Acupuncture Points Notebook

Location Guides:

: Shuifen : Water Separation

Ren-9 : Extraordinary Conception Vessel 9

Master Tung's Bowel Nest Twenty-Three

On the midline of the abdomen, 1 cun above the umbilicus and 7 cun below the sternocostal angle.

Perpendicular insertion 0.8 - 1.5 cun

According to the Illustrated Classic of Acupuncture Points on the Bronze Man and the Illustrated Supplement to the Classic or Categories, this point is contraindicated to needling in cases of 'water illness' and plentiful moxibustion should rather be used. Moxibustion is contraindicated in pregnancy. In thin patients deep needling may penetrate the peritoneal cavity. No perpendicular needling in advanced pregnancy.

TCM Actions:
Regulates the water passages and treats oedema
Harmonises the intestines and dispels accumulation

TCM Indications:
  • Watery diarrhoea, oedema.
  • Deficiency and distension of the intestine and Stomach, borborygmus, no pleasure in eating, acid regurgitation, vomiting after eating, sudden turmoil disorder with cramps, abdomen swollen and hard like a drum, periumbilical pain rushing up to the chest and Heart causing difficulty breathing.
  • Nosebleed, failure of the fontanelle to close, tetany, contracted sinews, rigidity of the lumbar spine.

    Superficial Innervation: Anterior cutaneous thoracic nerve from T9
    Dermatome Segment: T9

    In Tung lineage acupuncture the Bowel Nest 23 (Fu Chao Er Shi San) are a group of points located in a line at 1 cun intervals between Ren-2 and Ren-10. An additional eight points on either side form a 4x5 grid at the levels of Ren-9 to Ren-5, also at 1 cun intervals. Ren-8, on the navel, is not included.

    They are pricked using Tung's method in local disorders of pain, stagnation and heat in the abdomen such as uteritis, nephritis, umbilical area pain, enteritis, appendicitis and intestinal cancers (McCann, 2014, Pricking the Vessels).

    Reference Notes: (click to display)