KI24

Lingxu

Star

靈墟 (Língxū) — Spirit Ruins

Kidney channel · point 24

Not yet clinically reviewed

Traditionally used for

  • Cough & breathing
  • Digestion
  • Menstrual & women's health
  • Mood & calm
  • Heart & circulation

Cautions & contraindications

  • No deep needling

Location

On the chest, in the third intercostal space, 2 cun lateral to the anterior midline.

How to locate: With the patient supine, find the sternal angle, where the second rib joins the sternum, and count the intercostal spaces down beside the sternum to the third. The point is in the third intercostal space, 2 cun lateral to the midline, level with CV18.

Distances are in cun, a proportional unit — how to measure.

Body map, front: KI24 · Chest
Fig. — KI24 · Chest After Albinus, 1747
Body map, front: KI24 · Chest

KI24 · Chest · Albinus, Tabulae sceleti et musculorum, 1747

The thorax, from in front — Gray's Anatomy plate Needling hazard — see Needling safety
The thorax, from in front Gray's Anatomy, 1918
The thorax, from in front — Gray's Anatomy plate Needling hazard — see Needling safety

The thorax, from in front · Gray's Anatomy, 1918

3D view

3D view not available for this point: its position on the 3D model couldn't be checked against its location text, so it is not shown. The 2D maps above show it.

  • The lung is not drawn: the anatomical model used here does not include it as a surface. This is a limit of the model, not of the anatomy. The pneumothorax risk above still applies.

Needling

Cited needling

  • ⚠ Pneumothorax
  1. Transverse-oblique insertion — directed laterally along the intercostal space
    Depth 0.5–1 cun
    skindeeper
Reported mean safe needling depth, mm — Taiwanese adults (CT)
UnderweightNormalOverweight
Men 14.9 21.3 25.6
Women 16.9 24.0 27.0

CT-measured mean safe needling depths from Taiwanese adults, by sex and body size (Lin et al. 2013); population-specific and a guide only — adjust to the patient in front of you.

Depths describe average adult habitus in the cited population, never a single safe number for the patient in front of you. Palpate and adjust.

Sources (3)
  1. Lin JG, Chou PC, Chu HY. An exploration of the needling depth in acupuncture: the safe needling depth and the needling depth of clinical efficacy. Evid Based Complement Alternat Med. 2013;2013:740508 — Tables 7 (male) and 8 (female), chest acupoints Supports: safe depth (measured)
  2. World Health Organization. Guidelines on basic training and safety in acupuncture. Geneva: WHO; 1999. WHO/EDM/TRM/99.1 — Section II §5.2 (Lung and pleura), p. 25 Supports: pneumothorax (names this region)
  3. Deadman P, Al-Khafaji M, Baker K. A Manual of Acupuncture. Hove: Journal of Chinese Medicine Publications; 1998 — p. 361 Supports: techniques (names this point)

Site notes · not cited

  • No deep needling
Depth: 0.3–0.5 cun
Angle: Oblique or transverse
⚠ Cautions: Pneumothorax risk on deep perpendicular insertion.

Functions

  • Unbinds the chest and calms the spirit
  • Regulates Lung and Stomach qi
  • Benefits the breast

Indications

Chest pain and fullnesscough and asthmamastitisvomitingdepression

Sources

  • World Health Organization. WHO Standard Acupuncture Point Locations in the Western Pacific Region. Manila: WHO Regional Office for the Western Pacific, 2008. (Location.)
  • Focks C, ed. Atlas of Acupuncture. Edinburgh: Churchill Livingstone Elsevier, 2008. (Locating method and actions.)

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