Tiantu CV22: Nomenclature, Location, Functions, Indications, Method, Precaution



Tian: heaven Tu: chimney
The location of tiantu corresponds to the upper part of the trachea, which is like the chimney for the Qi of the lung.
English name/meaning : Celestial Chimney
Chinese name: 天突
Chinese pinyin : Tianfu
Korean name: Ch’ondol
Japanese name: Tentotsu
Vietnamese name: Thien dot
French Name:Tienn-trou


Tiantu is located in the centre of the suprasternal fossa.


  • Diffuse lung and transforms phlegm (spreads lung qi).
  • Benefits the throat and restore voice (throat pain, sore throat, goiter).

Indications of tiantu:

  • Main point for removing phlegm, cough, asthma, chest pain.
  • Also beneficial for sore throat, harsh voice, sudden aphonia, goiter (thyrophyma), cardiac spasm, Plum-stone Syndrome (a hysterical condition that the patient feels a foreign body, like the stone of a plum obstructing the throat, hard to swallow or spit it out, There is neither redness, nor swelling of the throat, nor interference with eating).


Puncture perpendicularly 0.2-0.3 cun, then turn the angle of the needle downward and direct the needle internally along the posterior border of the manubrium of the sternum 0.5-1.0 cun. Correct angle and depth of the needling method is essential to avoid damaging the lung and blood vessel.


  • Meeting point of conception vessel and YinWei channels.
  • Point of the window of heaven.
  • Good point for disease of vocal cord.

Dr. Ishwar Gyawali

Dr. Ishwar Gyawali is Consultant Acupuncturist and Ayurveda Physician from Kathmandu, Nepal. He had completed BAMS (Bachelor of Ayurveda Medicine and Surgery), a five and half year course on Ayurveda Medicine from Kirtipur Campus affiliated to Tribhuvan University ,Institute Of Medicine, Nepal under scholarship in 2011. He had completed his MD in TCM from Nanjing University Of Chinese Medicine in 2016 under scholarship of Ministry of Education, Nepal. With an experience of Serving for Government of Nepal for 2 years and private practise for more than 5 years, he has sound knowledge in Ayurveda as well as Chinese Medicine. He is a registered Doctor in NAMC (Nepal Ayurveda Medical Council ) both as a physician as well as TCM/Acupuncture Specialist.

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