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SP-19 Chest Village

胸乡 〔胸鄉〕 xiōng xiāng

Channel: SP, foot greater yīn (tài yīn) spleen channel

Modern location: An acupoint located on the chest, in the third intercostal space, 6 cùn lateral to the midline.

Classical location: One cùn and six fēn below All Round Flourishing (SP-20), six cùn from the midline of the chest. The point is found in supine posture. From The Golden Mirror of Medicine (医宗金鑑 yī zōng jīn jiàn)

Local anatomy: The lateral thoracic artery and vein, the 3rd intercostal artery and vein. The lateral cutaneous branch of the 3rd intercostal nerve.

Action: Diffuses and downbears lung qì; suppresses cough and stabilizes panting.

Modern indications: Rib-side distension and pain.

Classical indications: Propping fullness in the chest and rib-side; pain referred from the chest to the back; inability to turn sides; cough.

Needle stimulus: Needling: 0.4 cùn outward oblique insertion. Moxa: 5 cones; pole 5‒20 min.

Point name meaning:

The character (xiāng), village, was chosen for reasons similar to those that account for points being named (), metropolis (SP-2, LR-6, KI-19), and () (LI-13). Conjuring the image of a rural backwater, village reflects the relative unimportance of SP-19. The character may also have been picked because of its similarity in form and pronunciation to (xiǎng), meaning sound, since the beat of the heart can be heard at this point. In either case, the name Chest Village is locational in nature.

The character (xiāng) can also mean the space between stairs. If that interpretation of the word is applied, then the point name may be construed as a reference to the location of the point between the ribs. See acupoint names: origins, meanings, and translations.

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