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KI27

Shufu

Star

俞府 (Shūfǔ) — Shu Mansion

Kidney channel · point 27

Not yet clinically reviewed

Traditionally used for

  • Cough & breathing
  • Digestion
  • Heart & circulation

Cautions & contraindications

  • No deep needling

Location

On the chest, in the depression at the lower border of the clavicle, 2 cun lateral to the anterior midline.

How to locate: With the patient supine, palpate along the lower border of the clavicle 2 cun lateral to the midline. The first rib lies just below the clavicle and may be partly hidden, so the point may sit over the rib or just below it.

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

Body map, front: KI27 · Chest
Fig. — KI27 · Chest After Albinus, 1747
Body map, front: KI27 · Chest

KI27 · 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 inferior border of the clavicle
    Depth 0.5–1 cun
    skindeeper
Reported mean safe needling depth, mm — Taiwanese adults (CT)
UnderweightNormalOverweight
Men 23.2 32.9 41.9
Women 22.3 33.6 43.1

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. 362 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

  • Regulates Lung qi, descends rebellious qi and relieves cough and asthma
  • Transforms phlegm and unbinds the chest
  • Aids the Kidney in grasping the qi

Indications

Cough, asthma and shortness of breathchest painvomiting and poor appetite

Clinical Notes

The terminal point of the Kidney channel; useful in chronic asthma where the Kidney fails to grasp the qi, usually with KI3 and CV17.

Similar Points

Shuidao how are these connected? (Shuidao) Weishu how are these connected? (Weishu) Shenshu how are these connected? (Shenshu) Shui Xiang Chest how are these connected? (Shui Xiang Chest) Shugu how are these connected? (Shugu) Shui Jin how are these connected? (Shui Jin)

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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