Stomach Meridian

Tianshu ST25 : Nomenclature, Location, Function, Indication



Tian: Heaven Shu: Pivot
The region above the navel is considered as the heaven pertaining to Yang and the region below is the earth, pertaining to yin. The point is on the level with the navel, like a pivot between heaven and earth.


2 cun lateral to the centre of the umbilicus.


  • Regulates and promotes the function of intestines.
  • Relieves food accumulation.
  • Supports the earth and transforms damp.
  • Clears stomach heat and large intestine heat.

Indications of Tianshu:

  • The main point for the diseases of the intestines, such as abdominal pain, abdominal distension, borborygmus, diarrhea, constipation, dysentery, intestinal abscess.
  • This point helps for the movement of qi and blood so is used for Irregular menstruation, dysmenorrhea.
  • Drain dampness – urinary system problems, edema, cloudy urine, late stage of Liver cirrhosis –water retention, reduced appetite, bloating, edema (weight control).


Puncture perpendicularly. The needle tip may be slightly in the direction of the middle 0.8-1.2 cun.


  • Front-Mu Point of the Large Intestine.
  • Main point for antidysentery.
  • Good for Irritable bowel syndrome and Chron’s disease (Use along with ST36) .


  • In thin subjects, deep needling may penetrate the peritoneal cavity.
  • Donot use in pregnant women with 3 month or over.


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.