Spleen 18, Tian Xi
天谿, tiān xī, "Celestial Ravine"


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Pinyin Pronunciation:
Meridian
Meridian:
Spleen  Browse
Reference Source
Reference Source:
Location
Point Location:
  • CAM
In the 4th intercostal space, 6 cun lateral to the anterior midline.
  • Deadman
On the lateral side of the chest, in the fourth intercostal space, 6 cun lateral to the midline.
How To Find It
1. The intercostal spaces are most reliably counted downwards from the second intercostal space which lies immediately below the sternal angle. In males, the nipple almost invariably lies in the fourth intercostal space. 2. The six cun line is lo
Innervation
Innervation:
The lateral cutaneous branch of the fourth intercostal nerve.
Vasculature
Vasculature:
The branches of the lateral thoracic artery and vein, the thoracoepigastric arterty and vein, the fourth intercostal artery and vein.
Cautions
Cautions:
Risk of inducing a pneumothorax with perpendicular insertion, especially in thin patients.
Technique
Technique:
  • CAM
Puncture obliquely 0.3-0.5 inch.
  • Deadman
Transverse oblique insertion along the intercostal space 0.5 cun to 1 cun.

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