EXT-20 - Panting Breath
喘息 - Chuǎn xī
Point Region: Upper back
Location & How to Find
Anatomical Location: On the upper back, lateral to T3, in the paraspinal region.
Extra points have no international location standard, and Chinese texts number and place some of them differently. This location follows common teaching.
How to Locate:
- Count down three vertebrae from the prominent bone at the base of your neck
- Move about one finger-width to either side of the spine
- Locate the muscle beside the third thoracic vertebra
- This location in the paraspinal muscle is EXT-20
(Illustration coming soon)
How to Apply Pressure
After locating EXT-20 beside the third thoracic vertebra, rest a fingertip gently on the paraspinal muscle and never press onto the spine. Do not use it during breathing distress — that needs urgent medical care — or after recent chest surgery.
Traditional Indications
In TCM, this point is traditionally used for:
- Wheezing
- Chronic cough
- Chest tightness
- Upper back pain
- Respiratory distress
- Shoulder blade tension
Related Health Concerns
Related Acupoints
Select a point to see its location, how to find it, and its traditional uses.
Important Precautions
Avoid this point with:
- Severe respiratory distress
- Thoracic spine injury
- Recent chest surgery
Take care:
- Avoid excessive pressure during respiratory distress
- Be gentle with elderly patients
- Stop if breathing difficulties worsen