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KI-24 Spirit Ruins

灵墟 〔靈墟〕 líng xū

Alternate names: 灵墙 líng qiáng, Spirit Wall

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

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

Classical location: One cùn and six fēn above Spirit Seal (KI-23), 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 3rd intercostal artery and vein. The anterior cutaneous branch of the 3rd intercostal nerve; deeper, the 3rd intercostal nerve.

Action: Opens the chest and downbears counterflow; clears heat and disperses swelling.

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

Classical indications: Propping fullness in the chest and rib-side; breathing difficulty; retching and vomiting; no pleasure in eating; vexation and fullness.

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

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