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Neijing
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Knowledge baseAcupuncture points

REN-21

Xuanji

Jade Pivot

Also known asNorth Star · Shimmering Pearl · Pearl Jade

Channel
Ren Mai

Location

  1. 01Positioned one cun below REN-22 Tiantu, on the sternal midline, exactly halfway between the points where the left and right first ribs join the sternum.
  2. 02On the manubrium's midline, halfway between REN-20 Huagai and REN-22 Tiantu.

Needling

  1. 01Needle transversely with a downward angle, 0.5 to 1 cun deep; produces local distention and soreness.
  2. 02Insert subcutaneously to a depth of 0.3 to 0.5 cun.

Actions

  • Directs Stomach Qi downward
  • Clears Food Accumulation
  • Opens constraint in the chest
  • Directs Lung Qi downward
  • Benefits the throat

Indications

  • Bronchial asthma
  • Chronic bronchitis
  • Esophageal spasm
  • Spasm of the cardia
  • Laryngeal stridor in children
  • Stomach Accumulation
  • Difficulty swallowing food
  • Rattling sound in the throat
  • Throat Bi
  • Enlarged glands
  • Swollen pharynx
  • Blocked throat
  • Cough
  • Fullness and pain in the chest and hypochondrium
  • Rebellious
  • Wheezing
  • Dyspnea with loss of speech
  • Dysphagia

Combinations

  • Relieves esophageal spasm.

  • For emaciation with wheezing, and for distressing, rapid dyspnea.

    • ST-36

    For internal injury due to Food Accumulation in the Stomach, Stomach Accumulation, and Food Obstruction in the Stomach.

Notes

This is the point from which the neck begins to turn.