CV19

Ren Mai (Conception Vessel) Channel

Purple Palace

紫宫Zǐ Gōng

Anatomical location

On the midline, at the level of the second intercostal space.

Main function

Regulates the Qi of the chest, relieves chest oppression.

Therapeutic indications

  • Chest pain
  • cough
  • asthma
  • palpitations
  • vomiting

Name and classical tradition

Zigong, 紫宫, is the “purple palace.” 紫 means purple; 宫 (宮), palace. The name has an astronomical referent: 紫宮 is another way of naming the Purple Enclosure (紫微垣), the region of the sky around the North Pole where Chinese astronomy placed the dwelling of the Celestial Emperor. Applied to the body, the purple palace is the abode of the Heart, the sovereign. The sources point out this correspondence, although no ancient commentary on the point states it.

It is the central piece of the series of court names that the Ren Mai unfolds across the chest, with CV18, the jade hall, below it, and CV20, the imperial canopy, above it. Its earliest record is in the Zhenjiu Jiayi Jing (Systematic Classic of Acupuncture and Moxibustion), and it has no alternative names. At its level, on the Kidney channel, is KI25, Shencang, the storehouse of the spirit.

Location of point CV19, Purple Palace
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View point on the 3D modelCV19 on the anatomy
Needling techniqueOblique or subcutaneous insertion 0.3-0.5 cun.
Depth0.3-0.5 cun
MoxibustionApplicable (3-5 cones or 5-10 minutes, indirect moxa)
PrecautionsAvoid deep needling so as not to injure the heart or lungs.
Cover of the guide “Protocols for the 20 most common patterns”

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Protocols for the 20 patterns you see most in practice

Each pattern with its tongue, its pulse, the treatment principle and the points to tonify and disperse. Made for the treatment table, not the bookshelf.

Do you use CV19 with your patients?

In the Clinic you record it in the patient's file, next to the tongue, the pulse and the measurements, so at the next session you know exactly what you used. The Atlas is built in.

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