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POINT: LI-18 (LARGE INTESTINE-18)

English: Support the Prominence
Also Known As: Relieve Prominence
Support and Rush Out
  • 3 cun lateral to the laryngeal prominence, lateral to ST-9 Renying and in the posterior margin of the sternocleidomastoid muscle.
  • On the lateral side of the neck, level with the tip of the Adam's apple, between the sternal head and clavicular head of the m. sternocleidomastoideus.
  • Level with the laryngeal prominence, located just between the two heads of the sternocleidomastoid muscle.
    Note: Palpation of the sternal and clavicular heads is made easier if the patient turns the head away from the side to be needled while you apply resistance to the chin. In females, palpate the depression formed by the lower border of the hyoid bone and the upper border of the thyroid cartilage at the midline. The laryngeal prominence lies just below this. The point may be located 3 cun (one handbreadth) from the laryngeal prominence.
  • Straight insertion, 0.5 to 1 cun. Sensation distended and constricted feeling in the throat.
  • Puncture perpendicularly 0.3 to 0.5 cun.
  • Oblique insertion, 0.5 to 0.8 cun.
  • Caution: deeper needling may puncture the carotid artery or jugular vein.
  • Moxibustion is applicable.
  • Window of the Sky (Window of Heaven) point
  • Benefits the throat and voice
  • Alleviates cough and wheezing
  • Resolves Phlegm
  • Disperses masses
  • Wheezing
  • Excessive mucous
  • Hoarse voice
  • Distention and soreness in the throat
  • Difficulty swallowing
  • Anesthesia during thyroid surgery
  • Dry throat
  • Aphasia
  • Cough with oppression
  • Gurgling or rattling sounds in the throat
  • Coughing and wheezing
  • Sounds in the throat (like a duck)
  • Asthma
  • Sudden loss of voice
  • Scrofula
  • Goiter
  • Excess throat and chest mucus
  • Dyspnea
  • Laryngitis
  • Laryngeal spasm
  • Hypotension

REN-22
Tiantu
KI-3
Taixi

REN-22
Tiantu
LI-4
Hegu

SI-16
Tianchuang
SJ-6
Zhigou
GB-7
Qubin
HT-4
Lingdao

Wheezing

Sounds in the throat

Hoarse voice

Sudden loss of voice

KI-4
Dazhong
GB-11
Touqiaoyin

SI-17
Tianrong
REN-23
Lianquan
UB-42
Pohu
ST-11
Qishe
UB-45
Yixi

 

Bleeding from the root of the tongue

Cough with Rebellious Qi

Dyspnea

Vomiting of foam

Clenched teeth

 

  • This point is widely used as a local point for throat problems.