Points Database

Location Guides:

: Tianshu : Heaven's Pivot

St-25 : Foot Yangming Stomach 25

Classifications:
Front Mu of the Large Intestine
Master Tung's Bowel Nest Twenty-Three

Meetings:
Meeting of Stomach with Kidney Divergent and Large Intestine Divergent

Location:
On the abdomen, 2 cun lateral to the umbilicus.

Needling:
Perpendicular insertion 1 - 1.5 cun Oblique inferior insertion towards the uterus for diseases of the uterus

Warning:
In thin subjects, deep needling may penetrate the peritoneal cavity


TCM Actions:
Regulates the intestines
Regulates the spleen and stomach
Resolves dampness and damp-heat
Regulates qi and blood and eliminates stagnation

TCM Indications:
  • Diarrhoea, Spleen-diarrhoea, persistent, diarrhoea with undigested food in the stool, dystenteric disorder, borborygmus, lower yuan (origin) deficient and cold, constipation.
  • Oedema, drum distension, swelling of the face, turbid painful urinary dysfunction.
  • Vomiting, retching, difficult ingestion, poor appetite, sudden turmoil disorder.
  • Abdominal pain, abdominal distension with laboured breathing, intestinal abscess, generalised, swelling with severe cutting periumbilical pain, umbilical shan disorder with localised pain that periodically surges up the Heart, shan disorder, running piglet qi.
  • Abdominal (zheng jia) masses in women, pain of the uterus, dysmenorrhoea, irregular menstruation, infertility, red and white leucorrhoea.
  • Cold shivering from malaria, severe heat with manic raving.

    Neuroanatomy:
    Superficial Innervation: Cutaneous branches of thoracic nerves from T10
    Dermatome Segment: T10

    Notes:
    One of the points in the Internal Dragons protocol in five element acupuncture, along with Jiuwei Ren-15, Futu St-32 and Jiexi St-41, for eliminating a blockage between the therapist and patient, or a disconnection from themselves, due to internal causes.

    Ling Shu Ch. 52, On Wei Qi, suggest this point along with Huangshu Kid-16 and Pishu Bl-20 to release evil Qi in the abdomen. It advises to press the point for a time until there is a reaction and then pierce with the fine needle and apply a draining technique. Conditions treated are headache, dizziness and falling to the ground, abdominal pain, fullness, distension and accumulation. If it is painful and the pain moves it can be cured easily; if is is a painless fixed accumulation it is difficult.

    Classical texts such as the Nei Jing and Ling Shu which considered the Dai mai as simple a circle around the waist would include this a point on the Dai mai along with others level to Shenque Ren-8 and Mingmen Du-4 instead of the traditional points (Yuen, 2005, The Eight Extraordinary Vessels).

    This point, along with Renying St-9, Lieque Lu-7 or Taiyuan Lu-9 and Zhongwan Ren-12, is seen as symbolic of the switch to post-natal nourishment from the lungs and stomach after the infant's first breath instead of through the navel at Shenque Ren-8 pre-natally. Its role in the set is to anchor the nourishment drawn down and enable elimination (Lung/Large Intestine and Large Intestine/Stomach relation).
    This set is therefore indicated for difficulty in relating to the physical, material world, implying an issue with the first Level of Manifestation of the Soul, roughly equivalent to the base or Muladhara chakra and basic consciousness, the awareness of being alive (Yuen, 2005, 3 Spirits & 7 Souls).

    It is important to include this point to a Divergent treatment where the bowels are compromised in order to make sure routes of elimination are open to facilitate evacuation the pathogen (Cecil-Sterman, 2012, Advanced Acupuncture).

    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. This would match with the alternative location for this point given in the Great Compendium. 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).

    In Tibetan medicine:
    Moxa point (AMNH, Tibetan Medical Paintings)

    The Front Mu points make likely locations for application of leeches to reduce fevers according to François Broussais' (1772–1838) philosophy who believed in placing them over the diseased organs to reduce inflammation (Greenstone, 2010, The history of bloodletting, BCMJ, Vol. 52, No. 1, Pp 12-14).


    Reference Notes: (click to display)