Conception Vessel 20, Ren 20, Huagai, Flower Covering

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Conception Vessel 20, also called Ren 20, Flower Covering, is the 20th point on the 'extraordinary' acupuncture channel called the Conception Vessel, which runs up the anterior mid-line of the body.

Location of Ren 20

On the sternum mid-line, at the level of the first inter-costal space, usually in a depression.

Needling and Moxa for Huagai

Needling: Transversely upwards or downwards, just under the skin. Up to 1 cun.

Obtaining deqi isn't always easy, I find.

Needle Sensation
I haven't used this point often enough to be clear about the needle sensation, other than locally.

Up to 5 cones.

ACTIONS of Conception Vessel 20

  • Opens the chest: asthma, cough, fullness in the chest
  • Descends uprising or rebellious Qi

Although this point, together with Conception Vessel 18 and 19, each has a different name, they all do much the same, although perhaps their different names bestow important distinctions that I don't understand.

They are helpful where patients feel stuffy or tight-chested, or where something swallowed is causing local pain or won't go down.However, I find that other points, such as chest points on the Kidney and Stomach channels, are often better for respiratory and Qi stagnation conditions, together with Lung 1, for example.

  • Throat swelling or pain
  • Fullness in the chest
  • Pain in the chest
  • Anxiety arising from chest pain

Comment on Conception Vessel 20

The name of the point, Huagai, Flower Covering, refers to a canopy over the Emperor's carriage in ancient China. Here the point lies over the space occupied by the Heart and Lungs.

If that name does indeed mean this, then one might assume that, because winters were cold and the Emperor probably needed a bit more than just a nice flowery canopy, this point refers to hot conditions as of summer, rather than deficient conditions, as of winter. At least the conditions suggested by the implications of the name suggest to me that this point is more for excess conditions.

When thinking of the Emperor under the canopy, I speculate that this point is useful not just for helping patients to breath more deeply but to have a clearer sense of purpose.

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

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