Location
On the chest directly below nipple, on the lower border of the breast, in the 5th intercostal space 4 thumb widths lateral to the anterior midline.
Cautions
Caution in lactating women; avoid direct needling in breast tissue.
Indications
Conditions for which ST18 is listed as indicated. An indication list is a reference index, not a prescription – see the protocols below for sourced treatments.
Breast AbscessBreast AbscessBenefit BreastsBenefit BreastsBenefit DigestionBenefit DigestionConstriction OesophagusConstriction OesophagusCoughCounterflow Inversion LimbsCounterflow Inversion LimbsCrampingTurmoil DisorderTurmoil DisorderShortness of BreathLabour DysfunctionLabour DysfunctionLactation DeficiencyLactation DeficiencyOppression Below ChestOppression Below ChestOppression DiaphragmOppression DiaphragmArm PainArm PainBelow Chest PainBelow Chest PainBreast PainBreast Pain SwellingUnbind ChestUnbind ChestWheezing
Protocols using ST18
- Cancer Breast, Surgical Intraoperative Pain, Surgical Postoperative Pain – LU01, LI04, ST14, ST18, ST36, KD22, KD27, GB24 (doi:10.3831/KPI.2018.21.016 ↗)
- Surgical Intraoperative Pain, Surgical Postoperative Pain, Fistula Breast – LU01, LI04, ST14, ST18, ST36, KD22, KD27, GB24 (doi:10.3831/KPI.2018.21.016 ↗)
- Lactation Deficiency, Postpartum Insufficient Milk Production – ST13, ST15, ST16, ST18, ST36, SP06, SP10, GB21, CV17 (doi:10.1097/MD.0000000000016456 ↗)
- Breast Pain, Mastalgia Cyclic, Breast Pain Premenstrual, Mammary Gland Hyperplasia – LI04, ST15, ST18, SP06, SI11, BL17, BL18, LV03, CV17 (doi:10.1186/s12906-022-03779-8 ↗)
- Lactation Insufficiency, Breastfeeding Postpartum – ST18, ST36, SP06, SP10, SI01, BL20, BL21, PC06, LV03, LV14, CV06, CV17 (doi:10.22038/ijp.2020.54458.4305 ↗)
- Lactation Insufficiency, Breastfeeding Postpartum – ST18, GB21, CV17 (doi:10.22038/ijp.2020.54458.4305 ↗)
- Lactation Insufficiency, Breastfeeding Postpartum – ST18, ST36, SI01, BL18, BL20, BL21, LV03, LV14, CV12, CV17, GV14 (doi:10.22038/ijp.2020.54458.4305 ↗)
- Lactation Insufficiency, Breastfeeding Postpartum – LI04, LI11, ST18, SI01, CV12, CV17 (doi:10.22038/ijp.2020.54458.4305 ↗)
- Lactation Insufficiency, Breastfeeding Postpartum – LU01, LI04, ST17, ST18, SP20, SI01, BL17, BL18, BL20, BL21, GB21, CV17 (doi:10.22038/ijp.2020.54458.4305 ↗)
- Lactation Insufficiency, Breastfeeding Postpartum – LU01, LU02, ST13, ST14, ST16, ST18, ST36, SP06, SP10, CV12, CV17 (doi:10.22038/ijp.2020.54458.4305 ↗)
- Lactation Insufficiency, Breastfeeding Postpartum – ST13, ST15, ST16, ST18, ST36, SP06, SP10, GB21, CV17 (doi:10.22038/ijp.2020.54458.4305 ↗)
- Lactation Insufficiency, Breastfeeding Postpartum – ST18, ST36, SP06, SI01, PC06, LV03, CV17 (doi:10.22038/ijp.2020.54458.4305 ↗)
- Hypogalactia, Breastfeeding Insufficiency, Lactation Postpartum – ST18, ST36, SP06, SP10, SI01, BL20, BL21, PC06, LV03, LV14, CV06, CV17 (doi:10.1186/s13643-025-02773-8 ↗)
- Hypogalactia, Breastfeeding Insufficiency, Lactation Postpartum – ST18, GB21, CV17 (doi:10.1186/s13643-025-02773-8 ↗)
- Hypogalactia, Breastfeeding Insufficiency, Lactation Postpartum – ST18, SI01, BL18, BL20, BL21, CV17, GV14 (doi:10.1186/s13643-025-02773-8 ↗)
- Hypogalactia, Breastfeeding Insufficiency, Lactation Postpartum – LI04, LI11, ST18, SI01, CV12, CV17 (doi:10.1186/s13643-025-02773-8 ↗)
- Hypogalactia, Breastfeeding Insufficiency, Lactation Postpartum – LU01, LI04, ST17, ST18, SP20, SI01, BL17, BL18, BL20, BL21, GB21, CV17 (doi:10.1186/s13643-025-02773-8 ↗)
- Hypogalactia, Breastfeeding Insufficiency, Lactation Postpartum – LU01, LU02, ST13, ST14, ST16, ST18, ST36, SP06, SP10, CV12, CV17 (doi:10.1186/s13643-025-02773-8 ↗)
- Hypogalactia, Breastfeeding Insufficiency, Lactation Postpartum – ST13, ST15, ST16, ST18, ST36, SP06, SP10, GB21, CV17 (doi:10.1186/s13643-025-02773-8 ↗)
- Hypogalactia, Breastfeeding Insufficiency, Lactation Postpartum – ST18, SI01, CV17 (doi:10.1186/s13643-025-02773-8 ↗)
- Insufficient Lactation, Breastfeeding Difficulty – ST18, SI01, CV17 (doi:10.4103/ijnmr.ijnmr_378_23 ↗)
- Insufficient Lactation, Postpartum Hypogalactia – ST18, ST36, SI01, LV03, CV17 (doi:10.1145/3715020.3715068 ↗)
- Breast Hyperplasia – LI04, ST15, ST18, ST36, SI11, GB21, LV03, CV17 (doi:10.16040/j.cnki.cn15-1101.2017.10.121 ↗)
- Breast Swelling, Breast Pain, Breast Swelling – ST18, ST36, ST40, PC01, PC06, GB34, GB41, LV03, LV14 (Deadman, Al-Khafaji & Baker, A Manual of Acupuncture — point group actions)
- Lactation Deficiency, Lactation Deficiency – ST18, ST36, SP03, SI01, LV14, CV17 (Deadman, Al-Khafaji & Baker, A Manual of Acupuncture — point group actions)
- Breast Mastitis Pain, Breast Mastitis Pain – ST18, SI01, PC06, LV02, LV14, CV17 (Deadman, Al-Khafaji & Baker, A Manual of Acupuncture — point group actions)
- Liver Qi Stagnation, Liver Qi Stagnation – LI17, LI18, ST09, ST15, ST16, ST18, ST25, ST26, ST27, SP13, SP18, HT03, HT04, SI11, BL14, BL16, BL18, BL31, KD21, XB02T9 (Yang Yong-Xuan, clinical point-selection notes)
- Neuralgia Trigeminal, Facial Trigeminal Pain – LI04, LI20, ST02, ST04, ST06, ST18, SI18, SI19, BL02, TB23, GB03, GB13, GB14, CV24, GV23 (Zhu Xiaojun. Electro-Acupuncture Combined with the Trigger Point Needle Embedding for Treatment of Primary Trigeminal Neuralgia in 32 Cases. Journal of Traditional Chinese Medicine, 2003, 23(1): 78-80)
- Postpartum Insufficient Lactation – ST18, ST36, CV17 (王官丽代继红张代碧唐素华. 穴位艾灸促进产后泌乳的临床研究. 护理研究 ., 2017 [CNKI])
- Insufficient Lactation Postpartum – ST18, ST36, CV17 (余满荣. 乳房穴位艾灸和通乳颗粒治疗产后缺乳的效果分析. 江西医药 ., 2017 [CNKI])
- Breast Pain, Hyperplasia Mammary Glands, Distending Pain Breast, Breast Masses – LI04, ST15, ST18, ST36, SP06, SI11, BL18, BL20, BL23, KD03, TB05, GB21, LV03 (Yu Guo-hua, Zou Lai-yong, Liu Jian-guo. Combination of Acupuncture with Medication for Treatment of Hyperplasia of Mammary Glands in 46 Cases. Journal of Traditional Chinese Medicine, September 2010, Vol. 30, No. 3: 232-234)
- Heat, Breast Abscess, Liver Qi Stagnation, Breast Abscess, Liver Qi Stagnation – ST18, ST36, SI01, GB21, LV03, CV17 (sacredlotus.com ↗)
- Fever, Heat, Breast Abscess, Liver Qi Stagnation, Chills, Breast Abscess, Liver Qi Stagnation – LI04, ST18, ST36, SI01, TB05, GB21, LV03, CV17 (sacredlotus.com ↗)
- Heat, Breast Abscess, Liver Qi Stagnation, Bloating, Breast Mastitis Pain, Breast Abscess, Liver Qi Stagnation, Breast Mastitis Pain – ST18, ST36, SI01, GB21, GB41, LV03, CV17 (sacredlotus.com ↗)
- Retention Food, Hiccups, Retention Food – ST18, ST36, BL17, BL18, BL46, PC06, CV12, CV14, XL25 (sacredlotus.com ↗)
- Hiccups, Retention Food – ST18, ST36, BL17, BL18, BL46, PC06, CV12, CV14, XL25 (sacredlotus.com ↗)
