ST25 Tianshu (Celestial Pivot)
天樞tiān shūTianshu
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44
Indications
552
Protocols
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Location
2 thumb widths lateral to the center of the umbilicus.
Categories
- Front-Mu point of the Large Intestine
The classical groups this point belongs to, from Deadman, Al-Khafaji & Baker, A Manual of Acupuncture.
Cautions
Acute appendicitis is a surgical emergency – treatment here is adjunctive at most and must never delay surgical assessment. Avoid needling over the gravid uterus after the first trimester; where used in pregnancy, needle shallowly and only on a clear obstetric indication.
Indications
Conditions for which ST25 is listed as indicated. An indication list is a reference index, not a prescription – see the protocols below for sourced treatments.
Abscess IntestinePoor AppetiteStomach RumblingBreathing LabouredCold Inferior YuanConstipationDampYuan Inferior DeficiencyDiarrheaDiarrhoea PersistentDiarrhoea SpleenShan DisorderShan Umbilical DisorderTurmoil DisorderAbdominal BloatingDysenteryMenstrual CrampsFibroids / Masses JiaFibroids Masses JiaFibroids / Masses ZhengFibroids Masses ZhengInfertilityLeucorrhea Vaginal Discharge RedWhite Vaginal DischargeEdemaAbdominal PainHeart Surges Up PainPeriumbilical Cutting PainUterus PainIrregular PeriodsPeriod / Menstruation IrregularQi Running PigletRetching StagnationUndigested Food in Stool SwellingFacial SwellingDamp Heat SyndromeDamp-heat SyndromeTympanites / Drum BellyTympanites Drum BellyPainful UrinationUrine CloudyVomiting
TCM actions
What classical sources say ST25 does in the terms of Chinese medicine theory. These describe the point, not a condition.
Benefit DigestionBenefit Regulate BloodBenefit Regulate IntestinesBenefit Regulate QiBenefit Regulate SpleenBenefit Regulate StomachRegulate BloodRegulate IntestinesRegulate QiRegulate SpleenRegulate Stomach
Protocols using ST25
The 50 best-sourced of 552, ranked by strength of evidence. The count above is the full figure.
- Dysmenorrhea Primary – ST25, ST36, SP06, SP08, SP10, BL23, BL32, KD03, GB34, GB39, LV03, CV03, CV04, CV06, GV04 (doi:10.1016/s0254-6272(09)60035-2 ↗)
- Dysmenorrhea Primary – ST25, BL18, BL20, BL23, CV03, CV04, GV20 (doi:10.1016/s0254-6272(09)60035-2 ↗)
- Cerebral Palsy, Motor Dysfunction, Posture Abnormalities – LI04, LI11, ST02, ST25, ST36, ST40, ST44, SP06, HT07, SI19, BL01, BL17, BL18, BL23, BL40, BL60, BL62, KD01, KD03, KD06, PC06, PC08, TB05, TB17, TB21, GB02, GB13, GB14, GB19, LV03, CV06, CV10, CV12, CV13, CV14, CV23, GV17, GV20, GV24 (doi:10.1016/s0254-6272(09)60074-1 ↗)
- Constipation, Urinary Incontinence, Thigh Pain, Lumbar Pain, Urinary Frequent, Urinary Urgent, Lower Limbs Weakness – LI04, ST25, ST31, ST32, SP06, SP10, KD03, GB31, CV04, CV06, GV20 (doi:10.1016/s0254-6272(10)60017-9 ↗)
- Insomnia – ST25, ST36, ST40, SP06, SP09, HT07, BL14, BL15, BL18, BL20, BL21, BL23, KD03, PC06, GB20, GB41, LV03, CV04, CV06, CV12, CV17, GV20, GV23, GV24 (doi:10.1016/s0254-6272(09)60009-1 ↗)
- Dizziness, Headache, Constipation, Depression, Insomnia, Forgetfulness, Palpitation, Dry Mouth, Chest Distress – ST25, ST36, ST37, ST40, SP03, SP06, BL18, KD03, PC06, LV02, LV03, LV14, CV15, GV14, GV20, GV24 (doi:10.1016/s0254-6272(09)60080-7 ↗)
- Dementia, Memory Loss, Cognitive Decline – ST25, ST36, SP06, SP10, CV06, GV14 (doi:10.1016/s0254-6272(09)60071-6 ↗)
- Diarrhea – ST25, ST36, CV04, CV08, CV12 (doi:10.1016/s0254-6272(10)60062-3 ↗)
- Obesity Abdominal – ST20, ST21, ST25, ST28, ST34, ST36, ST40, ST44, SP06, SP09, SP11, TB06, TB13, GB26, LV03, LV09, CV04, CV06, CV12 (doi:10.1016/s0254-6272(09)60005-4 ↗)
- Obesity Symmetrical – ST20, ST21, ST25, ST28, ST34, ST36, ST40, ST44, SP06, SP09, SP11, TB06, TB13, GB26, LV03, LV09, CV04, CV06, CV12 (doi:10.1016/s0254-6272(09)60005-4 ↗)
- Dysmenorrhea, Menstrual Pain, Pelvic Pain – LI04, ST25, ST29, ST30, ST36, SP04, HT07, BL62, KD03, PC06, LV03, CV04, CV06 (doi:10.1093/ecam/nem020 ↗)
- Obesity, Overweight, Dyslipidemia – LI11, ST25, ST40, SP06, SP09, GB28, CV04, CV06, CV09, CV12 (doi:10.1100/2012/603539 ↗)
- Constipation, Nausea, Abdominal Pain, Ileus Paralytic – ST25, CV08 (doi:10.1155/2012/426829 ↗)
- Constipation Functional – ST25, BL25 (doi:10.1186/1745-6215-13-104 ↗)
- Constipation Functional – LI11, ST25, ST37, BL25 (doi:10.1186/1745-6215-13-104 ↗)
- Constipation, Aphasia, Ischemic Stroke, Paralysis Hemiplegia – LI04, LI10, LI11, LI15, ST25, ST36, ST40, SP06, GB30, GB34, GB40, CV23, GV15, GV20 (doi:10.1186/1472-6882-12-216 ↗)
- Postoperative Pain, Post-Operative Nausea, Postoperative Ileus, Bowel Dysfunction Postoperative – LI04, ST25, ST36, SP06, SP09, PC06 (doi:10.1245/s10434-012-2759-7 ↗)
- Absent Periods, Infertility, Night Sweats, Hot Flashes, Vaginal Dryness, Mood Swings – ST25, ST29, BL33, CV04 (doi:10.1155/2013/657234 ↗)
- Constipation Functional, Constipation Chronic, Bowel Movement Reduced – ST25, ST37, SP14 (doi:10.1186/1745-6215-14-176 ↗)
- Diarrhea Functional, Stool Loose, Defecation Frequent – ST25 (doi:10.1155/2013/975769 ↗)
- Anxiety, Night Sweats, Infertility Female, Hot Flashes, Vaginal Dryness, Mood Swings, Amenorrhea Premature, Menopause Premature – ST25, ST28, ST29, ST36, SP06, BL32, KD03, GB13, LV03, CV03, CV04, GV20, GV24 (doi:10.1155/2014/718675 ↗)
- Constipation Functional – ST25, ST36, ST37, BL25, TB06 (doi:10.1016/s0254-6272(13)60100-4 ↗)
- Obesity, PCOS, Insulin Resistance, Hormonal Imbalance – ST25, SP06, BL17, BL32, CV06, CV12 (doi:10.1016/s0254-6272(13)60166-1 ↗)
- Anxiety, Migraine, Night Sweats, Hot Flashes, Vaginal Dryness, Sleep Disturbance – ST25, SP06, CV04 (doi:10.1186/1745-6215-15-242 ↗)
- Constipation Chronic Severe, Constipation Straining, Constipation Incomplete-evacuation – ST25, ST37, SP14, BL33, GV20, GV24 (doi:10.1186/1472-6882-14-260 ↗)
- Abdominal Distension, Diarrhea, Abdominal Pain, Irritable Bowel Syndrome Diarrhea-predominant – ST25, CV06, CV12 (doi:10.1186/1472-6882-14-500 ↗)
- Abdominal Distention, Constipation Functional, Defecation Infrequent, Straining Defecation, Defecation Incomplete – ST25 (doi:10.1097/MD.0000000000000284 ↗)
- Inflammation Intestinal, Crohn's Disease, Barrier Dysfunction Intestinal Epithelial – LI04, LI11, ST25, ST36, ST37, BL23, BL25, CV06, CV09 (doi:10.3748/wjg.v21.i16.4986 ↗)
- Constipation Functional, Defecation Infrequent, Defecation Incomplete – ST25, ST37, SP14 (doi:10.1155/2015/670963 ↗)
- Constipation Functional, Stool Hard, Constipation Chronic, Defecation Difficulty – ST25, ST36, ST37, BL25, BL33, BL34, TB06, CV04, CV06 (doi:10.1155/2015/396396 ↗)
- Defecation Infrequent, Constipation Chronic, Constipation Slow-transit – ST25 (doi:10.1155/2015/396396 ↗)
- Obesity, Overweight – LI04, LI11, ST25, ST28, ST36, SP06, CV06, CV12 (doi:10.1186/s13063-015-0867-y ↗)
- Epigastric Pain, Dyspepsia Functional, Constipation Chronic, Neurogenic Bowel – ST25, ST36, CV06, CV12 (doi:10.7453/gahmj.2014.081 ↗)
- Constipation, Vomiting, Nausea, Flatulence, Bloating, Diarrhea, Abdominal Pain, Irritable Bowel Syndrome – ST25, ST37 (doi:10.1155/2015/361786 ↗)
- Weight Loss, Diarrhea, Abdominal Pain, Crohn's Disease – ST25, ST36, ST37, SP04, SP06, KD03, LV03, CV06, CV12 (doi:10.1155/2015/938054 ↗)
- Dementia Vascular, Cognitive Decline, Impaired Activities Of Daily Living – ST25, ST36, ST40, SP06, SP10, PC06, GB20, LV03, CV06, CV12, CV17, GV20, GV24 (doi:10.1155/2015/161439 ↗)
- Obesity, Overweight – LI04, LI11, ST25, ST36, ST40, ST44, SP06, CV04, CV06, CV12 (doi:10.1186/s13063-015-1046-x ↗)
- Ischemic Stroke, Paralysis Hemiplegia, Lower Limb Weakness, Upper Limb Weakness, Disability Activities Of Daily Living – LI04, LI10, LI11, LI15, ST25, ST31, ST36, ST40, SP06, SP10, SP15, TB06, GB34, LV03, CV04, CV06, CV10, CV12 (doi:10.1136/bmjopen-2015-010073 ↗)
- Obesity, Overweight, Appetite Excess, Hunger Increased – LI04, LI11, ST25, ST36, ST40, ST44, SP06, PC06 (doi:10.1155/2016/9365326 ↗)
- Obesity, Overweight, Insulin Resistance, Type 2 Diabetes – LI04, LI11, ST25, ST28, ST36, SP06, SP15, CV06, CV09, CV12 (doi:10.1038/nutd.2016.16 ↗)
- Bloating, Diarrhea, Abdominal Pain, Diarrhea Functional, Irritable Bowel Syndrome Diarrhea-predominant, Diarrhea Irritable-bowel-syndrome, Stool Frequency Increased – ST25, BL25 (doi:10.1097/MD.0000000000003884 ↗)
- Bloating, Diarrhea, Abdominal Pain, Diarrhea Functional, Irritable Bowel Syndrome Diarrhea-predominant, Diarrhea Irritable-bowel-syndrome, Stool Frequency Increased – LI11, ST25, ST37, BL25 (doi:10.1097/MD.0000000000003884 ↗)
- Obesity, Overweight – ST25, ST36, ST40, SP06, SP15, GB26, CV06, CV12 (doi:10.1186/s13063-016-1458-2 ↗)
- Overweight, Obesity Postpartum, Weight Retention – ST25, ST28, ST40, SP06, SP15, CV09 (doi:10.1097/MD.0000000000004716 ↗)
- Abdominal Distension, Diarrhea, Abdominal Pain, Irritable Bowel Syndrome Diarrhea Predominant – ST25, ST36 (doi:10.1186/s12906-016-1386-4 ↗)
- Weight Loss, Diarrhea, Abdominal Pain, Crohn's Disease, Inflammatory Bowel Disease Crohn's Disease – ST25, CV06, CV12 (doi:10.1038/srep36636 ↗)
- Neuropathy Peripheral, Neuropathic Pain, Paresthesia, Chemotherapy-Induced Neuropathy, Sensory Loss, Muscle Weakness – ST25, ST36, ST43, SP06, SP10, BL13, BL17, BL58, GB41, LV03, GV09, GV11, GV12, GV14 (doi:10.1186/s12885-016-3037-z ↗)
- Chemotherapy Nausea, Vomiting Chemotherapy-induced, Cinv – ST25, ST36, PC06, LV13, CV06, CV12 (doi:10.1186/s13063-017-1927-2 ↗)
- Hyperlipidemia, Elevated Ldl-c, Elevated Tc, Elevated Tg – ST25, ST40, BL15, BL18, BL20, BL23, CV14 (doi:10.1186/s13063-017-2029-x ↗)
- Abdominal Pain, Familial Mediterranean Fever – LI04, ST25, CV12 (doi:10.1016/j.jams.2016.07.003 ↗)
Most often selected alongside ST25
How many sourced protocols in the index pair each point with ST25. Corpus frequency, not a combination to use.
- ST36Leg Three Miles320 protocols
- CV12Stomach Centre277 protocols
- CV04Original Qi Gate219 protocols
- SP06Three Yin Intersection210 protocols
- CV06Sea Of Qi170 protocols
- ST37Upper Great Hollow141 protocols
- LV03Great Surge133 protocols
- LI04Junction Valley116 protocols
- GV20100 Convergences113 protocols
- PC06Inner Gate99 protocols
- LI11Pond At The Bend76 protocols
- ST40Abundant Bulge73 protocols