Conception Vessel 14: Ren 14
Juque : Great Palace Gateway


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Conception Vessel 14 is the 14th acupuncture point on the Conception Vessel, also known as Ren-14 or Juque, Great Palace Gateway, meaning the 'Gateway to the Heart'. 

Location of Juque

6 cun above the umbilicus on the midline, ie 2 cun inferior to the sternocostal notch. 

Finding this point isn't always easy as people's body shape and zyphoid processes vary in length.

If you can find the zyphoid process tip, the point is usually just inferior to it, and when the point is in need of treatment, it may be a little tense, or knotted, or slack, or it may feel 'podgy'.

In each case it may be slightly sore. Also try gently pinching it. 

However, in very ticklish people, any probing or pinching here can too uncomfortable and a firm, gentle touch is needed: easier said than done.

Needling Conception Vessel 14

Needle obliquely and inferiorly to avoid penetrating either the Heart or Liver organ, should either be enlarged. Maximum depth 1 cun if vertically, or 1.5 cun if diagonally downwards. 

Needling sensation

Locally, gripping, or upwards into the chest cavity. 

Moxa: up to 15 cones.

ACTIONS of Conception Vessel 14

  • Descends Heart, Lung and Stomach Qi
  • Harmonises Heart and Stomach 
  • Helps to clear Phlegm, open the orifices, and calm the Shen 

Descends Heart Qi

This point is the Front Mu or Collecting point for the Heart, the point where the heart organ condition can be most easily revealed and treated. By 'revealed' I mean that pain at this point suggests some kind of tension or disharmony in the heart organ. Careful reading of the pulse may tell you more. 

Emotional Strain

In treating the Heart and the heart organ, we must think about it from the Chinese medical point of view. 

Firstly, the Heart seldom goes out of order on its own. There is almost always some other factor, frequently an emotional, underlying Heart disharmony. 

If emotional, that disharmony may have occurred suddenly, as after a great shock or terror, but is much more likely to have arisen following a long period of other emotional turmoil, typically of fear or anger.

Whatever the emotion at the root of the matter, ideally it should be treated first, because that may by itself resolve the problem. Not treating it won't cure the problem, merely palliate it. 

Physical Strain

However, although, at least in the more developed countries, emotional issues underlie most Heart energy problems, that's not to say that they always do, or that other factors may not be more important. 

A huge shock, or extreme physical exertion in one unused to it or in someone very unfit, or who has other physical problems, eg asthma, may dissipate or exhaust Heart Qi.

A period of high fevers may drain the body's Yin resources leading to Heart Yin deficiency, and so on.

Conception Vessel 14 is definitely helpful for this, because it also treats Stomach Qi, and healthy Stomach Qi can lead to healthy Spleen Qi and potentially healthy Blood and Yin

Heart Qi ascending

Heart Qi should descend. When it rises, various mental conditions can arise such as agitation, mania, seizures, mental disease and over-revelatory behaviour. As Heart Qi descends, perhaps through use of Conception Vessel 14, the patient becomes calmer and clearer-headed. 

Heart Qi deficiency

When Heart Qi is deficient, the symptoms are those of

  • low spirits,
  • possibly depression, and
  • low energy. There may be
  • palpitations,
  • causing anxiety.
  • ... and circulation may be poor.

Tonifying this point, perhaps with moxa and needle, can have an immediate revitalising effect on mind and body.

Insomnia can also be treated here, although other points should be used too. Insomnia can arise from a range of Heart disorders such as deficiency of Heart Blood or of Heart Yin, Heart Yin deficiency with empty Heat, or Phlegm-Fire harassing the Heart. This point can help to harmonise all these issues. 

Lung Qi

Conception Vessel 14 is also important in treating Lung Qi and the Lung zang organ. The Lung meridian starts from the epigastrium and with Conception Vessel 12, this point has a major role in strengthening and harmonising the Lung. 

Poor breathing patterns, asthma, fullness in the chest with difficulty breathing, or chest pain and cough may all respond to this point. For cough without other obvious cause, needling this point with gentle dispersing method for an extended period has been known to stop the cough.

Diaphragm

This point also calms the diaphragm, for example in asthma and hiccough. It helps people breathe better and more deeply. 

Stomach Qi

Many digestive issues, from fullness, epigastric swelling, burping and eructations to pain and lack of or excess of hunger come under disharmony of Stomach Qi. This point helps nearly all of them, though when there is an emotional component, points chosen from 5 Phase (also called 5 Element theory) will improve results. 

Phlegm

Phlegm can seriously confuse the Heart, and cause depression, phobias, uncontrollable behaviour, (typically crying and laughing, ravings), bad sleep and much else including loss of consciousness. 

This point is specifically very effective for Phlegm patterns, particularly with other points, such as Kidney 9 on the Yin Linking channel.

Conception Vessel 14 helps clear phlegm and calm the Shen.

NB Please don't needle this point on yourself! It's not easy always to find the point accurately and needling too deep could cause you problems. See an acupuncturist!

To access other points on the Conception Vessel, click below:

Ren-1 Huiyin Yin Meeting Place
Ren-2 Qugu Crooked Bone
Ren-3 Zhongji Utmost Middle
Ren-4 Guanyuan Source Gate
Ren-5 Shimen Stonegate
Ren-6 Qihai Sea of Qi
Ren-7 Yin Jiao Yin Intersection/td>
Ren-8 Shenque Spirit Palace Pathway
Ren-9 Shuifen Water Separation
Ren-10 Xiawan Lower Stomach Duct
Ren-11 Jianli Earthing Within
Ren-12 Zhongwan Utmost Middle
Ren-13 Shangwan Upper Stomach Duct
Ren-14 Juque Great Palace Gateway
Ren-15 Jiuwei Dovetail
Ren-16 Zhongting Central Hall
Ren-17 Shangzhong Middle of the Chest
Ren-18 Yutang Jade Hall
Ren-19 Zigong Purple Palace
Ren-20 Huagai Flower Covering
Ren-21 Xuanji Jade Pearl
Ren-22 Tiantu Heavenly Rushing
Ren-23 Lianquan Clear Spring
Ren-24 Chengjiang Fluid Container

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