ST18

Stomach Channel

Breast Root

乳根Rǔ Gēn

Anatomical location

In the fifth intercostal space, 4 cun lateral to the anterior midline, below the nipple in men or at the inframammary fold in women.

Main function

Regulates Qi, descends rebellious Qi, benefits the chest, promotes lactation, relieves cough.

Therapeutic indications

  • Mastitis
  • breast pain
  • insufficient breast milk
  • cough
  • chest pain
  • scanty lactation
  • asthma
  • hiccups

Name and classical tradition

Rugen (乳根) is the “root of the breast.” 乳 is the breast; 根 is the root, the base. The soundest reading is topographic: the point lies at the base of the breast, in the intercostal space just below. Another modern reading sees in the root the origin of milk production. That gloss fits the use of the point but has no classical citation.

The Zhenjiu Jiayi Jing (Systematic Classic of Acupuncture and Moxibustion) places it “在乳下一寸六分陷者中”, one cun and six fen below the breast, in the depression. It is the same measure the Jiayi Jing uses between the points of the chest series that ends at ST16, and the same regularity with which the channel descends the chest. Its immediate neighbor above is ST17, the point that is not touched.

Location of point ST18, Breast Root
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View point on the 3D modelST18 on the anatomy
Needling techniqueOblique insertion 0.5-0.8 cun toward the lateral side. Take care with the lung.
Depth0.5-0.8 cun
MoxibustionContraindicated
PrecautionsAvoid deep needling so as not to injure the lung.
Cover of the guide “Protocols for the 20 most common patterns”

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Protocols for the 20 patterns you see most in practice

Each pattern with its tongue, its pulse, the treatment principle and the points to tonify and disperse. Made for the treatment table, not the bookshelf.

Do you use ST18 with your patients?

In the Clinic you record it in the patient's file, next to the tongue, the pulse and the measurements, so at the next session you know exactly what you used. The Atlas is built in.

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