Objective:To observe the distribution of positive reaction points in dorsal segment of governor meridian in patients with gastroesophageal reflux disease(GERD)and the efficacy of acupuncture for dredging governor meridians and guiding qi movement in the treatment of this disease. MethodsBefore treatment,60 GERD patients were selected,the positive reaction points were detected at spinous process in dorsal segments T,1,-T,12, of governor meridian and recorded. According to the positive reaction points,the acupuncture therapy was performed. The changes on the scores of reflux disease questionnaire(RDQ),Zung self-rating anxiety scale(SAS)and Zung self-rating depression scale(SDS)were observed before and after treatment.  Results:①In 60 cases,there were 50 patients with simple tenderness,5 patients with simple nodule,3 patients with tenderness and nodule. The positive rate was 96.67%. ②The distribution of positive reaction points showed the tendency of high in the middle and low at both ends. The curve reached the peak in the segments T,5, and T,7,and the left slope of peak was smaller than right slope. The segments T,1, and T,9, were approximately at the same level,and the frequency of the segments T,10,-T,12, were relatively lower. ③For the distribution of pain degree at tenderness points,the distribution curve of moderate and severe pain showed the tendency of high in the middle and low at both ends. The curve reached the peak in the segments T,5,-T,7,and the severe pain mainly concentrated in the segments T,3,-T,9,. ④Compared with treatment before,the scores of RDQ,SAS and SDS were obviously decreased after treatment,with statistically significant differences(P,<,0.05).  Conclusion:The positive reaction points in dorsal segments T,3,-T,9, of governor meridian could be used for auxiliary diagnosis of GERD. Taken the positive reaction points as the therapeutic acpoints,combined with acupuncture for dredging governor meridians and guiding qi movement,the treatments can not only improve the reflux symptoms of patients,but also significantly improve the mental and psychological state.