PC9

Pericardium Channel

Central Rush

中冲Zhōng Chōng

Anatomical location

At the tip of the middle finger, 0.1 cun behind the corner of the nail.

Main function

Clears Heat, restores consciousness, calms Wind.

  • Jing-Well point (Wood)
  • Tonification Point

Therapeutic indications

  • Loss of consciousness
  • fever
  • sore throat
  • palpitations
  • Heatstroke
  • High fever
  • Stroke
  • Infantile convulsions
  • Heart pain
  • Stiff tongue
  • Heat in the palms

Ryodoraku

  • Tonification of Pericardium

Name and classical tradition

Zhongchong, 中衝, is the point where the channel begins, at the tip of the middle finger. 中 is the center, and the middle finger is the central finger of the hand; 衝 means to burst forth, to rush, to gush out. The name describes Qi surging out at the end of the finger. The image fits the doctrine of the Jing-Well points (井穴), which the Lingshu (Spiritual Pivot), in the Jiu Zhen Shi Er Yuan chapter (九針十二原), sums up in three characters: «所出為井», the place where Qi emerges is the well.

The Ben Shu chapter (本輸) opens the series of the five transport points of the channel with it: «心出於中衝,中衝,手中指之端也,為井木». The text does not say that the Pericardium emerges, but the Heart (心): Qi emerges at Zhongchong, at the tip of the middle finger; it is the Jing-Well point, of Wood nature. The passage continues through PC8, PC7, PC5, and PC3, and ends by calling the whole set «手心主經», the channel of the Heart Master. The name Pericardium (心包) for this channel became established later.

It is therefore no surprise that the reference works attribute to it the alternative name 手心主, the same as the channel. It could be a use of the first point in the series to name the whole, although the quotation that expressly assigns it to the point has not been located. Like the other Jing-Well points, Zhongchong has been used for emergency bloodletting at the tip of the finger, in fainting and heatstroke.

Location of point PC9, Central Rush
CC BY-ND 4.0 (opens in a new tab)
View point on the 3D modelPC9 on the anatomy
Needling techniquePerpendicular needling 0.1 cun or bloodletting.
Depth0.1 cun
MoxibustionCan be used with caution (3-5 minutes, indirect moxa)
PrecautionsAvoid deep needling so as not to damage deep structures.
Cover of the guide “Protocols for the 20 most common patterns”

Free guide · PDF

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 PC9 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.

See the Clinic