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KI-23 Spirit Seal

神封 〔神封〕 shén fēng

Channel: KI, foot lesser yīn (shào yīn) kidney channel

Modern location: An acupoint located on the chest, in the fourth intercostal space, 2 cùn lateral to the midline.

Classical location: One cùn and six fēn above Corridor Walk (KI-22), two cùn either side of the midline. The point is found in supine posture. From The Golden Mirror of Medicine (医宗金鑑 yī zōng jīn jiàn)

Local anatomy: The 4th intercostal artery and vein. The anterior cutaneous branch of the 4th intercostal nerve; deeper, the 4th intercostal nerve.

Action: Diffuses the lung and suppresses cough; harmonizes the stomach and downbears counterflow.

Modern indications: Cough; panting; distention and fullness in the chest and rib-side; mammary welling-abscess (rǔ yōng).

Classical indications: Propping fullness in the chest and rib-side; panting; shortness of breath; cough and counterflow; retching and vomiting; no pleasure in eating.

Needle stimulus: Needling: 0.3‒0.5 cùn oblique or perpendicular insertion. Moxa: 5 cones; pole 5‒20 min.

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