REN10 Lower Epigastrium

Reviewed by · Licensed Acupuncturist & TCM Physician · Last reviewed June 2026

REN10 (Xiawan, “Lower Epigastrium”) is an acupuncture point on the Conception Vessel Meridian. It is located on the anterior midline of the abdomen, 2 cun superior to the umbilicus and 6 cun inferior to the sternocostal angle. It harmonizes the Stomach and intestines, descends rebellious Qi, disperses food stagnation and accumulation, relieves abdominal pain.

Location

On the anterior midline of the abdomen, 2 cun superior to the umbilicus and 6 cun inferior to the sternocostal angle.

Needling

Perpendicular insertion 1.0 to 1.5 cun. Deep insertion carries a risk of penetrating the peritoneal cavity.

TCM functions

Harmonizes the Stomach and intestines, descends rebellious Qi, disperses food stagnation and accumulation, relieves abdominal pain.

Indications

Abdominal pain, abdominal hardness, abdominal distention, food not transforming, lack of appetite, emaciation, borborygmus, undigested food in stool, red urine, hard masses in the abdomen , heart pain, vomiting, stomach cold, rebellious Qi moving upwards from the navel, indigestion, fullness of the stomach and abdomen, heart-mind vexation and fullness.

Clinical notes

Xiawan is a key point for disorders of the lower stomach and small intestine, located anatomically near the pylorus. The classics emphasize its role in treating food stagnation, where food fails to move from the stomach into the intestines, leading to pain, fullness, and palpable masses. It is particularly effective for conditions of cold and accumulation in the middle jiao, helping to move stagnant food and qi downwards.

In the classical sources

Classical text; the translation was prepared with AI and is not clinical advice.

《針方六集》 Zhēnfāng Liùjí — Six Collections on Needling, Wu Kun, 1618 · 卷之五·紛署集 · 腹入鳩尾循任脈下行至會陰凡十五穴第十九 · Source: jicheng.tw ↗

下脘一穴,主胃脹羸瘦,腹痛堅硬,氣寒谷不轉化,不嗜食,小便赤,癖塊連臍,厥氣動搖,翻胃

The text records that REN10 (a single point) was used for stomach distension with emaciation, hard painful abdomen, cold qi with grain not transformed, poor appetite, red urine, masses connected to the navel, stirring of reversal qi, and regurgitation of food.

《針灸大成》 Zhēnjiǔ Dàchéng — Great Compendium of Acupuncture & Moxibustion, 1601 · 卷九 · Source: Wikisource ↗

下脘 建里下一寸,臍上二寸,穴當胃下口,小腸上口,水穀於是入焉

It is located 1 cun below Jianli and 2 cun above the navel, according to this text, corresponding to the lower opening of the stomach and the upper opening of the small intestine, where water and grain enter.

《備急千金要方》 Bèijí Qiānjīn Yàofāng — Essential Prescriptions Worth a Thousand Gold for Emergencies, c. 650 · 第二十九 · Source: Wikisource ↗

上下脘,此之一行有六穴,忌火針也

The text states that on this line of six points, including the upper and lower epigastric points (REN13 and REN10), fire needling is to be avoided.

《醫學綱目·刺灸》 Yīxué Gāngmù · Cìjiǔ — Outline of Medicine: Needling and Moxibustion, Lou Ying, 1565 · 卷之八·陰陽臟腑部 · 穴法下 · Source: jicheng.tw ↗

下脘一穴,在建里下一寸,足太陰任脈之會。 針入八分,灸七壯至百壯

According to this text, REN10 (a single point) lies 1 cun below Jianli and is a meeting of the foot Taiyin and the Ren vessel; it is needled 8 fen, with 7 up to 100 moxa cones.

On the Conception Vessel channel

REN10 is one of 24 points on the Conception Vessel Meridian. Nearby points:

Frequently asked questions

Where is REN10 located?

REN10 (Xiawan) is located on the anterior midline of the abdomen, 2 cun superior to the umbilicus and 6 cun inferior to the sternocostal angle.

What is REN10 used for?

REN10 harmonizes the Stomach and intestines, descends rebellious Qi, disperses food stagnation and accumulation, relieves abdominal pain. Common clinical indications include abdominal pain, abdominal hardness, abdominal distention, food not transforming, lack of appetite, emaciation, borborygmus, undigested food in stool, red urine, hard masses in the abdomen , heart pain, vomiting, stomach cold, rebellious Qi moving upwards from the navel, indigestion, fullness of the stomach and abdomen, heart-mind vexation and fullness.

How is REN10 needled?

Perpendicular insertion 1.0 to 1.5 cun. Deep insertion carries a risk of penetrating the peritoneal cavity.

Which meridian is REN10 on?

REN10 is a point on the Conception Vessel Meridian (Rèn Mài).

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⚠️ This page is for general education and is not medical advice. Acupuncture is a traditional practice; evidence varies by condition and study quality, and individual results differ. It does not replace diagnosis or treatment by a licensed professional. Always consult a qualified acupuncturist or physician.