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Alternate names: 天五会 tiān wǔ huì, Celestial Fivefold Confluence; 五会 wǔ huì, Fivefold Confluence

Channel: ST, Foot Yáng Brightness (yáng míng) Stomach Channel

Modern location: An acupoint located on the anterior aspect of the neck, level with the laryngeal prominence (adam's apple), at the anterior border of the sternocleidomastoid (scm) muscle.

Classic location: At the major pulsating vessel of the neck, one cùn and five fēn to the side of the laryngeal prominence (Adam's apple). The point is found in supine posture. (Zhēn Jiǔ Dà Chéng)

Local anatomy: The superior thyroid artery, the anterior jugular vein; laterally, the internal jugular vein; on the bifurcation of the internal and the external carotid artery. Superficially, the cutaneous cervical nerve, the cervical branch of the facial nerve; deeper, the sympathetic trunk; laterally, the ascending branch of the hypoglossal and vagus nerves.

Action: Frees the channels and network vessels; regulates qì and the blood; clears heat and calms panting.

Modern indications: Painful swollen throat; panting; scrofula; goiter; high blood pressure.

Classic indications: Cough; pain, fullness, or oppression in the chest; panting; goiter; scrofula; vomiting and hiccup; headache; heat effusion; tinnitus; lumbar pain.

Needle stimulus: Needling: 0.3‒0.5 cùn perpendicular insertion. To avoid the artery, push it towards the sternocleidomastoid muscle (m. sternocleidomastoideus) with the thumb and index finger of the left hand.

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