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 SyndromeBenefit Descend QiBenefit DigestionBenefit Regulate QiCoughDescend QiChest BloatingCostal Lateral BloatingBreathing Shortness Of Breath ProblemsChest FullnessCostal Lateral FullnessChest Pectoral Strain StiffnessImmobility Chest Pectoral StrainPhlegm ExcessivePhlegm PusRegulate QiUnbind Chest
Protocols using SP20
- Lactation Insufficiency, Breastfeeding Postpartum – LU01, LI04, ST17, ST18, SP20, SI01, BL17, BL18, BL20, BL21, GB21, CV17 (doi:10.22038/ijp.2020.54458.4305 ↗)
- Lactation Insufficiency, Breastfeeding Postpartum – LI04, ST11, ST17, SP20, SI01, BL17, BL18, BL20, BL21, GB21, CV16, CV17 (doi:10.22038/ijp.2020.54458.4305 ↗)
- Hypogalactia, Breastfeeding Insufficiency, Lactation Postpartum – LU01, LI04, ST17, ST18, SP20, SI01, BL17, BL18, BL20, BL21, GB21, CV17 (doi:10.1186/s13643-025-02773-8 ↗)
- Hypogalactia, Breastfeeding Insufficiency, Lactation Postpartum – LI04, ST11, ST17, SP20, SI01, BL17, BL18, BL20, BL21, GB21, CV16, CV17 (doi:10.1186/s13643-025-02773-8 ↗)
- Qi Rebellious Lung, Qi Rebellious Lung – ST13, ST14, SP19, SP20, SP21, KD23, KD24, KD25, KD26 (Yang Yong-Xuan, clinical point-selection notes)
Most often selected alongside SP20
How many sourced protocols in the index pair each point with SP20. Corpus frequency, not a combination to use.
- BL17Diaphragm Shu Point4 protocols
- BL18Liver Shu Point4 protocols
- BL20Spleen Shu Point4 protocols
- BL21Stomach Shu Point4 protocols
- CV17Chest Centre4 protocols
- GB21Shoulder Well4 protocols
- LI04Junction Valley4 protocols
- SI01Lesser Marsh4 protocols
- ST17Breast Centre4 protocols
- CV16Central Court2 protocols
- LU01Central Mansion2 protocols
- ST11Abode Of Qi2 protocols
