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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.

Point name meaning:

Spirit Ruins represents the region where the spirit resides and thus reminds us that the point is near the heart. The character () is associated with yīn qualities, i.e., mysterious, hidden, or obscure, and líng indicates the yīn aspect of the spirit. The point name emphasizes the yīn nature of the kidney as well as the point’s location in the cardiac region. See acupoint names: origins, meanings, and translations.

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