REN-10 Xiawan - Lower Duct

More Spirit Names: Lower Epigastrium, Lower Stomach Cavity, Lower Venter, Dark Gate

English:	Lower Cavity
Also Known As:	Xiaguan Lower Controller Lower Epigastrium Lower Stomach Cavity

Location

• On the midline of the abdomen, 2 cun above the umbilicus and 6 cun below the sternocostal angle.

Needling

• Perpendicular insertion, 0.8 to 1.5 Cun.
• Caution: in thin patients, deep needling may penetrate the peritoneal cavity.
• Puncture perpendicularly 0.5 to 1.2 Cun.
• Moxibustion is applicable.
• Straight insertion 1 to 1.5 Cun.

Command Functions

• Meeting Point of the REN channel with the Spleen channel

Actions

• Harmonizes the Stomach
• Regulates Qi
• Dispels Food Stagnation
• Promotes the descending of Stomach Qi
• Tonifies the Spleen
• Regulates the Spleen and Stomach
• Transforms Dampness
• Transforms Damp-Heat

Indications

Abdominal fullness Abdominal hardness Abdominal distention and pains Epigastric pain and distention Nausea and vomiting after eating Thready, forceless pulse Emaciation Diarrhea Prolapsed Stomach Retention of food in the Stomach Dysenteric disorders Duodenal ulcer Anorexia

Focal distention Undigested food in the stool No pleasure in eating Cold Qi of the six Fu Dark urine Lack of appetite Stomach ache Sour regurgitation Fullness after eating Gastritis Abdominal masses Chest problems

Combinations

ST-36 Zusanli	ST-36 Zusanli ST-21 Liangmen SP-6 Sanyinjiao UB-25 Dachangshu UB-22 Sanjiaoshu DU-5 Xuanshu	ST-43 Xiangu
For undigested food in the stools, first needle REN-10 Xiawan, then reduce ST-36 Zusanli	Undigested food in the stool	Borborygmus
REN-12 Zhongwan
Abdominal hardness

Contraindications

Notes

• This is the main point to use when food and drink are not digested and regurgitated after ingestion.
• This point is used to treat mental indigestion, when the mind cannot absorb mental food.
• This is a useful point that combines a tonifying action on the Spleen and Stomach with a moving action on Stomach Qi.
• This point controls the lower epigastrium including the pylorus and duodenum.
• It treats the adrenals and pituitary gland.