SP-18 Heavenly Stream TIANXI - Acupuncture Points
Location
( SP-18 Heavenly Stream TIANXI - Acupuncture Points ) In the 4th intercostal space, 6 cun lateral to the anterior midline or 2 cun lateral to the midclavicular line.
How to find
In men, the nipple is generally located on the level of the 4th intercostal space, while in women, when in a supine position, it is not always at this level. Follow the course of the 4th intercostal space in a lateral direction and locate SP-18 2 cun lateral
to the nipple (note that the intercostal space laterally curves upward). In women, either the clavicle or the manubriosternal synchondrosis are good reference points for locating the 4th intercostal space (➞3.5). SP-18 can be located by following the course of the intercostal space in a lateral direction while measuring 6 cun laterally from the anterior midline or 2 cun laterally from the nipple.
Also located on the level of the 4th intercostal space are ➞Ren-17 (anterior midline), ➞ KID-23 (2 cun lateral to the anterior midline), ➞ ST-17 (nipple), ➞ P-1 (1 cun lateral to the nipple) and ➞ G.B.-23 (1 cun anterior to G.B.-22).
Needling
0.5–0.8 cun obliquely or transversely (subcutaneously), parallel to the intercostal space or with or against the channel pathway.
Caution: Pneumothorax.
Actions/Indications:
● Unbinds the chest
● Descends the Qi
● Benefits the breasts
- SP-18 Heavenly Stream TIANXI – Acupuncture Points -1
- SP-18 Heavenly Stream TIANXI – Acupuncture Points -2
- SP-18 Heavenly Stream TIANXI – Acupuncture Points -3
Category: Acupuncture Points




