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POINT: REN-22 (CONCEPTION VESSEL-22)  

NAME: TIANTU

English: Heavenly Prominence
Also Known As: Heaven Rushing Out
Heavenly Chimney
Heaven's Prominence
Heaven's Chimney
Heaven Projection

LOCATION:

  • 0.5 cun above the suprasternal notch, in the middle of the depression.
  • In the center of the supraclavicular fossa.
  • On the midline, in the center of the suprasternal fossa, 0.5 cun superior to the suprasternal notch.

NEEDLING:

  • Transverse insertion, first insert perpendicularly for 0.2 to 0.4 cun, then point the needle downward along the posterior side of the manubrium sterni, anterior to the trachea, approximately 1 to 1.5 cun. Sensation: local distention and soreness and a constricted sensation around the pharynx.
  • Straight insertion 0.3 to 0.5 cun. Sensation: local distention and soreness.
  • Caution: when making the transverse insertion, use caution to avoid inserting the needle too deeply and puncturing the aorta or anonyma arteries. An excessively deep straight insertion will puncture the trachea. Avoid straying too far to the right or left, particularly in cases of emphysema, where the needle may puncture the Lung or subclavian artery.
  • First puncture perpendicularly 0.2 cun, and then insert the needle tip downward along the posterior aspect of the sternum, 0.5 to 1 cun.
  • Moxibustion is applicable.
  • Perpendicular insertion 0.3 cun.
  • With the neck extended, needle first perpendicularly 0.2 to 0.3 cun, then direct the needle inferiorly along the posterior border of the manubrium of the sternum 0.5 to 1 cun.

COMMAND FUNCTIONS:

  • Window of the Sky (Window of Heaven) point
  • Intersection point of the Intersection point of the Yin Wei channel

ACTIONS:

  • Facilitates and regulates Lung Qi
  • Cools the throat
  • Cleans the voice
  • Stimulates the descending function of Lung Qi
  • Resolves Phlegm
  • Clears Heat
  • Stops cough and wheezing
  • Benefits the throat and voice
  • Soothes asthma

INDICATIONS:

  • Bronchial asthma
  • Depression
  • Bronchitis
  • Pharyngitis
  • Goiter
  • Hiccups
  • Nervous vomiting
  • Spasms of the esophagus
  • Diseases of the vocal cords
  • Acute and chronic asthma
  • Lung abscess
  • Lung abscess with purulent bloody coughing
  • Common cold with a sore and swollen throat
  • Lung and throat mucus
  • Chest pain radiating to the back with labored breathing
  • Rattling sound in the throat
  • Accumulation of Phlegm in the throat
  • Plum-pit Qi Stagnation
  • Ulcerations of the throat which prevent eating
  • Much spittle
  • Cracked voice
  • Inability to speak
  • Swelling of the neck
  • Chills and fever
  • Heat sensation of the skin of the abdomen
  • Urticaria
  • Coughing fits
  • Asthma and dyspnea preventing sleep
  • Aphonia
  • Swollen larynx
  • Tonsillitis
  • Mumps
  • Cervical adenitis
  • Heat in the face with sensation of energy which rises to the top of the body
  • Vomiting and diarrhea in cholera
  • Facial pain
  • Cerebral tumor
  • Sensation of acidity at the level of the Heart
  • Heavy wheezing
  • Coughing with Blood and pus in the sputum
  • Hoarse voice like the sound of a duck
  • Early stages of tumors or growths on the neck
  • Cough
  • Sore throat
  • Sudden hoarseness
  • Difficulty swallowing
  • Hysteria with loss of voice or hiccups
  • Dryness or swelling of the throat with inability to swallow food
  • Vomiting
  • Tongue stiffness
  • Obstruction in the chest
  • Fullness of the chest
  • Obstruction of Qi with Heart pain
  • Pain of the Heart and back
  • Rebellious Qi with cough
  • Sudden dyspnea
  • Inability to breathe
  • Esophageal constriction
  • Purple-green veins beneath the tongue
  • epistaxis
  • Heat sensation of the skin of the face
  • Red face
  • Swelling of the back of the neck and shoulder
  • Numbness of the flesh of the body
  • Whooping cough
  • Sound of cackling in the throat
  • Spasms of the muscles of the voice
  • Pharyngitis
  • Nodular growths on the neck
  • Thyroid hypertrophy
  • Spasms of the diaphragm
  • Facial Blood congestion
  • Face very hot
  • Nervous vomiting
  • Tendency to sleep
  • Jaundice
  • Intestinal parasites
  • Heart attack

COMBINATIONS:

M-BW-1
Dingchuan
REN-17
Shanzhong
ST-40
Fenglong

KI-27
Shufu
REN-17
Shanzhong
LU-1
Zhongfu

PC-6
Neiguan
REN-12
Zhongwan

Bronchial asthma

Coughing and wheezing induced by rheumatic Heart disease

Hiccups

REN-17
Shanzhong
PC-1
Tianchi
ST-41
Jiexi
SI-15
Jianzhongshu

REN-17
Shanzhong

UB-13
Feishu

Rebellious Qi cough

Asthma

Inability to sleep at night

Agitated mind

Dyspnea and cough

Cough that reaches the voice (hoarse voice)

HT-4
Lingdao
KI-10
Yingu
KI-7
Fuliu
ST-40
Fenglong
KI-2
Rangu

HT-4
Lingdao
SI-16
Tianchuang

LU-11
Shaoshang
LI-4
Hegu

Loss of voice

Sudden loss of voice with lockjaw

Swollen painful throat

LIV-14
Qimen
DU-1
Changqiang
LU-4
Xiabai
PC-9
Zhongchong

SI-16
Tianchuang

 

Pain of the Heart with shortness of breath

Heat sensation of the skin of the face

 

CONTRAINDICATIONS:

NOTES:

  • This point stimulates the descending of Lung Qi and is widely used to treat cough and asthma.
  • This point is said to treat the thyroid, hunger, eye troubles, hearing problems, nasal problems and frustration.
  • It is said to be good for drug addiction.
  • It is good for someone who does not want to converse.