天突 (Tiāntū) — Celestial Chimney
Ren (Conception) channel · point 22
Window of Heaven pointMeeting point of the Ren Mai with the Yin Wei Mai
Traditionally used for
- Nose & throat
- Cough & breathing
- Digestion
Cautions & contraindications
- Avoid blood vessels
Location
On the neck, on the anterior midline, in the centre of the suprasternal fossa.
Needling
- Avoid blood vessels
Depth:
0.2 cun perpendicular, then 0.5–1.0 cun directed inferiorly behind the sternum
Angle:
Insert perpendicularly to 0.2 cun, then redirect the needle inferiorly and posteriorly, keeping it close behind the manubrium
⚠ Cautions: High-risk point. The trachea lies directly beneath and the great vessels lie deep — never angle the needle posteriorly or laterally once past the skin. Keep the shaft against the back of the sternum.
Functions
- Descends rebellious Lung qi and relieves cough and wheezing
- Benefits the throat and the voice
- Dissipates phlegm nodules
Indications
Cough, asthma and wheezingsore throat and loss of voicea lump sensation in the throat (plum-pit qi)goitrehiccupdifficulty swallowing
Clinical Notes
The primary point for acute asthma and for plum-pit qi. The two-stage insertion angle is not optional; a perpendicular deep needle here can enter the trachea.
Similar Points
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