Stomach 25 (ST 25) Tian Shu — Heavenly Pivot

This point, beside the umbilicus, is the Front-Mu (alarm) point of the Large Intestine. It is the principal point for regulating the Intestines, treating both constipation and diarrhoea.

Stomach 25 (ST 25) Tian Shu 天樞 — Heavenly Pivot

Location

On the abdomen, 2 cun lateral to the centre of the umbilicus.

Anatomy

On the rectus abdominis; the inferior epigastric artery and vein; the tenth intercostal nerve.

Actions & Functions

  • Regulates the Intestines and the Stomach (Front-Mu of the Large Intestine)
  • Resolves dampness and damp-heat
  • Regulates qi and blood and benefits menstruation

Indications

Diarrhoea, dysentery and constipation, abdominal pain and distension, borborygmus, and irregular menstruation.

Needling

0.7-1.2 cun, perpendicular insertion.

Moxibustion Suitability

Suitable for moxibustion, classically used for chronic diarrhoea and cold.

Point Combinations

With ST-37 for diarrhoea and dysentery; with SJ-6 and ST-36 for constipation.

Classical Text References

The Front-Mu point of the Large Intestine, the chief point for the Intestines.

Cautions & Contraindications

None specific.

Latest Research

Latest peer-reviewed research on this point will be summarised here, with citations linked to PubMed, via our research integration.

About Attilio

Doctor of Chinese medicine, acupuncture expert and author of My Fertility Guide and My Pregnancy Guide.

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PubMed research

International Guideline Recommends Electroacupuncture and Manual Acupuncture for Chronic Insomnia

Research summary (Electroacupuncture): Acupuncture for insomnia management: An international evidence-based guideline that integrates multidisciplinary consensus and regional adap - Sleep medicine reviews, 2026.