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Alternate names: 天瞿 tiān jú, Celestial Mu; 玉户 yù hù, Jade Door

Channel: CV, controlling (rèn) vessel; shared point on the yīn linking (yīn wéi) vessel

Modern location: An acupoint located on the chest, immediately superior to the suprasternal notch on the midline.

Classical location: One cùn above Jade Pivot (CV-21). From The Golden Mirror of Medicine (医宗金鑑 yī zōng jīn jiàn)

Local anatomy: Superficially, the jugular arch and the branch of the inferior thyroid artery; deeper, the trachea; inferiorly, at the posterior aspect of the sternum, the innominate vein and aortic arch.

Action: Diffuses the lung and transforms phlegm; disinhibits the pharynx and restores the voice.

Modern indications: Cough; panting; chest pain; painful swollen throat; fulminant loss of voice; goiter; plum-pit qì; dysphagia-occlusion (yē gé).

Classical indications: Fulminant panting and cough and counterflow; expectoration of pus and blood; pharyngeal swelling; dysphagia-occlusion (yē gé); frog rale in the throat; initial-stage goiter; retching and vomiting; swelling at the back of the neck and shoulder pain; cardiac heart pain; dormant papules; generalized insensitivity of the flesh; pulmonary impediment (fèi bì).

Needle stimulus: Needling: 0.5‒1.0 cùn downward oblique insertion following along the inner surface of the sternum. Moxa: 3‒5 cones; pole 5‒20 min.

Needle sensation: Heaviness extending downward along the posterior aspect of the sternum.

Warning: Perpendicular insertion is contraindicated to avoid damage to the trachea.

Point groups: Intersection point (jiāo huì xué) of the conception and yīn linking vessel (yīn wéi mài)s.

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