Conception Vessel 21 (REN 21) Xuan Ji — Jade Pivot

This point, on the manubrium, unbinds the chest, descends rebellious qi and benefits the throat.

Conception Vessel 21 (REN 21) Xuan Ji 璇璣 — Jade Pivot

Location

On the chest, on the anterior midline, on the manubrium of the sternum, 1 cun below REN-22.

Anatomy

On the manubrium; the perforating branches of the internal mammary artery; the anterior cutaneous branch of the first intercostal nerve.

Actions & Functions

  • Unbinds the chest and descends rebellious qi
  • Benefits the throat and relieves cough

Indications

Cough and asthma, sore throat, fullness of the chest, and difficulty swallowing.

Needling

0.3-0.5 cun, transverse insertion.

Moxibustion Suitability

Suitable for moxibustion.

Point Combinations

With REN-22 for throat and chest disorders.

Classical Text References

A Ren Mai point on the manubrium.

Cautions & Contraindications

Needle transversely over the sternum.

Latest Research

Latest peer-reviewed research on this point will be summarised here, with citations linked to PubMed, via our research integration.

About Attilio

Doctor of Chinese medicine, acupuncture expert and author of My Fertility Guide and My Pregnancy Guide.

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PubMed research

Acupuncture Shows Sustained Benefits for Chronic Daily Headache Prevention in Adults, Meta-Analysis Finds

Research summary (Acupuncture): Utility of Acupuncture Therapy for Adult Chronic Daily Headache Prophylaxis: A Systematic Review and Meta-Analysis. - Medical science monitor : international medical journal of experimental and clinical research, 2026.