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 AbscessCoughBreathing Shortness Of Breath ProblemsChest FullnessCostal Lateral FullnessHiccupsLactation DeficiencyAche PainChest PainRib PainInhalation PainPhlegm Throat RattlingQi Running PigletExcessive Sneezing
TCM actions
What classical sources say SP18 does in the terms of Chinese medicine theory. These describe the point, not a condition.
Protocols using SP18
- Cancer Gastric, Cancer Advanced, Post-chemotherapy – LU10, ST16, ST36, SP18, BL21, BL23, BL43, GB42, CV12 (doi:10.1155/2020/8274021 ↗)
- Cancer Gastric Advanced – LU10, ST16, ST36, SP18, BL21, BL23, BL43, GB42, CV12, XB04 (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 Bl13 – ST36, SP06, SP18, BL13, BL20, BL23, KD27, CV04, CV06 (Acupuncture Point Prescriptions, entry ACC2)
- Liver Qi Stagnation, Liver Qi Stagnation – LI17, 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 Point3 protocols
- ST16Breast Window3 protocols
- ST36Leg Three Miles3 protocols
- BL21Stomach Shu Point2 protocols
- BL43Vital Region Shu Point2 protocols
- CV12Stomach Centre2 protocols
- GB42Earth Fivefold Convergence2 protocols
- LU10Fish Border2 protocols
- BL13Lung Shu Point1 protocols
- BL14Absolute Yin Shu Point1 protocols
- BL16Governing Vessel Shu Point1 protocols
- BL18Liver Shu Point1 protocols
