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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.
Classical location: Directly above Water Divide (CV-9), two cùn above the navel. From
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.
Classical 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.
Point name meaning:
The Elucidation of Characters (说文解字 shuō wén jiě zì) says, Stomach duct means the stomach bowel
(脘，胃府也), while modern Chinese medical dictionaries define the word as meaning the physical aspect of the stomach, including the lower portion of the esophagus and the upper part of the duodenum. The stomach duct is divided into three sections: upper, middle and lower.