Stomach Meridian

Rugen ST18: Nomenclature, Location, Functions, Indications



Ru: breast gen: root
Rugen is at the root of the breast.
Point: ST-18
Chinese Name: 乳根
Name: Rugen
English Name/Meaning: Root of the Breast
Pinyin: rǔ gēn
Han Geul 한글: yu geun 유근
Romaji: nyū kon?
Vietnamese: Nhũ căn


On the chest, directly below the nipple, on the lower border of the breast, in the 5th intercostal space, 4 cun lateral to anterior midline.


  • Regulates lung and qi of the chest.
  • Diffuse connecting vessels of breast.

Indications of rugen:

  • This is one of the best points for breast problems like mastitis, insufficient lactation, redness, swelling , pain.
  • Pain in chest, cough, asthma.


Puncture obliquely 0.3-0.5 cun.


  • Best point for breast problems.
  • Oblique insertion only.


Deep or perpendicular insertion carries a substantial risk of puncturing the lung.


Dr. Ishwar Gyawali is Consultant Acupuncturist and Ayurveda Physician from Kathmandu, Nepal. He had completed BAMS (Bachelor of Ayurveda Medicine and Surgery), a five and half year course on Ayurveda Medicine from Kirtipur Campus affiliated to Tribhuvan University ,Institute Of Medicine, Nepal under scholarship in 2011. He had completed his MD in TCM from Nanjing University Of Chinese Medicine in 2016 under scholarship of Ministry of Education, Nepal. With an experience of Serving for Government of Nepal for 2 years and private practise for more than 5 years, he has sound knowledge in Ayurveda as well as Chinese Medicine. He is a registered Doctor in NAMC (Nepal Ayurveda Medical Council ) both as a physician as well as TCM/Acupuncture Specialist.

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