Location
In the 2nd intercostal space 6 thumb widths lateral to the anterior midline.
Cautions
Avoid deep needling; risk of pneumothorax.
Indications
Conditions for which SP20 is listed as indicated. An indication list is a reference index, not a prescription – see the protocols below for sourced treatments.
AlcoholismAngina Microvascular Cardiac SyndromeAngina Microvascular Cardiac SyndromeBenefit Descend QiBenefit DigestionBenefit DigestionBenefit Regulate QiCoughDescend QiChest BloatingChest BloatingCostal Lateral BloatingCostal Lateral BloatingBreathing Shortness Of Breath ProblemsBreathing Shortness Of Breath ProblemsChest FullnessChest FullnessCostal Lateral FullnessCostal Lateral FullnessChest Pectoral Strain StiffnessImmobility Chest Pectoral StrainPhlegm ExcessivePhlegm ExcessivePhlegm PusPhlegm PusRegulate QiUnbind ChestUnbind Chest
Protocols using SP20
- Hypogalactia, Breastfeeding Insufficiency, Lactation Postpartum – LU01, LI04, ST17, ST18, SP20, SI01, BL17, BL18, BL20, BL21, GB21, CV17 (https://doi.org/10.1186/s13643-025-02773-8)
- Lactation Insufficiency, Breastfeeding Postpartum – LU01, LI04, ST17, ST18, SP20, SI01, BL17, BL18, BL20, BL21, GB21, CV17 (https://doi.org/10.22038/ijp.2020.54458.4305)
- Lactation Insufficiency, Breastfeeding Postpartum – LI04, ST11, ST17, SP20, SI01, BL17, BL18, BL20, BL21, GB21, CV16, CV17 (https://doi.org/10.22038/ijp.2020.54458.4305)
- Hypogalactia, Breastfeeding Insufficiency, Lactation Postpartum – LI04, ST11, ST17, SP20, SI01, BL17, BL18, BL20, BL21, GB21, CV16, CV17 (https://doi.org/10.1186/s13643-025-02773-8)
- Unbind Chest – ST13, ST14, ST15, ST18, SP01, SP19, SP20, SP21, HT01, SI11, BL14, BL15, BL44, KD20, KD22, KD23, KD24, KD25, KD26, KD27, PC01, PC02, PC06, PC07, TB15, GB22, GB23, CV14, CV15, CV16, CV17, CV18, CV19, CV20, CV21, GV09 (DEADMAN-COMPOSITE)
- Benefit Regulate Qi – LU04, LI10, LI11, LI13, LI14, LI15, LI16, ST09, ST21, ST22, ST25, ST26, ST27, SP03, SP04, SP12, SP13, SP14, SP18, SP19, SP20, SP21, SI16, BL10, BL14, BL16, BL44, KD09, KD14, KD16, KD18, KD19, PC01, PC06, TB06, TB10, TB13, TB15, TB16, GB21, GB22, LV05, LV13, LV14, CV03, CV05, CV06, CV10, CV11, CV12, CV13, CV17, CV18, CV19, CV20, XC01, XC02A, XC02B, XC09, XH43, XU03, XU23, XU24 (DEADMAN-COMPOSITE)
- Costal Lateral Bloating – ST13, ST14, ST15, SP03, SP08, SP20, SP21, HT01, HT05, BL18, BL19, BL47, BL49, KD07, KD21, KD24, KD25, KD26, GB35, GB36, GB40, LV02, LV03, XL06 (DEADMAN-COMPOSITE)
- Angina Microvascular Cardiac Syndrome – ST13, SP20, SI10, SI11, BL15, KD07, KD23, GB21, GB22 (DEADMAN-COMPOSITE)
- Cough – LU01, LU02, LU03, LU04, LU05, LU06, LU07, LU08, LU09, LU10, LU11, LI01, LI05, LI13, LI18, ST10, ST12, ST13, ST14, ST15, ST16, ST18, ST19, ST36, ST40, SP05, SP14, SP17, SP18, SP19, SP20, SP21, SI01, SI02, SI11, SI15, SI17, BL11, BL12, BL13, BL14, BL15, BL16, BL17, BL18, BL20, BL23, BL30, BL42, BL43, BL44, BL45, BL60, BL66, KD01, KD03, KD04, KD07, KD19, KD20, KD21, KD22, KD23, KD24, KD25, KD26, KD27, PC01, PC02, PC03, PC08, TB06, TB10, GB10, GB11, GB18, GB21, GB22, GB23, GB39, GB44, LV03, LV10, LV13, LV14, CV04, CV14, CV15, CV17, CV18, CV19, CV20, CV21, CV22, CV23, GV09, GV10, GV11, GV12, GV20, XB01A, XB01B, XH15, XH27 (DEADMAN-COMPOSITE)
- Benefit Descend Qi – ST11, ST19, SP18, SP19, SP20, BL14, TB16, GB21, CV18, CV19, CV20, CV23 (DEADMAN-COMPOSITE)
- Alcoholism – LU11, SP20, SI07, KD07, GB25, LV02, LV03, CV24 (DEADMAN-COMPOSITE)
- Chest Bloating – LU08, ST13, ST14, ST15, ST45, SP03, SP20, HT05, BL19, BL47, BL49, KD04, KD06, KD07, KD19, KD24, KD25, KD26, GB35, GB36, GB39, GB40, LV02, LV14 (DEADMAN-COMPOSITE)