Pericardium Channel
1
INDICATIONS
Cough with copious phlegm, rattling sound in the
chest and throat, fullness of the chest, agitation of the
chest and diaphragm, shortness of breath, uprising
qi, pain of the lateral costal region.
Swelling and pain of the axilla, scrofula of the neck,
breast diseases, breast abscess, insufficient lactation.
Headache, blurred vision, malaria, fever with ab-
sence of sweating, inability to raise the four limbs,
pain of the arm.
COMMENTARY
Tianchi P-1 is one of ten points listed in Chapter 2 of the
Spiritual Pivot that have come to be known as Window of
Heaven points. With the exception of Tianchi P-1 and
Tianfu LU-3, all are located in the neck region. In common
with other points from this group, Tianchi P-1 is indicated
for various manifestations of inversion qi (chaotic and
rebellious qi), in this case affecting the Lung (uprising qi,
cough etc.), head (headache), sense organs (blurred vi-
sion) and neck region (scrofula). For a fuller discussion of
this point grouping see The Points of the Window of
Heaven.
Tianchi P-1 is almost exclusively indicated for excess
patterns. Because of its location it is used for disorders of
the chest and lateral costal region, especially those charac-
terised by stagnant qi and phlegm. When qi and phlegm
stagnate in the chest there is cough with copious sputum,
fullness of the chest, agitation of the chest and diaphragm
etc. When qi stagnates in the lateral costal region there is
pain. When qi and phlegm stagnate in the channels (the
Pericardium primary channel arches over the axilla and
the sinew channel travels inferior to the axilla) there is
axillary swelling and scrofula. Although not classically
indicated for breast disorders, modern indications for
Tianchi P-1 include breast abscess and insufficient lacta-
tion. Both these disorders may be due to stagnation of qi
and consequent stagnant heat.
COMBINATIONS
Swelling of the axilla: Tianchi P-1 and Weiyang BL-39
(One Hundred Symptoms).
Swelling of the axilla: Tianchi P-1, Weiyang BL-39,
Shenmai BL-62, Diwuhui GB-42, Yangfu GB-38 and
Zulinqi GB-41 (Thousand Ducat Formulas).
Scrofula: Tianchi P-1, Shaohai HE-3, Zhangmen
LIV-13, Zulinqi GB-41, Zhigou SJ-6, Yangfu GB-38,
Jianjing GB-21 and Shousanli L.I.-10 (Great Compen-
dium).
Rebellious qi cough: Tianchi P-1, Tiantu REN-22,
Shanzhong REN-17, Jiexi ST-41 and Jianzhongshu
SI-15 (Supplementing Life).
TIANCHI P-1
Heavenly Pool
Meeting point of the Pericardium, Gall Bladder,
Liver and Sanjiao channels
Point of the Window of Heaven
LOCATION
1 cun lateral and slightly superior to the nipple, in the 4th
intercostal space.
LOCATION NOTE
The level of the fourth intercostal space at this point is
more or less the same as that of the fourth intercostal space
at its junction with the sternum.
NEEDLING
Transverse-oblique insertion posteriorly along the inter-
costal space, 0.5 to 1 cun.
Caution: deep needling carries a substantial risk of caus-
ing a pneumothorax.
ACTIONS
Unbinds the chest, transforms phlegm and descends
rebellion
Regulates qi and dissipates nodules
Benefits the breasts
1 cun
Tianchi P-1
Combinations Index
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CONTENTS
Lung
L. Intestine
Stomach
Spleen
Heart
S. Intestine
Bladder
Kidney
Pericardium
Sanjiao
Gall Bladder
Liver
Conception
Governing
Extra Points
See Notes
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