ST9

Renying

Star

人迎 (Rényíng) — Person's Welcome

Stomach channel · point 9

Not yet clinically reviewed

Window of Heaven pointSea of Qi pointMeeting point of the Stomach and Gallbladder channels

Traditionally used for

  • Dizziness
  • Nose & throat
  • Cough & breathing
  • Blood pressure

Cautions & contraindications

  • No deep needling
  • Avoid blood vessels

Location

On the anterior aspect of the neck, level with the superior border of the thyroid cartilage, just anterior to sternocleidomastoid, over the common carotid artery.

How to locate: From the Adam's apple slide a finger laterally to the anterior border of sternocleidomastoid, made clearer by turning the head to the opposite side against resistance. The point is at that border, level with the superior border of the thyroid cartilage, where the carotid pulse is felt.

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

Body map, front: ST9 · Front of neck
Fig. — ST9 · Front of neck After Albinus, 1747
Body map, front: ST9 · Front of neck

ST9 · Front of neck · Albinus, Tabulae sceleti et musculorum, 1747

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 3D view is not available for this point, so the common carotid artery is not drawn. The major vessel risk above still applies.

Needling

Cited needling

  • ⚠ Major vessel
  1. Perpendicular insertion
    Depth 0.5–1 cun
    skindeeper

Case reports: vascular injury or haematoma after needling at this point (1 case in Wu et al. 2015, including a death).

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. World Health Organization. Guidelines on basic training and safety in acupuncture. Geneva: WHO; 1999. WHO/EDM/TRM/99.1 — Section II §5.2 (Other points), p. 25 Supports: major vessel (names this point)
  2. Wu J, Hu Y, Zhu Y, Yin P, Litscher G, Xu S. Systematic review of adverse effects: a further step towards modernization of acupuncture in China. Evid Based Complement Alternat Med. 2015;2015:432467 — Table 4 (Organ injury) and Table 8 (Hemorrhage) Supports: major vessel (case report)
  3. Deadman P, Al-Khafaji M, Baker K. A Manual of Acupuncture. Hove: Journal of Chinese Medicine Publications; 1998 — p. 137 Supports: techniques (names this point)

Site notes · not cited

  • No deep needling
  • Avoid blood vessels
Depth: 0.2–0.4 cun
Angle: Perpendicular, medial to the artery
⚠ Cautions: High-risk point. Palpate the carotid pulse and needle carefully to avoid it; never needle bilaterally at the same time, and avoid deep insertion.

Functions

  • Regulates qi and blood and descends rebellious qi
  • Harmonises excess and deficiency in the chest
  • Benefits the throat and dissipates nodules
  • Regulates blood pressure

Indications

Hypertensionsore throat and goitreasthma and chest fullnessdizzinessscrofula

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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