REN17 Shanzhong

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

REN17 (Shanzhong, “Shanzhong”) is the Front-Mu of the Pericardium point of the Conception Vessel Meridian. It is located on the anterior midline of the chest, in a depression level with the fourth intercostal space, midway between the nipples. It is also located 1.6 cun inferior to Yutang (REN 18). It regulates Qi and unbinds the chest, descends rebellious Lung and Stomach Qi, benefits the Pericardium and Heart, opens the chest and benefits the breasts.

Location

On the anterior midline of the chest, in a depression level with the fourth intercostal space, midway between the nipples. It is also located 1.6 cun inferior to Yutang (REN 18).

Needling

Transverse (subcutaneous) insertion, directed superiorly or inferiorly, 0.3-0.5 cun. Oblique insertion is also used. Perpendicular insertion is contraindicated due to the risk of pneumothorax.

Overlies the thoracic cavity — risk of PNEUMOTHORAX. Needle obliquely or transversely, never deeply or perpendicularly toward the chest wall. Classical texts such as the Zi Sheng Jing and Zhen Jiu Ju Ying contain strong warnings against needling this point, stating it could be fatal or shorten life. Modern practice requires shallow, transverse insertion to avoid puncturing the heart or lungs.

TCM functions

Regulates Qi and unbinds the chest, descends rebellious Lung and Stomach Qi, benefits the Pericardium and Heart, opens the chest and benefits the breasts.

Indications

Shortness of breath, cough, wheezing, throat sounds, chest fullness or sensation of blockage, chest pain, pain from wind, difficulty swallowing, vomiting, vomiting of foam, insufficient lactation, lung abscess with pus, sudden heart pain, vexation, sadness, spitting up milk in infants, rebellious qi, diaphragmatic constriction, upward-rushing lung qi, inability to eat, spitting blood, heart vexation, cough with rebellious qi, upper qi.

Front-Mu of the PericardiumEight Influential Point (Qi)Sea of Qi

Clinical notes

As the Influential Point of Qi and the Front-Mu of the Pericardium, Shanzhong is a primary point for all disorders of the chest. It is essential for regulating the flow of Qi in the thorax, treating conditions like asthma, cough, and feelings of oppression. Its connection to the Pericardium, the 'palace of the Heart', also makes it a key point for addressing emotional issues such as anxiety and sadness that manifest with chest tightness.

In the classical sources

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

《針灸大成》 Zhēnjiǔ Dàchéng — Great Compendium of Acupuncture & Moxibustion, 1601 · 卷九 · Source: Wikisource ↗

膻中(一名元見)玉堂下一寸六分,橫量兩乳中陷中,仰而取之

It is located 1.6 cun below Yutang, in the depression midway between the two nipples measured across, and is found with the head tilted back, according to this text; it is also called Yuanjian.

《神應經》 Shényìng Jīng — Classic of Divine Response, Chen Hui, 1425 · 穴法图 · Source: Wikisource ↗

膻中 在两乳间折中而取之,有陷是穴,仰而取之。 禁针,灸七壮止七七

According to this text, REN17 is found midway between the two nipples where there is a depression, with the head tilted back; needling is forbidden, and moxibustion of 7 up to 49 cones is applied.

《備急千金要方》 Bèijí Qiānjīn Yàofāng — Essential Prescriptions Worth a Thousand Gold for Emergencies, c. 650 · 第十三 · Source: Wikisource ↗

胸痺心痛,灸膻中百壯,穴在鳩尾上一寸,忌針

The text records that for chest-bi with heart pain, 100 moxa cones were applied at REN17, located 1 cun above Jiuwei (as stated here), and that needling is to be avoided.

《千金翼方》 Qiānjīn Yìfāng — Supplement to the Thousand Gold Prescriptions, c. 682 · 卷27 · Source: Wikisource ↗

治卒噦,灸膻中、中府、胃管各數十壯

The text records that for sudden hiccup, several tens of moxa cones each were applied at REN17, Zhongfu and Weiguan.

On the Conception Vessel channel

REN17 is one of 24 points on the Conception Vessel Meridian. Nearby points:

Frequently asked questions

Where is REN17 located?

REN17 (Shanzhong) is located on the anterior midline of the chest, in a depression level with the fourth intercostal space, midway between the nipples. It is also located 1.6 cun inferior to Yutang (REN 18).

What is REN17 used for?

REN17 regulates Qi and unbinds the chest, descends rebellious Lung and Stomach Qi, benefits the Pericardium and Heart, opens the chest and benefits the breasts. Common clinical indications include shortness of breath, cough, wheezing, throat sounds, chest fullness or sensation of blockage, chest pain, pain from wind, difficulty swallowing, vomiting, vomiting of foam, insufficient lactation, lung abscess with pus, sudden heart pain, vexation, sadness, spitting up milk in infants, rebellious qi, diaphragmatic constriction, upward-rushing lung qi, inability to eat, spitting blood, heart vexation, cough with rebellious qi, upper qi.

How is REN17 needled?

Transverse (subcutaneous) insertion, directed superiorly or inferiorly, 0.3-0.5 cun. Oblique insertion is also used. Perpendicular insertion is contraindicated due to the risk of pneumothorax. Caution: Overlies the thoracic cavity — risk of PNEUMOTHORAX. Needle obliquely or transversely, never deeply or perpendicularly toward the chest wall. Classical texts such as the Zi Sheng Jing and Zhen Jiu Ju Ying contain strong warnings against needling this point, stating it could be fatal or shorten life. Modern practice requires shallow, transverse insertion to avoid puncturing the heart or lungs.

Which meridian is REN17 on?

REN17 is a point on the Conception Vessel Meridian (Rèn Mài).

Interactive body mapConditions & evidenceFind an acupuncturistTCM glossary
⚠️ 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.