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CV-21 Jade Swivel
璇玑 〔璇璣〕xuán jī
Alternate names: 旋机 xuán jī, Swivel Mechanism
Channel: CV, Controlling (rèn) Vessel
Modern location: An acupoint located on the chest, about 1 cùn inferior to the suprasternal notch on the midline.
Classic location: In the depression one cùn directly above Florid Canopy (CV-20). (Yī Zōng Jīn Jiàn)
Local anatomy: The perforating branches of the internal mammary artery and vein. The medial supraclavicular nerve and the anterior cutaneous branch of the first intercostal nerve.
Action: Loosens the chest and rectifies qì; suppresses cough and downbears counterflow.
Modern indications: Cough; panting; chest pain; painful swollen throat.
Classic indications: Fullness and pain in the chest and rib-side; throat impediment (hóu bì); swollen pharynx; inability to get food and drink down of fluids; hot, red facial skin in infants; pulmonary welling-abscess (fèi yōng).
Needle stimulus: Needling: 0.3 cùn downward oblique insertion. Moxa: 5 cones; pole 5‒20 min.
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