CV-21 - Jade Pivot
璇玑 - Xuán jī
Point Region: Chest
CV-21 Xuanji, meaning 'Jade Pivot,' is a point that regulates the upper burner and transforms phlegm, a 'hinge of breath and clarity.' Located on the sternum, it is a key point for addressing a wide range of issues that are caused by stagnant 'phlegm,' which can manifest as a cough, a feeling of fullness in the chest, or a restless spirit. Its name alludes to its ability to act as a 'pivot' that helps to restore a sense of balance and clarity.
Think of Xuanji as a point that helps to clear the 'muck' from your body and mind. It's especially useful for addressing a feeling of heaviness or a thick chest, a cough with phlegm, and a sense of being 'stuck.' By regulating the upper burner and transforming phlegm, it helps to restore a sense of ease and freedom.
By regulating the upper burner and transforming phlegm, CV-21 helps to restore a sense of balance and inner peace. It's a point that reminds us that our true power comes from a clear and unburdened body.
Location & How to Find
Anatomical Location: On the anterior midline of the chest, just below the suprasternal notch.
How to Locate:
- Find the small depression at the base of your throat
- Locate where your collar bones meet in the center
- The point is just below this notch
- This is at the top of your breastbone

Clinical Applications
Primary Indications
- Laryngitis
- Loss of voice
- Tonsillitis
- Tracheitis
- Reflux
- Throat pain
- Cough
- Chest congestion
Related Health Concerns
Common Conditions:
Related Acupoints
Select a point to learn about its location, primary functions, clinical applications, and protocols.
CV-21 Protocols
N/A
Important Precautions
- Pregnancy
- Severe throat swelling
- Recent neck surgery