Location

on the abdomen 2 cun lateral to the umbilicus. A cun is the distance between the 2nd & 3rd knuckles, or the distance at the widest part of the thumb.

Needling

perpendicular insertion 1.0 to 1.5 inch. Also oblique insertion toward the Uterus for problems in the Uterus.

Moxa is OK

Actions

Regulates the intestines
Regulates the stomach/spleen
Resolves dampness and damp/heat
Regulates Qi and blood
Eliminates stagnation

Indications

abdominal pain/distension, borborygmus, pain around the umbilicus, constipation, diarrhea, irregular menstruation, edema.

Commentary:

Tianshu is the Front Mu point of the Large Intestines. A Mu point is where the Qi of a particular organ gathers and collects. That the Stomach and Intestines have a particularly close relationship is indicated by the fact the Front Mu point of the Large Intestines is located on the Stomach channel.

Its name 'Heaven's Pivot' reflects the idea that the area above is ruled by Heavenly or Celestial Qi, the area below is ruled by Earthly Qi, and where these two intersect is the origin of Human Qi: namely the Umbilicus. See Shenque.

The Taoist idea is that a human is the bridge between Heaven and Earth, and the centre of a human is 'the source of 10,000 things.'

Because of its central position, its effect extends upward to the Stomach/Spleen and downward to the Lower Abdomen, especially in conditions arising from Dampness.

This is the point of choice for the widest spectrum of intestinal disorders. Most specifically it is indicated for the treatment of diarrhea. While Tianshu is also indicated for constipation, its companion point Daheng (Spleen 15) located 2 cun more laterally, is considered more effective.

As well, because of its damp clearing effect, Tianshu is indicated for edema, swelling of the face, and painful urination.