Spleen Meridian

Tianxi SP18 : Nomenclature, Location, Functions, Indications



Tian: heaven Xi: valley
Tian here means “upper”. Tianxi is in the stream-like intercostal space.
Point: SP-18
Chinese Name: 天溪
Name: Tianxi
English Name/Meaning: Heavenly Stream
Pinyin: tiān xī
Han Geul 한글: cheon gye 천계
Romaji: ten kei
Vietnamese: Thiên khê


In the 4th intercostal space, 6 cun lateral to the anterior midline or 2 cun lateral to the midclavicular line.

Functions of Tianxi:

  • Regulates and descends qi.
  • Benefits the breast and promotes lactation.
  • Unbinds the chest.


Fullness and pain in the chest and hypochondrium, cough, hiccup, mastitis, insufficient lactation.


Transverse-oblique insertion along the intercostal space, 0.5 to 1 cun.


Good for breast disorders.


Perpendicular insertion, especially in thin patients, carries a substantial risk of inducing a pneumothorax.


Dr. Ishwar Gyawali is Consultant Acupuncturist and Ayurveda Physician from Kathmandu, Nepal. He had completed BAMS (Bachelor of Ayurveda Medicine and Surgery), a five and half year course on Ayurveda Medicine from Kirtipur Campus affiliated to Tribhuvan University ,Institute Of Medicine, Nepal under scholarship in 2011. He had completed his MD in TCM from Nanjing University Of Chinese Medicine in 2016 under scholarship of Ministry of Education, Nepal. With an experience of Serving for Government of Nepal for 2 years and private practise for more than 5 years, he has sound knowledge in Ayurveda as well as Chinese Medicine. He is a registered Doctor in NAMC (Nepal Ayurveda Medical Council ) both as a physician as well as TCM/Acupuncture Specialist.

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