Light touch only; never press in between the ribs.
靈墟 Lingxu
“Spirit Mound” · KI24
Foot Shaoyin · 24 of 27
Where. In the third rib space below the collarbone, halfway between the breastbone and the nipple line.
For. Cough with much phlegm; aching chest and ribs.
Press. A light fingertip touch, briefer than elsewhere, about a minute each side.
Caution. Light touch only; never press in between the ribs.
靈墟,在神藏下一寸六分陷者中按 · Press with me
Six slow breaths
About a minute. Press as you breathe out, ease as you breathe in.
鄰 · Neighbouring leaves
Where Lingxu Sits on the Upper Chest
Lingxu occupies the middle height of the front chest wall. The licensed dataset locates it on the chest, in the third intercostal space, two cun lateral to the anterior midline. A cun is the traditional measuring unit of Chinese point-location: proportional lengths taken from the person being examined rather than from a ruler, so a cun across a broad-framed adult differs from a cun on a slight teenager. The thumb-width is the handiest everyday version — the width across the knuckle joint of your own thumb counts as roughly one cun — so two cun out from the centre line means about two thumb-widths. On most bodies that places the point squarely between breastbone and nipple, high enough that the ribs are already narrowing toward the collarbone.
The kidney channel gives this spot its address within an orderly scheme. Along the abdomen the channel climbs a narrow lane half a cun beside the centre line; when it reaches the rib cage it swings outward to a wider lane, two cun off the midline, and ascends the chest rung by rung. Each station occupies one intercostal space: Bulang (KI22) at the fifth space, Shenfeng (KI23) at the fourth, Lingxu at the third, Shencang (KI25) at the second, Yuzhong (KI26) at the first, and Shufu (KI27) finally in the hollows just beneath the collarbone. Lingxu sits at the middle rung of that five-step staircase — one space above Shenfeng, one below Shencang — which makes its neighbours as useful for confirmation as they are easy to confuse with it.
The centre line offers another anchor. On the anterior midline, level with the third intercostal space, the catalogue places Yutang (CV18); Lingxu therefore lies directly out from that midline point, two cun along the same horizontal. Traditional proportional teaching sets the nipples about four cun from the midline, level with the fourth intercostal space, so the true spot sits midway between centre line and nipple line, one rib-gap above the level of the nipples. For most bodies this geometry steers a searching finger well; individual builds vary, which is exactly why the walkthrough below leans on counting rather than estimation.
What lies under the fingertips here deserves respect. The surface belongs to the pectoralis major, the broad plate of chest muscle; beneath it lie ribs separated by soft intercostal spaces, and behind those, only thin layers away, ride the pleura and the lung. High on the chest wall lung tissue sits close to the surface even at rest, rising higher still on every inhale. This is why classical location texts treat the upper-chest points with unusual precision, and why any pressure practiced here should stay superficial and unhurried. Nothing about self-palpation needs force; the landmarks announce themselves to patient, light touch.
A Self-Palpation Walkthrough
Sit upright on a firm chair with both feet down and shoulders released, so the chest muscles soften. Begin at the collarbone: rest the pads of your index and middle fingers just below the midpoint of either clavicle and walk them straight down the chest wall, counting the soft grooves between ribs. The first groove you meet below the collarbone is the first intercostal space, the second groove the second, and the third groove is the one you want — level with it lies Lingxu. From that groove slide outward along the same horizontal until you are about two thumb-widths from the centre of the breastbone. Under your fingertips should be soft muscle over a gentle gap between ribs, not bare bone. Repeat the search on the other side, because the point exists in mirrored pairs.
A few confirmations help before any pressing begins. Touch feather-light and compare sides: many people notice a faint, dull awareness at the true spot and little sensation a thumb-width away. Let a slow breath move under your fingertips — the groove widens slightly as the ribs lift on the inhale. Cross-check against the nipples, which traditional teaching places about four cun out from the midline: the spot should sit halfway to that line, and one intercostal space above nipple level for most bodies. Check the vertical twice as well: if what you feel is bare bone, slide half a thumb-width up or down off the rib edge and find the groove again rather than pressing on the rib itself.
The classic mistakes are worth naming. Counting from the wrong anchor reverses everything: grooves count downward from the collarbone, so any hesitation means returning to the clavicle and starting the count again. Landing one rung low finds Shenfeng, one rung high finds Shencang; both are respectable points, but they are different addresses, and the walkthrough loses its meaning if the staircase is climbed carelessly. Drifting outward past the strip midway to the nipple line leaves the kidney channel’s lane entirely. When in doubt, flatten the whole palm over the upper chest, breathe once slowly, and begin again from the very start.
Reading the Name: Spirit Mound
The two characters sketch the place in miniature. Ling 靈 carries the sense of spirit — the quickening, numinous quality that old usage also called efficacious, responsive, uncannily alive. Xu 墟 names a mound or hillock: raised ground, earth lifted above the plain, and by extension the weathered remains of what once stood there. Read together, Lingxu is the spirit mound — an elevation where the numinous dwells. The image suits the geography: the chest wall rises here into gentle relief, and the tradition placed some of its most inwardly facing stations along that rise.
Lingxu does not stand alone in its imagery. One intercostal space below, Shenfeng leads with the same character for spirit; one space above, Shencang stores the same word in its name; other neighbours along the line echo the family. Classical commentaries group the kidney channel’s upper-chest stations as a band of spirit-named ground, marking territory where the tradition located the dwelling of the heart-spirit and the anchoring of breath — the teaching that the kidney receives, steadies, and roots the qi the lung sends down. Whether one follows that physiology or simply enjoys the poetry, the naming explains the historic portfolio: complaints of breath and chest gathered around these stations, and the mound stood among them.
Pinyin renders the name Língxū, syllable by syllable: líng rises through the second tone, xū rides flat and high on the first tone. The hanzi pair 靈墟 is compact enough to memorise at a glance. Like many channel points named for landscape and architecture — gates, valleys, courtyards, storehouses, mounds — the metaphor does real work. A treasury gathers and keeps; a valley passes things along; a mound lifts a landmark above the surrounding ground. Tradition treats this spot as raised terrain beside a busy road: visible from a distance, worth climbing to, and belonging less to ordinary transit than to whatever watches over the traveller. The name is itself a small set of instructions.
Traditional Indications, Explained
The recorded indications read: cough, asthma, profuse phlegm, distending pain of the chest and hypochondrium, breast abscess, and vomiting. Framed as tradition rather than promise, the respiratory entries dominate, as they do for the whole band of kidney-channel points on the chest. Cough in these records spans the familiar dry and congested kinds; asthma gathers what modern readers would recognise as a range of noisy, effortful breathing patterns; and profuse phlegm speaks of congestion the old texts read through fluid metabolism — the teaching that the kidney governs water, so that when transformation falters, fluids pool and thicken into phlegm settling in the chest.
Distending pain of the chest and hypochondrium is its own traditional concept: a subjective stretching, oppression, or ache spreading across the chest and out along the lower ribs, understood as qi pooling without free passage. As throughout these records, the pain described belongs to the dull, blocked family, not to sudden severe pain, which has always belonged to urgent medical care. Vomiting follows: qi reversing its proper downward course and surging upward, a pattern classical writers approached at the chest-level stations because the deep pathways of the trunk pass nearby. Breast abscess, last, reflects an old habit of reaching for points on the chest wall over the breast region for inflammatory breast complaints — a historical record to read with care rather than reproduce, because any new lump, skin change, discharge, or suspected infection today calls for prompt medical assessment, never self-pressure.
It bears repeating plainly: these are the traditional uses recorded in a licensed dataset and classical literature, offered here for cultural and historical understanding. They are not claims that pressing this point treats any condition, and nothing in this guide replaces assessment by a qualified clinician. Where modern research touches self-applied pressure at all, reviews suggest effects are modest and context-dependent, and evidence specific to any single point remains thin. Hold the tradition lightly, and hold the safety rules firmly.
Self-Care Acupressure at Home
With the point located by the walkthrough above, settle into position: seated, spine tall but unforced, shoulders heavy. Curl your index and middle fingers together and rest the pads — not the tips — on the spot. Begin with contact alone for a few breaths, then add small, slow circles, letting the skin glide over the tissue beneath rather than grinding against the ribs. Pressure should register as pleasant dullness or mild warmth, never sharpness. A common home rhythm is one to three minutes per side, once or twice daily, matched where possible to slow exhales so each circle rides the breath out. Swap hands and repeat on the other side, keeping the two sessions symmetrical.
Quality matters more than duration. Light, patient, regularly repeated contact fits the wellness register this page practises; hard jabbing teaches the body nothing and can leave the chest guarded for days. If your hands are cold, warm them first, because chilled muscle braces. Choose a quiet corner over a screen, since the practice doubles as a breathing pause: inhale through the nose, feel the upper chest expand under still fingertips, press gently on the long exhale. People who keep a routine often anchor it to an existing habit — morning washing, or the evening wind-down — because consistency, not intensity, is what self-care traditions actually ask for.
Treat the exercise as a small ceremony of attention rather than a treatment session. Notice what changes across weeks: perhaps the area feels less guarded, perhaps breathing feels smoother while you press, perhaps nothing shifts except that you spend ninety seconds attending to your own chest. Every one of those outcomes fits the honest scope of self-acupressure. What does not fit is escalation — pressing harder, longer, or deeper to force a result. When curiosity pulls that way, return to gentleness or simply stop for the day.
Cautions and Safe Practice
This point earns more respect than most, and the reason stands written in the licensed record. The dataset cautions practitioners not to needle deeply at this site — a professional warning that encodes plain anatomy. High on the chest wall, only muscle and thin membrane separate the skin from the pleural space and the lung beneath; deep insertion here risks injuring lung tissue and causing a pneumothorax, a collapsed lung that is a medical emergency. Professional training manages that risk with exact technique; home self-care manages it differently and far more simply — by never leaving the surface at all.
For fingertip acupressure the practical rules follow from that picture. Keep pressure light and strictly superficial — the intention stays in skin and superficial muscle, never driving inward between the ribs. Use finger pads, never elbows, knuckles, or tools, and never press while holding the breath or through pain. Skip the point entirely during any acute breathing difficulty, during a feverish illness, and over broken or irritated skin; be cautious after recent chest injury or surgery until a clinician clears ordinary activity. Because lung territory lies close beneath this spot, err lighter and briefer here than you might elsewhere. Sharp, electric, or radiating sensation means stop at once and do not try again that day. Pregnant readers, and anyone living with lung or heart conditions, should consult a qualified practitioner before adding any new point practice.
And the wider rule stands over everything: this page is educational, and acupressure is self-care, not diagnosis or therapy. Seek prompt medical care — not a pressure routine — for breathlessness at rest or on mild exertion, chest pain, coughing blood, a cough lasting beyond a few weeks, wheeze that will not settle, any new breast lump, skin change, or discharge, or any symptom that frightens you. Persistent symptoms belong with a licensed practitioner, medical or East Asian medical as suits the complaint. The mound imagery is lovely, but the surest gift Lingxu offers most people is a calmer acquaintance with their own chest wall, treated kindly.
Lingxu — the Spirit Mound — rests on the upper chest in the third intercostal space, two thumb-widths out from the body’s centre line, on the kidney channel’s climb toward the collarbone. Classical practice reached for it when cough, wheezing breath, profuse phlegm, or distending chest pain weighed on a person. This guide walks through finding it by touch and pressing it gently.
Cautions from the classical sources
- Keep insertion shallow, with an oblique or transverse angle.
Self-care limits
Frequently asked
- How do I find Lingxu without knowing anything about cun?
- Use the collarbone as your ruler. Rest two fingertips just below the midpoint of either collarbone and count the soft grooves downward: the first groove is the first intercostal space, and the third groove is the one you want. Slide outward from there along the same horizontal until you are about two thumb-widths from the centre of the breastbone, and confirm that soft muscle — not bare bone — lies under the pads. Cun measurements simply encode that same landmark sequence in proportional language.
- Is pressing Lingxu myself actually safe?
- Gentle fingertip pressure held on the surface is generally reasonable self-care for healthy adults, because it engages skin and superficial muscle far short of the structures behind the ribs. The recorded danger concerns deep professional techniques at this high-chest site — a category home acupressure never approaches. Respect the stop signals: sharp pain, radiating sensation, or discomfort that worsens all mean finish immediately, and skip the point during acute breathing trouble, fever, or broken skin.
- What did classical practice use Lingxu for?
- The traditional record lists cough, asthma-style wheezing breath, profuse phlegm, distending pain of the chest and ribs, breast abscess, and vomiting. Classical commentaries grouped it with the spirit-named band of kidney-channel points on the upper chest, territory associated with the anchoring of breath. Those are traditional frameworks for understanding the body, documented for context — not evidence-backed treatment claims.
- Why do the kidney channel’s chest points carry spirit names?
- Along the upper chest the kidney channel runs a band of stations whose names share the vocabulary of the spirit, Lingxu among them. Classical commentaries read the cluster as marking ground where the heart-spirit was thought to dwell and where the kidney’s work of rooting the breath comes closest to the surface. The naming also did practical wayfinding work: in a crowded region, shared imagery told a practitioner at a glance which family of points — and which traditional uses — they were standing among.
- Can acupressure replace seeing a doctor about chest or breast symptoms?
- No. Self-acupressure is a comfort practice, not a diagnostic tool, and red flags need professional assessment promptly: breathlessness at rest or on mild exertion, chest pain, coughing blood, a cough lasting beyond a few weeks, wheeze that will not settle, any new breast lump, skin change, or discharge, or persistent vomiting. Think of the two as different floors of the same building: daily self-care lives downstairs, and clinical medicine keeps the consulting room upstairs. Neither substitutes for the other, and delaying the upstairs visit is the one mistake no amount of pressing repairs.
Sources
- 01WHO Standard Acupuncture Point Locations in the Western Pacific Region (2008), World Health Organization — nomenclature conventions.
- 02A Manual of Acupuncture, Peter Deadman, Mazin Al-Khafaji and Kevin Baker — point-name tradition, spirit-name family context, and channel course.
- 03aijiu-mpvue (MIT License) licensed dataset, entry for KI24 Lingxu — location, point class, actions, and caution record.
Last reviewed
牌記This leaf, for machines
Old books ended with a colophon saying who printed them. Every leaf here carries the same facts as structured data for agents and search, with no layout in the way.
- GET /en/points/ki24/leaf.json
- GET /zh-hant/points/ki24/leaf.json
- GET /zh-cn/points/ki24/leaf.json
- /llms.txt — the index of every leaf
- JSON-LD in the page: MedicalWebPage, MedicalEntity and FAQPage
{
"id": "KI24",
"name": {
"en": "Lingxu",
"gloss": "Spirit Mound",
"zh-Hant": "靈墟",
"zh-Hans": "灵墟"
},
"channel": {
"id": "KI",
"order": 24,
"of": 27
},
"location": {
"text": "In the third rib space below the collarbone, halfway between the breastbone and the nipple line."
},
"for": [
"cough with much phlegm",
"aching chest and ribs"
],
"press": {
"text": "A light fingertip touch, briefer than elsewhere, about a minute each side.",
"seconds": 60,
"sides": "both"
},
"cautions": [
"Light touch only; never press in between the ribs."
],
"source": "Zhenjiu Jiayi Jing, book 3",
"url": "https://acupoints.com/en/points/ki24",
"lastReviewed": "2026-08-24"
}