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Yibian
 Shen Yaozi 
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acupointHuagai
international codeRN20
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bubble_chart Etymology

"Huagai" (華蓋) is the name of stars. According to Songshi-Tianwen Zhi (History of Song-Astronomical Records): "Huagai constellation consists of seven stars, with nine supporting stars resembling a canopy with a handle hanging down, covering the seat of the Great Emperor. It is located above the Purple Palace near the constellation Gouchen (勾陳)." The acupoint is located above Zigong (CV19).

Alternatively, "Hua" (華) means magnificent; "gai" (蓋) means canopy, which was used by emperors. Lung, located above heart (the ruler), are considered the "canopy" of five zang-organs. The acupoint is located on front of chest and is related to lung.

bubble_chart Location

Huagai (CV20) acupoint
(adapted from "Meridians and Acupoints")
Located on the midline of chest, level with 1st intercostal space, above sternal angle.

bubble_chart Anatomy

  • Muscles: the superficial fascia is thin, with almost no fat.
  • Nerve: medial branch of anterior cutaneous branch of first intercostal nerve.
  • Vessels: anterior perforating branches of internal thoracic (mammary) artery and vein.

bubble_chart Manipulation

Subcutaneous insertion 0.3~0.5 cun. Moxibustion with moxa cone 3 to 5 minutes, moxibustion with moxibustion for 15 to 20 minutes.

bubble_chart Efficacy

Ventilate lung, benifit pharynx.

  • Classical: cough, asthma, chest and rib pain, throat obstruction and swelling.
  • Modern: Costochondritis.

bubble_chart Combinations

  • Rib and flank pain: Huagai (CV20), Qihu (ST13).

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