SP19 (Xiongxiang, “Xiongxiang”) is an acupuncture point on the Spleen Channel Meridian. It is located on the anterior chest, in the third intercostal space, 1.6 cun inferior to SP20 (Zhourong) and 6 cun lateral to the anterior midline. The point is located with the patient in a supine position. It expands the chest, unbinds the chest and hypochondrium, and alleviates pain.
On the anterior chest, in the third intercostal space, 1.6 cun inferior to SP20 (Zhourong) and 6 cun lateral to the anterior midline. The point is located with the patient in a supine position.
Oblique or transverse insertion 0.5-0.8 cun, along the intercostal space. Perpendicular insertion is contraindicated due to the risk of pneumothorax.
Expands the chest, unbinds the chest and hypochondrium, and alleviates pain.
Chest and hypochondriac fullness, pain in the chest that radiates to the back, inability to lie down, difficulty turning or rolling over.
Xiongxiang is a local point primarily used for conditions of stagnation and pain in the chest and ribs. Its key indication from classical sources is a feeling of fullness and pain in the chest and hypochondrium that is so severe it prevents the patient from lying down or turning from side to side. This makes it a useful point for pleurisy, intercostal neuralgia, and other conditions with sharp, localized chest pain that is worse with movement or respiration.
Classical text; the translation was prepared with AI and is not clinical advice.
《黃帝明堂灸經》 Huángdì Míngtáng Jiǔjīng — The Yellow Emperor's Bright Hall Moxibustion Classic, Tang · 卷上 · 正人形第三 · Source: jicheng.tw ↗
胸鄉 二穴，在周榮下一寸六分陷者宛宛中。 灸五壯。 主胸脅支滿，卻引背痛，不得臥，轉側難也According to this text, SP19 lies in the hollow depression 1.6 cun below Zhourong (SP20), with 5 moxa cones; it was used for propping fullness of the chest and ribs with pain pulling to the back, inability to lie down and difficulty turning over.
《針灸甲乙經》 Zhēnjiǔ Jiǎyǐ Jīng — Systematic Classic of Acupuncture & Moxibustion, c. 256–282 · 卷03 · Source: Wikisource ↗
胸鄉，在周榮下一寸六分陷者中，足太陰脈氣所發，仰而取之，刺入四分，灸五壯According to this text, SP19 lies in the depression 1.6 cun below Zhourong (SP20), where the foot Taiyin qi emerges, located with the face upward; needle 0.4 cun, moxibustion 5 cones.
《類經圖翼》 Lèijīng Túyì — Illustrated Wings to the Classified Canon, Zhang Jiebin, 1624 · 卷六 · 經絡（四） · 足太陰脾經穴 · Source: jicheng.tw ↗
胸鄉 在周榮下一寸六分陷中，仰而取之。 刺四分，灸五壯。 主治胸脅支滿，引背痛，不得臥轉側According to this text, SP19 lies 1.6 cun below Zhourong (SP20), located with the face upward; needle 0.4 cun, moxibustion 5 cones. It was used for propping fullness of chest and ribs with pain pulling to the back and inability to lie down or turn over.
《醫學入門》 Yīxué Rùmén — Introduction to Medicine, Li Chan, 1575 · 经穴起止 · Source: Wikisource ↗
胸乡周荣下一寸六分陷中，仰取之。 针入四分，灸三壮。 专主胸胁支满，引胸背痛According to this text, SP19 lies in the depression 1.6 cun below Zhourong (SP20), located with the face upward; needle 0.4 cun, moxibustion 3 cones. It was used specifically for propping fullness of chest and ribs with pain pulling to the chest and back.
SP19 is one of 21 points on the Spleen Channel Meridian. Nearby points:
SP19 (Xiongxiang) is located on the anterior chest, in the third intercostal space, 1.6 cun inferior to SP20 (Zhourong) and 6 cun lateral to the anterior midline. The point is located with the patient in a supine position.
SP19 expands the chest, unbinds the chest and hypochondrium, and alleviates pain. Common clinical indications include chest and hypochondriac fullness, pain in the chest that radiates to the back, inability to lie down, difficulty turning or rolling over.
Oblique or transverse insertion 0.5-0.8 cun, along the intercostal space. 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.
SP19 is a point on the Spleen Channel Meridian (Zú Tài Yīn Pí Jīng).