REN-14 Juque - Great Deficiency
More Spirit Names: Great Palace, Great Tower Gate, Great Palace Gate
| English: | Great Gateway |
| Also Known As: | Great Deficiency Great Palace Gate Great Palace Great Shrine Great Tower Gate |
Location
- On the midline of the abdomen, 6 cun above the umbilicus and 2 cun below the sternocostal angle.
Note: in some patients the xiphoid process may extend to the point.
Needling
- Perpendicular insertion 0.5 to 1 cun.
- Oblique insertion directed inferiorly 1 to 1.5 cun.
- Caution: Deep insertion, especially in thin patients, may damage the left lobe of the Liver or the Heart if either is enlarged.
- Caution: Oblique superior insertion towards the Heart is contraindicated.
- Puncture perpendicularly 0.3 to 0.8 cun.
- Moxibustion is applicable.
- Straight insertion 1.5 to 2 cun. Sensation: local distention and discomfort and soreness extending upward.
Command Functions
- Front-Mu point of the Heart
Actions
- Calms the Shen
- Regulates Qi
- Pacifies the Stomach
- Benefits the diaphragm
- Regulates the Heart
- Alleviates pain
- Descends Lung Qi
- Unbinds the chest
- Transforms Phlegm
- Harmonizes the Stomach
- Pacifies the Stomach
- Descends Rebellion
Indications
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Combinations
| UB-15 | KI-19 | REN-13 |
Agitation of the Heart | Agitation and fullness of the Heart | Distention and fullness of the Heart and abdomen |
KI-9 | ||
Fright palpitations with diminished Qi | Heart disorientation Mental instability | Mania disorder with raving, fury and cursing |
LIV-14 | ||
Qi Rebellion with cough, fullness of the chest and shortness of breath with pain radiating to the back | Cough | Vomiting with fullness of the chest |
REN-17 | ||
Sudden turmoil disorder | Diaphragm pain from fluid accumulation that is difficult to endure | Heart failure |
| Angina pectoris | Seizures |
- REN-14 + REN-13: subdues Rebellious Stomach Qi
Contraindications
Notes
- This point is indicated for disorders of the Heart and Shen.
- It is particularly important when Cold Attacks the Heart.
- This is considered the ST-36 Zusanli of the Upper Jiao.
- This is a first aid point.
Five Elements Spirit Perspective
| Spirit of the Point | Great Deficiency is bigger than Spirit Deficiency and reaches the Heart Official more deeply and strongly. All the forces pull to aid the Heart; use it when things have been so painful that they start withdrawing from their Heart. It gives a sense of being held, a sense of a bottom, and a basis for the Heart to continue on. When the Heart has no spirit, the patient is lost; this point returns control to the Supreme Controller and sends energy through the whole of body, mind and spirit. It resurrects a spirit that never showed itself, for a patient who remembers always being empty because the spirit of love was absent. It is for a deficiency so great that no rise of spirit can be achieved, and it touches the god within all the Officials, putting the king back in control, calming chaos and relieving panic and fear. It works in a similar way to HT-5 Penetrating Inside. |
|---|---|
| Worsley |
Location: On the front midline, 6 ACI above the umbilicus. |
| When to Consider |
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| Combinations | |
| Notes |
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From Class
- Ren-14 / Ren-15 (solar plexus): Mu points of the heart but below the diaphragm — transition from being embedded in the unconscious to joining the 'membership collective'; superego/shoulds.
- Ren-14 Juque & the Gao Huang: Ren-14 region relates to the Gao Huang; embryology's pause here is a rare true emptiness, accessible through life, where Tianji threads can be felt. (Lewis)
- Ren-14/15 and GB-24 as body signs: Where a belief is felt guides points/herbs: e.g. 'screwdriver' at Ren-14/15, sausage-like distension at GB-24.
- Diaphragm stasis: Ren-14 + Ren-4 dispersed, LI-6 bled; or SP-17 + KI-4 bled: For CHF/exertional breathlessness (lung qi failing to move blood); LI is yang of the lungs controlling the diaphragm; broken vessels at KI-4 mean jing-level stasis. (Gioioso)
- Ban Xia Xie Xin Tang vs Ban Xia Hou Po Tang (opening the diaphragm): Both open the diaphragm for plum-pit qi: Ban Xia Hou Po Tang laterally (grief), Ban Xia Xie Xin Tang vertically (digestive); introjects are undigested past.
- Neroli (orange blossom): Oil that resonates with Ren-14 Juque; apply a drop on the point. (Yuen)
- Postnatal depression — Heart-Blood deficiency points: HT-5, HT-7, Ren-14, Ren-15, BL-15, LV-8, Du-20, Ren-4, ST-36, SP-6, Du-19, PC-6; reinforcing (Du-19 even); moxa applicable. (Maciocia)
