Sundance Acupuncture

Herb & Acupuncture Database

(This is my own personal database of teachers, teachings and notes that I use in my practice. I’ve decided to share it freely with anyone who would like to reference it.)

DU-4 Mingmen - Gate of Life

More Spirit Names: Palace of Essence, Vital Gate

English: Gate of Life
Also Known As: Vital Gate
Life's Door
Gate of Destiny
Jinggong
Palace of Essence

Location

  • Inferior to the spinous process of the second lumbar vertebra, on the posterior midline.
  • Between the spinous processes of the second and third lumbar vertebrae.
  • On the midline of the lower back, in the depression below the spinous process of the second lumbar vertebra.
  • Note: The point is located one intervertebral space below the lines connecting the highest points of the two iliac crests, level with the lower border of L-3.

Needling

  • Straight insertion, pointed slightly toward the spine, 1 to 1.5 cun. Sensation: local distention. If the needle is inserted too deeply, there is an electric, numb sensation extending into the lower limb.
  • Puncture perpendicularly 0.5 to 1 cun.
  • Moxibustion is applicable.
  • Caution: the spinal cord lies between 1.25 and 1.75 cun deep to the skin surface, varying according to body build.

Command Functions

  • Crossing point of the (Chong) and (Dai) channels.

Actions

  • Tonifies the Kidneys
  • Tonifies Kidney Yang
  • Tonifies Yuan Qi
  • Regulates the water pathways
  • Dries Dampness and Cold-Damp
  • Warms the Yang
  • Warms Cold
  • Warms the Ming Men
  • Tonifies the lower back
  • Benefits the lumbar vertebrae
  • Tonifies bones
  • Strengthens Jing
  • Stabilizes Kidney Qi
  • Calms the fetus
  • Calms the Shen
  • Benefits and clears the Brain
  • Restores collapsed Yang
  • Clears Heat
  • Regulates the DU channel

Indications

  • Bone disorders
  • Chronic nephritis
  • Sequelae of infantile paralysis
  • Neurasthenia due to Kidney Yang Deficiency
  • Lower back stiffness and pain
  • Irregular menstruation
  • Amenorrhea
  • Leukorrhea
  • Abnormal uterine bleeding due to Kidney Yang Deficiency
  • Seizures
  • Mania
  • Childhood convulsions
  • Meningitis
  • Fear and fright
  • Insomnia
  • Cold extremities
  • Chilliness
  • Tiredness
  • Lack of vitality
  • A pale tongue
  • A deep and weak pulse
  • Chronic lower back ache
  • Abdominal pain
  • Infertility
  • Endometritis
  • Spinal myelitis
  • Headache
  • Tidal fevers
  • Prolapsed anus
  • Lumbago
  • Dysentery
  • Four limbs icy and flaccid
  • Infantile epilepsy with mouth open, head moving incessantly and body arched
  • Headache and tinnitus
  • Yin or Yang malaria with cough, body burning like Fire with a very high temperature but no sweat
  • Gonorrhea
  • General Kidney diseases
  • Intestinal hemorrhage
  • Heat in the body like Fire
  • Epilepsy
  • Heat of the five Zang
  • Shaking of the head with open mouth
  • Splitting headache
  • Shan (hernia) disorder
  • Cold Bi of the hands and feet
  • Unstable temperature
  • Kidney pain radiating to the abdomen
  • Hemorrhoids
  • Urinary incontinence
  • Dysuria
  • Hemafecia due to Cold
  • Diarrhea
  • Atrophy syndrome due to Jing Deficiency
  • Restless fetus disorder due to Kidney Deficiency
  • All sexual dysfunctions
  • Impotence
  • Sterility
  • Anemia
  • Disorientation due to Deficiency
  • Forgetfulness
  • Somnolence
  • Dizziness
  • Tinnitus
  • Abundant clear urine
  • Depression
  • Weak knees and legs
  • Premature ejaculation
  • Nocturnal emissions
  • Enuresis
  • Dysmenorrhea
  • Spermatorrhea
  • Peritonitis
  • Sciatica
  • Pain of Intestinal colic
  • Bloody vaginal discharge
  • Indigestion
  • Ejaculation in coitus does not stop in elderly persons
  • Rectal prolapse
  • Intestinal pain
  • Headache like a hatchet
  • High fever
  • Heat in the bones
  • Osseous tuberculosis
  • Urethritis in women
  • Diseases of the genital organ system
  • Cerebral congestion
  • Heat at the top of the body
  • Steaming bones
  • Malaria with alternating chills and fever
  • Opisthotonis
  • White turbidity
  • Spinal rigidity with inability to flex and extend the back

Combinations

DU-14
Dazhui
UB-17
Geshu
LI-11
Quchi
ST-36
Zusanli

DU-20
Baihui
REN-4
Guanyuan
SP-6
Sanyinjiao
UB-33
Zhongliao

UB-23
Shenshu

Iron deficiency anemia

Enuresis (moxa)

Copious urine in the elderly (moxa)

Lumbar pain in the elderly

PC-9
Zhongchong

UB-23
Shenshu

REN-6
Qihai
KI-2
Rangu

Heat in the body like Fire

Splitting headache

Impotence

Contraindications

  • Be careful with moxa. Make sure there is no Heat anywhere.
  • According to a number of classical texts, this point is contraindicated to moxibustion in those who are under twenty years of age.

Notes

  • This is the most powerful point to strengthen Kidney Yang, especially with moxa.
  • It is considered to be a rejuvenation point.
  • This point is indicated for Heat disorders, whether Interior or Exterior or Excess or Deficient.
  • It affects the testes, adrenals and ovaries.
  • DU-4 vs REN-4: DU-4 tonifies Yang only (Jin Gui Shen Qi Wan), whereas REN-4 tonifies both Yin and Yang (Liu Wei Di Huang Wan, Jin Gui Shen Qi Wan).

Five Elements Spirit Perspective

Spirit of the Point

Gate of Life is connected to the Fire of the Kidneys. If the pilot light is off, you can't get Fire going; if someone's Fire is off, you need the pilot lit. It relates to the lower Dan Tian, where energy and vitality are held in reserve, and it nourishes the original Qi and the destiny, our medicine at its highest level, helping us fulfill our destiny. As this gate opens and closes it ought to adjust to everything we need; when it jams, life is threatened. It restores the childlike sparkle and the joy of being alive and uplifts the spirit. It holds the power we inherit, rising out of the central void; we spend our lives fulfilling that power and living the full richness of human life. It encourages a person to engage fully in life, strong and powerful, and to step into their destiny, and the Kidney Fire sparks passion for life and for sex. It is a major revitalizing point for people who are merely surviving rather than living. Here the original Yin and Yang endowed by Heaven reside, and pre-Heaven and post-Heaven, Jing and Shen, mix in a crucible of one's authentic Water and Fire; how the will directs that mixing decides how fully a person expresses their authentic self rather than habit. Internal alchemy pictures stoking the Dan Tian's furnace to burn away the refuse of conditioning and return to original nature. Lying between the Kidneys, this gate of destiny lets the left Kidney's primordial Yin and the right Kidney's primordial Yang combine and combust to fuel the ascent of the human spirit.

Worsley
  • Worsley saw this gate as drawing energy from the seas and oceans. It is the power we inherit, rising out of the void at our center, and we spend our whole lives fulfilling that power, living out the richness of being human to its full potential. Good point to warm with moxa, as it stirs the Jing.

Location: On the back midline, in the dip between L2 and L3.
Needle depth: 3 fen
Moxa: 7-15 cones

When to Consider
  • When the person is shut down; the nature of this point is to warm things up
  • When people are cold, inert and lifeless
  • When there is depression, withdrawal and withdrawing from life
  • When someone is lacking in strength and vitality
  • When a person is not present in life, can't function well in life, and needs an extra push and oomph
  • When someone needs to become conscious in a new way of what they feel life is about
  • When there is timidity and a lack of courage in life
  • As a resurrection point when someone feels as if they are dying
  • At a time of great transition, opening or closing the gate to keep body and mind in the right relationship
  • When the will to live is gone, with no zest or vitality, only resignation or fear of life
  • When the person tries and tries but simply can't manage it, or keeps saying "if only, if only"
  • When the person is very anxious, highly tense, distracted, lacking inspiration or will
  • When work on the seas brings no joy; this gate may be closed, so oil it open, then go back to the seas
  • For deep fears and anxieties rooted in survival; for people who no longer see, hear, smell or taste life and are practically dead in many ways
Combinations
  • REN-4 First Gate with DU-4: often paired; can be done before a Conception/Governor Vessel (CV/GV) block treatment, after one to support it, or instead of one when someone is that way in life
Notes
  • Very heating: where there are heat signs, this point can aggravate the situation and cause havoc
  • Useful for a Water Causative Factor (CF) with a terrible lack of reserves; use with moxa if every pulse is low
  • Stabilizing, allowing for movement; brings the person down to earth and helps them move forward in life
  • With a person who has gone completely berserk, sedating it might be considered, but that is an extreme step
  • Expect a big rise in the pulses after treatment here
  • Consider it very early in treatment to bring back vitality and energy
  • As long as Jing and Shen, Water and Fire hold these relationships, the person's Qi can be called authentic, supporting the authentic self

From Class

  • BL-1 Jingming — originally named Ming Men: BL-1 was traditionally called Ming Men (now Du-4); relates to autonomic blinking and volitional eye movement — 'determining your course in life'. (Gioioso)
  • Ren-4, BL-22, BL-23, BL-52 (needle + moxa): To root kidney yang, support the adrenals and reduce stress in perimenopause; modify with yin tonics, clear liver heat, resolve damp, calm shen. (Lewis)
  • Du-4 Mingmen: Where water constitution meets ministerial fire; heaven's threads attach here, swirling Jing and Shen — doorway of individual destiny. (Lewis)
  • Du-14 / Du-4 in sinew releases: Tendino-muscular tradition opens Du-14 and Du-4; teacher does this by hand instead of needles. (Alexander)
  • Moxa Baliao & Du-4 for subchorionic hematoma: Blood stasis behind subchorionic hematoma — invigorate yang to move blood: moxa the Baliao points and Du-4. (Lewis)
  • Urinary issues/fetal drop: BL-23, Du-4, BL-63, KI-3, KI-7, Du-20; damp-heat: BL-22, BL-28, BL-32, BL-53, BL-63, SP-9: Kidney weakness: Jin Gui Shen Qi Wan with these points; Spleen sinking: Bu Zhong Yi Qi Tang, BL-20, Du-20, ST-36, BL-28; damp-heat: Zi Shen Tang. (Lewis)
  • Du Mai and the brain/HPA axis: Du-16 to Du-17 for the hypothalamus–pituitary axis (Yintang can be added); Du-20 and Yintang for the pineal; Du-4 for the adrenals. (Rabinowitz)
  • Du Mai and the central nervous system: Du strengthens yuan qi, jing and yang (Du-3, Du-4) and conducts shen via the ye fluid (CSF) up the spine; treat neurological conditions through Du points. (Yuen)
  • Sinew channels — treatment protocol: Start with needle-moxa on Du-4 and Du-14 to activate wei qi, palpate toward the jing-well, and needle binding areas superficially with chiseling/circular technique. (Juedemann)
  • Bu Yang Huan Wu Tang (hemiplegia): A large dose of Huang Qi raises qi to move blood to the brain, with Dang Gui Wei, Chi Shao, Di Long, Chuan Xiong, Tao Ren, Hong Hua; graduate Huang Qi 30→60 g. (Gioioso)
  • External (wai ke) relay: open Du-4, Du-14 and the sinuses: For bi syndrome/loss of movement and conduction issues, Du-4 and Du-14 must be open, and clear the sinuses. (Gioioso)
  • Mantra sounds by body region (front/back): Ah at the Du-14 area, Hum heart through to back, So navel to Mingmen, Ha front of perineum, Ma coccyx; mapped on the hand like a microsystem. (Johnson)
  • Upper and lower three: Upper dantian's three (two eyes and third eye) point to heaven like fire; navel, Mingmen and perineum point to earth like water — alchemy mixes them. (Johnson)

For educational reference only; not a substitute for care from a qualified practitioner.