ST25 Tianshu (Celestial Pivot)

Location

2 thumb widths lateral to the center of the umbilicus.

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 Intestine Poor Appetite Stomach RumblingBreathing LabouredCold Inferior YuanConstipation DampYuan Inferior DeficiencyDiarrhea Diarrhoea PersistentDiarrhoea SpleenShan DisorderShan Umbilical DisorderTurmoil DisorderAbdominal Bloating Dysentery Menstrual CrampsFibroids / Masses JiaFibroids Masses JiaFibroids / Masses ZhengFibroids Masses ZhengInfertilityLeucorrhea Vaginal Discharge RedWhite Vaginal Discharge Edema Abdominal PainHeart Surges Up PainPeriumbilical Cutting PainUterus PainIrregular Periods Period / Menstruation Irregular Qi Running PigletRetchingStagnationUndigested Food in Stool Swelling Facial Swelling Damp Heat Syndrome Damp-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 Qi Benefit Regulate Spleen Benefit Regulate StomachRegulate BloodRegulate IntestinesRegulate QiRegulate SpleenRegulate Stomach

Protocols using ST25

The 50 best-sourced of 682, 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 ↗)
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 ↗)
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 ↗)
Abdominal Distension, Diarrhea, Abdominal Pain, Irritable Bowel Syndrome Diarrhea-predominant – ST25, CV06, CV12 (doi:10.1186/1472-6882-14-500 ↗)
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 ↗)
Epigastric Pain, Dyspepsia Functional, Constipation Chronic, Neurogenic Bowel – ST25, ST36, CV06, CV12 (doi:10.7453/gahmj.2014.081 ↗)
Weight Loss, Diarrhea, Abdominal Pain, Crohn's Disease – ST25, ST36, ST37, SP04, SP06, KD03, LV03, CV06, CV12 (doi:10.1155/2015/938054 ↗)
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 ↗)
Overweight, Obesity Postpartum, Weight Retention – ST25, ST28, ST40, SP06, SP15, CV09 (doi:10.1097/MD.0000000000004716 ↗)
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 ↗)
Abdominal Pain, Familial Mediterranean Fever – LI04, ST25, CV12 (doi:10.1016/j.jams.2016.07.003 ↗)
Hypertension, Obesity Abdominal, Hyperglycemia, Insulin Resistance, Dyslipidemia, Metabolic Syndrome – ST21, ST25, ST36, SP15, GB26, CV05, CV10, CV12 (doi:10.1155/2017/8598210 ↗)
Fatigue, Loss of Appetite, Low-back Pain, Cough Chronic Intractable, Throat Dry, Lupus Nephropathy – LU07, LI04, LI20, ST21, ST25, ST36, ST40, ST41, SP04, SP06, SI03, BL13, BL18, BL23, BL62, KD03, KD06, PC06, TB05, GB41, LV03, CV04, CV06, CV22, GV01, GV08, GV14, GV24 (doi:10.1097/MD.0000000000009309 ↗)
Abdominal Distension, Abdominal Pain, Appetite Poor, Constipation Post-stroke – ST25, CV06 (doi:10.1097/MD.0000000000011134 ↗)
Constipation Functional, Stool Hard, Defecation Infrequent, Defecation Incomplete – ST25, ST27, BL25, BL52 (doi:10.1186/s12906-018-2243-4 ↗)
Diarrhea, Abdominal Pain, Irritable Bowel Syndrome Diarrhea-predominant – ST25, ST36, ST37, SP06, GV20 (doi:10.1155/2018/2890465 ↗)
Vasomotor Symptoms, Sleep Disturbance, Perimenopause, Quality Of Life Reduced, Depression Mild-to-moderate – LI04, ST25, SP06, LV03, CV04, GV20 (doi:10.1155/2018/5351210 ↗)
Chronic Pain, Cancer Pain – LI04, ST25, PC06, LV03, CV12 (doi:10.1177/1534735418786797 ↗)
Low Back Pain, Disability Lumbar, Sprain Lumbar, Sprain Lumbar Acute – ST25, BL23, BL24, BL25 (doi:10.3831/KPI.2018.21.015 ↗)
Obesity, Overweight, Abdominal Obesity – ST25, CV04, CV06, CV09, CV10 (doi:10.1186/s12938-018-0571-8 ↗)
Dysmenorrhea, Urination Frequent, Pelvic Pain, Leucorrhea, Uterine Myoma – ST08, ST25, ST36, SP06, GB16, CV02, CV03, CV04, CV08 (doi:10.1016/j.imr.2018.10.003 ↗)
Constipation Functional, Stool Hard, Constipation Chronic, Bowel Incomplete-evacuation – ST25, ST37, SP14 (doi:10.1155/2019/7491281 ↗)
Weight Loss, Anorexia, Inflammation Systemic, Cachexia Cancer, Muscle Wasting Sarcopenia, Cancer Gastrointestinal – LI04, LI11, ST25, ST36, SP04, SP06, SP07, HT07, KD06, PC06, LV03, CV12, CV13, GV20 (doi:10.1177/1534735418823269 ↗)
Itching, Psoriasis, Erythema, Skin Scaliness – LI04, ST25, LV03, CV04, CV12 (doi:10.1097/MD.0000000000014526 ↗)
Insomnia, Itching, Psoriasis, Erythema, Skin Oozing, Skin Scaliness – LI04, ST25, LV03, CV04, CV12 (doi:10.1097/MD.0000000000014526 ↗)
Abdominal Pain, Abdominal Bloating, Diarrhea Irritable Bowel Syndrome, Bowel Habit Abnormal – ST25, ST36, ST37, SP06, LV03, CV12 (doi:10.1155/2019/7680963 ↗)
Obesity Abdominal, Bmi Elevated, Waist Circumference Elevated – ST25, ST28, ST40, SP15, GB26, CV12 (doi:10.1155/2019/9714313 ↗)
Infertility Female, Hypomenorrhea, Menstrual Irregularity, Fallopian Tube Obstruction Bilateral, Diminished Ovarian Reserve – ST25, BL32, BL33, CV04 (doi:10.1097/MD.0000000000017160 ↗)
Endometriosis, Pelvic Chronic Pain, Fibroids – LI04, ST25, ST36, SP06, SP09, KD03, LV03, CV03, CV04, CV05, GV20 (doi:10.1089/acu.2019.1379 ↗)

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 Miles395 protocols
CV12Stomach Centre325 protocols
CV04Original Qi Gate259 protocols
SP06Three Yin Intersection240 protocols
CV06Sea Of Qi209 protocols
ST37Upper Great Hollow176 protocols
LV03Great Surge157 protocols
LI04Junction Valley129 protocols
GV20100 Convergences124 protocols
PC06Inner Gate112 protocols
LI11Pond At The Bend91 protocols
ST40Abundant Bulge86 protocols

Other points on the Stomach Meridian

ST01 ST02 ST03 ST04 ST05 ST06 ST07 ST08 ST09 ST10 ST11 ST12 ST13 ST14 ST15 ST16 ST17 ST18 ST19 ST20 ST21 ST22 ST23 ST24 ST26 ST27 ST28 ST29 ST30 ST31 ST32 ST33 ST34 ST35 ST36 ST37 ST38 ST39 ST40 ST41 ST42 ST43 ST44 ST45