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CV-10 Lower Stomach Duct
下脘 〔下脘〕xià wǎn
Alternate names: 下管 xià guǎn, Lower Duct; 幽门 yōu mén, Dark Gate
Channel: CV, Controlling (rèn) Vessel
Modern location: An acupoint located on the upper abdomen, 2 cùn superior to the umbilicus on the midline.
Classic location: Directly above Water Divide (CV-9), two cùn above the navel. (Yī Zōng Jīn Jiàn)
Local anatomy: See CV-8.
Action: Assists movement and transformation in the stomach and intestines; disperses food accumulations and qì stagnation.
Modern indications: Abdominal pain; abdominal distension; diarrhea; retching and vomiting; nontransformation of grain and water; glomus lump.
Classic indications: No pleasure in eating; reddish urine; abdomen hardness; glomus lump; cold bowel qì.
Needle stimulus: Needling: 0.8‒1.2 cùn perpendicular insertion. Moxa: 5‒7 cones; pole 20‒30 min.
Needle sensation: Distension or heaviness; sometimes localized, sometimes extending upward or downward, and sometimes extending laterally to both sides.
Warning: Moxibustion at this point is contraindicated in cases of pregnancy.
Point groups: Intersection point (jiāo huì xué) of the controlling vessel and spleen channel.
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