ST21

Liangmen

Star

梁門 (Liángmén) — Beam Gate

Stomach channel · point 21

Not yet clinically reviewed

Traditionally used for

  • Digestion
  • Bowel health

Location

On the upper abdomen, 4 cun above the umbilicus, 2 cun lateral to the anterior midline.

How to locate: Find the midpoint between the sternocostal angle and the centre of the umbilicus (CV12, 4 cun above the umbilicus) with proportional cun, then go 2 cun laterally. With a narrow costal angle the point may lie on the rib margin.

Distances are in cun, a proportional unit — how to measure.

Body map, front: ST21 · Upper abdomen
Fig. — ST21 · Upper abdomen After Albinus, 1747
Body map, front: ST21 · Upper abdomen

ST21 · Upper abdomen · Albinus, Tabulae sceleti et musculorum, 1747

The abdominal regions — Gray's Anatomy plate Needling hazard — see Needling safety
The abdominal regions Gray's Anatomy, 1918
The abdominal regions — Gray's Anatomy plate Needling hazard — see Needling safety

The abdominal regions · Gray's Anatomy, 1918

3D view

3D view not available for this point: its position can't be carried onto the 3D model reliably (it failed a placement check). The 2D maps above show it.

Needling

Cited needling

  • ⚠ Organ
  1. Perpendicular insertion
    Depth 1–1.5 cun
    skindeeper

Case reports: organ injury after needling at this point (1 case in Wu et al. 2015).

Depths describe average adult habitus in the cited population, never a single safe number for the patient in front of you. Palpate and adjust.

Sources (2)
  1. Wu J, Hu Y, Zhu Y, Yin P, Litscher G, Xu S. Systematic review of adverse effects: a further step towards modernization of acupuncture in China. Evid Based Complement Alternat Med. 2015;2015:432467 — Table 4 (Organ injury associated with acupuncture) Supports: organ (case report)
  2. Deadman P, Al-Khafaji M, Baker K. A Manual of Acupuncture. Hove: Journal of Chinese Medicine Publications; 1998 — p. 145 Supports: techniques (names this point)

Site notes · not cited

Depth: 0.5–1.0 cun
Angle: Perpendicular

Functions

  • Harmonises the Stomach and middle burner and relieves epigastric pain
  • Regulates qi and resolves food stagnation
  • Raises qi and stops diarrhoea

Indications

Epigastric pain and distensionpoor appetite and food stagnationvomitingloose stools

Clinical Notes

Level with CV12, and the most-used Stomach-channel abdominal point for epigastric pain.

Sources

  • World Health Organization. WHO Standard Acupuncture Point Locations in the Western Pacific Region. Manila: WHO Regional Office for the Western Pacific, 2008. (Location.)
  • Focks C, ed. Atlas of Acupuncture. Edinburgh: Churchill Livingstone Elsevier, 2008. (Locating method and actions.)

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