-IBIS-1.5.0-
rx
point
CV-22: XIII-22: tian tu
acupuncture

definition

tian tu = celestial prominence; celestial chimney; celestial rushing out
Jiao Hui Intersecting point of the Yin Wei Mai (Yin Linking Vessel) and Ren Mai (Conception Vessel); Window of the Sky point; directly linked to GV-9; Reunion Point of the Yin and Yang (with CV-4, CV-12 and GV-9): needled when there is conflict between Yin and Yang, according to Su Wen (Finkelstein, p. 78)
location: In the depression 0.5 cun superior to the suprasternal notch.
actions: facilitates and regulates movement of Lung Qi; benefits and cools the throat; regulates the pharynx; influences the thyroid; clears the voice; opens the Lung and promotes dispersing function of Lung; transforms and eliminates Phlegm; softens hard masses; descends Rebellious Qi; stops hiccough and coughing
indications: narcolepsy; sensation of Qi or heat rising upward in body; red face; partial hearing loss; dumbness; aphonia; tongue stiffness; veins on underside of tongue congested; throat pain, dryness or swelling with inability to swallow food; glottic spasm; pharyngitis; common cold with sore, swollen throat; dry cough; hoarse voice, e.g. crane-like sound; diseases of the vocal cords; early stages of tumors or nodular growths on the neck; goiter; Rebellious Qi in the chest; nervous vomiting; spasms of the esophagus; hiccough; hemoptysis; pus in the sputum; heavy wheezing; chest pain radiating to the back with labored breathing; bronchial asthma, esp. acute asthmatic attack; bronchitis; lung abscess; acute gastroenteritis; jaundice
needle technique:
» transverse insertion, first insert perpendicularly for 0.2 - 0.3 cun, then point the needle downward along the posterior side of the manubrium sternum, anterior to the trachea, approximately, 1.0 - 1.5 cun, producing a local sensation of soreness and distension, and a constricted sensation around the pharynx; or
» perpendicular insertion, 0.3 - 0.5 cun, producing a local sensation of soreness and distension; caution: when making the transverse insertion caution must be exercised to avoid inserting the needle too deeply, puncturing the aorta or anonyma arteries, an excessively deep perpendicular insertion will puncture the trachea, one should avoid straying too far laterally, particularly in cases of emphysema, where the needle may puncture the lung or the subclavian artery. (Shanghai, p. 174)
» oblique insertion inferiorly 1.0 - 1.5 cun along the posterior border of the sternum, avoid deep insertion - needle angle must be controlled to prevent puncture of the trachea, esophagus, and great vessels
» note: though it is usually withdrawn immediately, CV-22 can be esp. effective with acute asthmatic attack, in such case CV-22 might be retained for a short time with the head flexed
moxa: 3 - 5 cones of direct moxa; 5 - 10 minutes of indirect moxa with a pole
combinations:
» with PC-6 and CV-12 for hiccoughs (Shanghai, p. 174);
» with Sp-4 conducts Qi downward to stop hiccoughs (Finkelstein, p. 93);
» with St-36 descends Qi to stop hiccough and quell regurgitation (Finkelstein, p. 93);
» with CV-12 (-) strengthens Spleen, descends Rebellious Qi, and stops vomiting (Finkelstein, p. 93);
» with CV-17 soothes the Qi and suppresses the revolt (Finkelstein, p. 93);
» with UB-17 subdues ascending Qi (Finkelstein, p. 93);
» with LI-4 and GV-15 promotes thyroid function, treats vocal cord problems (Finkelstein, p. 93);
» with LI-4, CV-23 and tai yang to shrink thyroid gland, reduce symptoms of hyperthyroid (Finkelstein, p. 93);
» with LI-17 and SI-17 promotes circulation of Qi and Xue (Blood) in the neck to disperse Stagnancy (Finkelstein, p. 93);
» with Kd-6 loosens throat (Finkelstein, p. 93);
» with LI-4 and CV-17 increases peristalsis of esophagus (Finkelstein, p. 93);
» with ding chuan, CV-17 and St-40 for bronchial asthma (Shanghai, p. 174);
» with Kd-27, CV-17 and Lu-1 for coughing and wheezing induced by rheumatic heart disease (Shanghai, p. 174);
» with CV-17 treats dyspnea and cough (Ellis, et al, 1988, p. 363);
» with St-40 pacifies breathing and dissolves Phlegm (Finkelstein, p. 93).


footnotes