Zhongshu (GV7): The Central Pivot Acupoint for Digestion and Back Pain Relief
Published 2026-06-02 · 326 words · Acupressure
Zhongshu (中枢, GV7) is a key acupoint on the Governing Vessel (Du Mai) located on the posterior midline. Known as the "Central Pivot," it plays a vital role in regulating the digestive system and alleviating back pain. This acupoint is frequently used in TCM practice to address disorders of the spleen, stomach, and lumbar region.
Zhongshu is situated on the back, on the posterior midline, in the depression below the spinous process of the 10th thoracic vertebra (T10). To locate it, find the spinous process of the 7th cervical vertebra (the most prominent bump at the base of the neck), then count down to the 10th thoracic vertebra. The point lies directly on the spine.
This acupoint is located in the region of the lumbar back fascia, supraspinous ligament, and interspinous ligament. It is supplied by the dorsal branch of the 10th intercostal artery and the interspinous venous plexus. Innervation comes from the medial branch of the 10th intercostal nerve.
Zhongshu is typically needled obliquely to a depth of 0.5–1 cun (about 1–2 cm). For acupressure, apply firm, steady pressure with the thumb or a blunt instrument for 1–2 minutes, or until a sensation of soreness or distension is felt. Moxibustion can also be applied.
As part of the Governing Vessel, Zhongshu influences the yang qi of the body and is often used in conjunction with other points to regulate the spine and internal organs.
References
1. Huangdi Neijing Suwen (Yellow Emperor's Inner Classic: Basic Questions), Chapter 59: Treatise on Qi-Fu Points. This classic text describes the location and functions of acupoints along the Governing Vessel, including Zhongshu.
2. Zhenjiu Jiayi Jing (The A-B Classic of Acupuncture and Moxibustion) by Huangfu Mi (c. 260 AD). This foundational work provides systematic descriptions of acupoints and their clinical applications.
3. Acupuncture: A Comprehensive Text (Shanghai College of Traditional Medicine, translated by O'Connor & Bensky). Modern reference for point location and indications.