REN14 Great Palace

Reviewed by · Licensed Acupuncturist & TCM Physician · Last reviewed June 2026

REN14 (Juque, “Great Palace”) is the Front-Mu of the Heart point of the Conception Vessel Meridian. It is located on the anterior midline of the upper abdomen, 6 cun superior to the umbilicus and 2 cun inferior to the sternocostal angle. Classically, it is located 1 cun inferior to the xiphoid process (Jiuwei, REN15). It calms the Heart and Spirit, regulates Heart Qi, transforms phlegm, descends rebellious Stomach Qi, and alleviates pain.

Location

On the anterior midline of the upper abdomen, 6 cun superior to the umbilicus and 2 cun inferior to the sternocostal angle. Classically, it is located 1 cun inferior to the xiphoid process (Jiuwei, REN15).

Needling

Insert obliquely downwards 0.5 to 1.0 inch. Deep perpendicular insertion is not advised due to the risk of puncturing the liver or heart.

Deep needling is cautioned against. The Zhen Jiu Ju Ying notes that after needling Juque for a fetus pushing up against the heart, the fetus will descend and may have a needle mark on its body depending on its position (e.g., on the hand if it was 'clutching the heart').

TCM functions

Calms the Heart and Spirit, regulates Heart Qi, transforms phlegm, descends rebellious Stomach Qi, and alleviates pain.

Indications

Abdominal fullness, sudden severe abdominal pain with sweating, chest fullness, chest pain, pain in the heart and abdomen, heart pain that radiates to the back, vexation of the heart, frequent vomiting, difficulty swallowing, acid regurgitation, rebellious Qi, shortness of breath, cough, inability to eat or drink, jaundice, fright and palpitations, poor memory, mania and raving, epilepsy, corpse-like syncope (shi jue), cholera, pregnancy complications where the fetus pushes upward against the heart causing distress, retained placenta, accumulation of cold in the five viscera, water in the chest, heart vexation from febrile disease, incessanttrance-like state, aversion to food.

Front-Mu of the Heart

Clinical notes

As the Front-Mu point of the Heart, Juque is a primary point for disorders of the Heart and spirit, especially those involving phlegm or rebellious Qi. It is classically indicated for acute, severe conditions like chest pain, palpitations, mania, and syncope. Its proximity to the stomach also makes it effective for rebellious Stomach Qi, such as severe vomiting, hiccups, and acid reflux, particularly when these symptoms are accompanied by anxiety or other shen disturbances.

In the classical sources

Classical text; the translation was prepared with AI and is not clinical advice.

《醫學綱目·刺灸》 Yīxué Gāngmù · Cìjiǔ — Outline of Medicine: Needling and Moxibustion, Lou Ying, 1565 · 卷之八·陰陽臟腑部 · 穴法下 · Source: jicheng.tw ↗

巨闕一穴,心之募也,在鳩尾下一寸,任脈氣所發。 針入六分,留七呼,得氣即瀉,灸七壯至七七壯

According to this text, REN14 (a single point) is the mu (alarm) point of the heart, 1 cun below Jiuwei, where the Ren vessel qi emerges; it is needled 6 fen, retained seven breaths and drained once qi arrives, with 7 up to 49 moxa cones.

《備急千金要方》 Bèijí Qiānjīn Yàofāng — Essential Prescriptions Worth a Thousand Gold for Emergencies, c. 650 · 第二十九 · Source: Wikisource ↗

巨闕、太倉、上下脘,此之一行有六穴,忌火針也

The text states that on this line of six points, including REN14, Taicang and the upper and lower epigastric points, fire needling is to be avoided.

《扁鵲心書》 Biǎn Què Xīnshū — Bian Que's Heart Book, Dou Cai, 1146 · 卷上 · 附:竇材灸法 · Source: jicheng.tw ↗

一風狂妄語,乃心氣不足,為風邪客於包絡也,先服睡聖散,灸巨闕穴七十壯,灸瘡發過,再灸

The text records that wind-mania with wild talk was attributed to insufficient heart qi with wind evil lodging in the pericardium; the patient first took Shuisheng powder, then 70 moxa cones were applied at REN14, repeated after the moxa sore had run its course.

《脈經》 Màijīng — The Pulse Classic, c. 280 CE · 卷02 · Source: Wikisource ↗

寸口脈滑,陽實,胸中壅滿,吐逆,宜服前胡湯,針太陽、巨闕,瀉之

The text records that when the cunkou pulse is slippery with yang excess, the chest congested and full, and there is vomiting, one should take Qianhu decoction and needle Taiyang and REN14 with draining.

On the Conception Vessel channel

REN14 is one of 24 points on the Conception Vessel Meridian. Nearby points:

Frequently asked questions

Where is REN14 located?

REN14 (Juque) is located on the anterior midline of the upper abdomen, 6 cun superior to the umbilicus and 2 cun inferior to the sternocostal angle. Classically, it is located 1 cun inferior to the xiphoid process (Jiuwei, REN15).

What is REN14 used for?

REN14 calms the Heart and Spirit, regulates Heart Qi, transforms phlegm, descends rebellious Stomach Qi, and alleviates pain. Common clinical indications include abdominal fullness, sudden severe abdominal pain with sweating, chest fullness, chest pain, pain in the heart and abdomen, heart pain that radiates to the back, vexation of the heart, frequent vomiting, difficulty swallowing, acid regurgitation, rebellious Qi, shortness of breath, cough, inability to eat or drink, jaundice, fright and palpitations, poor memory, mania and raving, epilepsy, corpse-like syncope (shi jue), cholera, pregnancy complications where the fetus pushes upward against the heart causing distress, retained placenta, accumulation of cold in the five viscera, water in the chest, heart vexation from febrile disease, incessanttrance-like state, aversion to food.

How is REN14 needled?

Insert obliquely downwards 0.5 to 1.0 inch. Deep perpendicular insertion is not advised due to the risk of puncturing the liver or heart. Caution: Deep needling is cautioned against. The Zhen Jiu Ju Ying notes that after needling Juque for a fetus pushing up against the heart, the fetus will descend and may have a needle mark on its body depending on its position (e.g., on the hand if it was 'clutching the heart').

Which meridian is REN14 on?

REN14 is a point on the Conception Vessel Meridian (Rèn Mài).

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⚠️ This page is for general education and is not medical advice. Acupuncture is a traditional practice; evidence varies by condition and study quality, and individual results differ. It does not replace diagnosis or treatment by a licensed professional. Always consult a qualified acupuncturist or physician.