Acupuncture Points Notebook

Location Guides:

: Juque : Great Gateway

Ren-14 : Extraordinary Conception Vessel 14

Classifications:
Front Mu point of the heart
Master Tung's Stomach Hair Seven

Meetings:
Meeting of Conception Vessel with Gall Bladder Divergent, Liver Divergent, Stomach Divergent and Spleen Divergent

Location:
On the midline of the abdomen, 6 cun above the umbilicus and 2 cun below the sternocostal angle.

Needling:
Perpendicular insertion 0.5 - 1 cun, or oblique insertion directed inferiorly 1 - 1.5 cun

Warning:
Deep insertion, especially in thin patients, may damage the liver or the heart if either is enlarged. Oblique superior insertion towards the heart is contraindicated in all cases. No perpendicular needling in advanced pregnancy.


TCM Actions:
Regulates the heart and alleviates pain
Descends lung qi and unbinds the chest
Transforms phlegm adn calms the spirit
Harmonises the stomach and descends rebellion

TCM Indications:
  • Heart pain, sudden Heart pain, Heart pain due to cold, injury by cold leading to agitation of the Heart, pain of the chest radiating to the back, chest pain radiating to the lateral costal region, accumulation of phlegm in the chest, rebellious qi, cough, fullness of the chest with shortness of breath, spitting blood.
  • Mania disorder, mania-depression, aversion to fire, tendency to curse and scold others, ranting and raving, anger, disorientation, loss of consciousness, epilepsy with vomiting of foam, fright palpitations, poor memory, agitation and heat.
  • Sudden turmoil disorder, abdominal distension sudden abdominal pain, focal distension, oesophageal constriction, nausea, vomiting, Stomach reflux, acid regurgitation, obstruction of the diaphragm, jaundice, acute jaundice, shan disorder, shan disorder, distension and fullness of the lower abdomen, pain due to roundworms.
  • Mutual overacting of the five phases, diminished qi, febrile disease, clonic spasm.

    Neuroanatomy:
    Superficial Innervation: Anterior cutaneous thoracic nerve from T7
    Dermatome Segment: T7

    Notes:
    Main local point for Heart pain, whether due to excess, deficiency or combined.

    Possible location of the middle dan tian or Yellow Court (huangting) in alchemical practice, considered as "the central point between the heart and the navel" (Wang Mu, 2011, Foundations of Internal Alchemy). Others place it at the level of the heart, see Shanzhong Ren-17.

    If gates along the microcosmic orbit are considered in terms of qabalistic sephirot then this point would be equivalent to tipharet.

    The top point of Tung's Stomach Hair Seven (Wei Mao Qi) is located at the tip of the xiphoid process, equivalent to Ren-15, with two below it at 1 cun intervals. Two more are located 1.5 cun lateral to the inferior two on either side. The central point would be at this location. They are treated using Tung's method of pricking for "wool-like furuncles", stomach diseases, stomach bleeding, enteritis, palpitations and various types of sudden turmoil (McCann, 2014, Pricking the Vessels).

    In Hindu tantrism this point would be the likely equivalent of the Manipura chakra or the Surya chakra if the Manipura is located behind the navel at Shenque Ren-8.

    In Tibetan medicine:
    Moxa point (AMNH, Tibetan Medical Paintings).

    In Thai massage:
    Acupressure point along the Sumana sen line running from the navel Shenque Ren-8 to the sternocalvicular notch Tiantu Ren-22.
    Indicated for asthma, breathing difficulties, cough, gastrointestinal ailments, indigestion, lung disorders, respiratory ailments, sore throat and stomach ache.
    (Salguero & Roylance, 2011, Encyclopedia of Thai Massage)


    Reference Notes: (click to display)