CV20

Ren Mai (Conception Vessel) Channel

Florid Canopy

华盖Huá Gài

Anatomical location

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

Main function

Regulates chest Qi, benefits the Lungs.

Therapeutic indications

  • Cough
  • asthma
  • chest pain
  • chest oppression
  • chest and costal pain
  • sore throat

Name and classical tradition

Huagai, 华盖, is the “floral canopy.” 华 (華) means flower, splendor; 盖 (蓋), cover, canopy. The 華蓋 was the ornamental canopy that covered the emperor's carriage, a symbol of his dignity. The translation as “jade pavilion” does not correspond to the characters.

The soundest reading refers to a classical epithet of the Lung. Zang-Fu theory calls the Lung the canopy of the organs (肺為五臟之華蓋), because its lobes cover the heart like a canopy, and Yang Shangshan used this to explain the name of LU3, Tianfu. The point, on the upper part of the sternum, borrows that epithet. In the court of the chest, the canopy covers the purple palace, CV19, which lies just below. Another, modern gloss speaks of a protective layer that covers the body.

The first work to record it is the Zhenjiu Jiayi Jing (Systematic Classic of Acupuncture and Moxibustion), which places it «在璇璣下一寸陷者中», in the depression one cun below Xuanji, CV21, and assigns it cough with rebellious Qi that leaves the patient unable to speak: «咳逆上氣,喘不能言,華蓋主之». Later works do not agree on the measurement: Hua Shou's Shisi Jing Fahui (Elucidation of the Fourteen Channels), in the Yuan period, gives two cun, and the Zhenjiu Dacheng (Great Compendium of Acupuncture and Moxibustion), in the Ming period, gives one cun and six fen.

Location of point CV20, Florid Canopy
CC BY-ND 4.0 (opens in a new tab)
View point on the 3D modelCV20 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 CV20 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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