Tianchi

In the fourth intercostal space, 5 cun from the anterior midline and 1 cun lateral to the nipple.

1. 01Angle the needle in obliquely, 0.2 to 0.4 cun deep.
2. 02Moxibustion may be used.
3. 03Insert obliquely-transversely toward the back along the intercostal space, 0.5 to 1 cun.
4. 04Warning: needling too deeply here poses a substantial pneumothorax risk.
5. 05Angle the needle laterally, toward the outside, 0.3 to 0.5 cun.

• ·Meeting point of the San Jiao, Gall Bladder and Liver channels
• ·Window of the Sky point
• ·Point of energy

• ·Opens constraint in the chest
• ·Transforms Phlegm
• ·Directs rebellious Qi downward
• ·Regulates Qi
• ·Disperses nodules
• ·Benefits the breasts

• ·Headache
• ·Blurred vision
• ·Fever with no sweating
• ·Cough producing copious Phlegm
• ·Dyspnea
• ·A sensation of oppression in the chest
• ·Fullness in the chest
• ·Hypochondriac pain
• ·Swelling and pain of the axilla
• ·Fatigue of the limbs
• ·Restlessness
• ·Malaise
• ·Breast abscess; inability to raise the four limbs
• ·Angina pectoris
• ·Insufficient lactation
• ·Mastitis
• ·Sexual disorders
• ·Abnormalities of the breast
• ·Melancholy
• ·Chronic illness of any kind
• ·A rattling sound in the chest and throat
• ·Agitation affecting the chest and diaphragm
• ·Shortness of breath
• ·Rebellious rising Qi
• ·Lateral costal pain
• ·Scrofula
• ·Malaria
• ·Arm pain
• ·Intercostal neuralgia

• ·Exercise particular caution when treating women with this point.
• ·Do not needle or moxa a gland unless it can first be displaced to one side.
• ·Deep insertion is inadvisable.

• ·This point is used almost exclusively for Excess patterns.
• ·As a local point, it addresses breast distention and pain arising from Liver Qi Stagnation.
• ·A potent point, capable of reaching a person's spirit and depth on both physical and mental levels.
• ·Its cleansing and healing power is remarkable, drawing warmth and joy down from heaven to restore the spirit.
• ·It is said to warrant use only sparingly, once or twice yearly, and with discretion.