SP18 Tianxi (Celestial Cleft)

天谿tiān xīTianxi

Spleen Meridian

Location of acupuncture point SP18 Tianxi (Celestial Cleft)
19
Indications
3
Protocols
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Location

In the 4th intercostal space 6 thumb widths lateral to the anterior midline.

Cautions

Avoid deep needling; risk of pneumothorax.

Indications

Conditions for which SP18 is listed as indicated. An indication list is a reference index, not a prescription – see the protocols below for sourced treatments.

Breast AbscessBenefit BreastsBenefit Descend QiBenefit Regulate QiCoughDescend QiBreathing Shortness Of Breath ProblemsChest FullnessCostal Lateral FullnessHiccupsLactation DeficiencyAche PainChest PainRib PainInhalation PainPhlegm Throat RattlingQi Running PigletRegulate QiExcessive Sneezing

Protocols using SP18

  • Cancer Gastric, Cancer Advanced, Post-chemotherapyLU10, ST16, ST36, SP18, BL21, BL23, BL43, GB42, CV12 (doi:10.1155/2020/8274021)
  • Fatigue, Poor Appetite, Voice Weakness, Pulse Deep, Pulse Thin, Pulse Weak, Upright Zheng Qi Weakness, Phlegm, Asthma, Asthma Paroxysmal, Bronchial Asthma, Sputum, Breathing Short, Sleepless, Waist Pain, Stools Dry, Urine Scanty, Urine Red, Complexion Pale, Lips Blue, Sweating, Tiredness, Tongue Coating White, Tongue Coating Moist, Lung Deficiency, Kidney Deficiency, Middle Burner Qi Deficiency, Cold Bl13, Poor Appetite, Voice Weakness, Pulse Deep, Pulse Thin, Pulse Weak, Upright Zheng Qi Weakness, Asthma Paroxysmal, Bronchial Asthma, Breathing Short, Waist Pain, Stools Dry, Urine Scanty, Urine Red, Complexion Pale, Lips Blue, Tongue Coating White, Tongue Coating Moist, Lung Deficiency, Kidney Deficiency, Middle Burner Qi Deficiency, Cold Bl13ST36, SP06, SP18, BL13, BL20, BL23, KD27, CV04, CV06 (Acupuncture Point Prescriptions, entry ACC2)
  • Liver Qi Stagnation, Liver Qi StagnationLI17, LI18, ST09, ST15, ST16, ST18, ST25, ST26, ST27, SP13, SP18, HT03, HT04, SI11, BL14, BL16, BL18, BL31, KD21, XB02T9 (Yang Yong-Xuan, clinical point-selection notes)

Most often selected alongside SP18

How many sourced protocols in the index pair each point with SP18. Corpus frequency, not a combination to use.

  • BL23Kidney Shu Point2 protocols
  • ST16Breast Window2 protocols
  • ST36Leg Three Miles2 protocols
  • BL13Lung Shu Point1 protocols
  • BL14Absolute Yin Shu Point1 protocols
  • BL16Governing Vessel Shu Point1 protocols
  • BL18Liver Shu Point1 protocols
  • BL20Spleen Shu Point1 protocols
  • BL21Stomach Shu Point1 protocols
  • BL31Upper Bone Hole1 protocols
  • BL43Vital Region Shu Point1 protocols
  • CV04Original Qi Gate1 protocols