV24, XH03 | 30 days | doi:10.3389/fneur.2023.1330054 | trial | Point selection reported in a published study. |

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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