ST23

Stomach Channel

Supreme Unity

太乙Tài Yǐ

Anatomical location

2 cun above the umbilicus, 2 cun lateral to the anterior midline.

Main function

Regulates the Stomach, calms the mind, transforms Phlegm, relieves abdominal pain.

Therapeutic indications

  • Abdominal pain
  • vomiting
  • loss of appetite
  • insomnia
  • agitation
  • gastric pain
  • indigestion
  • mental agitation
  • mania
  • epilepsy

Name and classical tradition

Taiyi (太乙) has one of the most enigmatic names on the channel. 太乙, also written 太一, was in ancient Chinese cosmology the name of the Great One, the astral deity who dwelt in the pole star at the center of the sky. The Shiji (Records of the Grand Historian) of Sima Qian, in the treatise on the celestial offices (天官書), puts it this way: “中宮天極星,其一明者,太一常居也”. In the central palace is the star of the celestial pole; the brightest of them is the permanent dwelling of Taiyi. The Huainanzi specifies his residence: “紫宮者,太一之居也”, the Purple Palace is the home of Taiyi. That palace also has its point in the body, on the chest at the Ren Mai (Conception Vessel): CV19, Zigong.

Why a point on the abdomen, two cun above the umbilicus, should be named for that deity is something no ancient text explains. The Shiji quotation clarifies what 太乙 meant, not why it was applied to this point. It may follow the custom of naming points after stars and deities, of which the Stomach channel has another example in ST40, Fenglong; any functional explanation given today is a modern gloss.

In the Zhenjiu Jiayi Jing (Systematic Classic of Acupuncture and Moxibustion) it appears in the book of indications alongside its neighbor: “狂癲疾,吐舌,太乙及滑肉門主之”, madness and epilepsy with the tongue protruding are treated with Taiyi and Huaroumen, ST24. It belongs to the epigastric series, between ST22 and ST24.

Location of point ST23, Supreme Unity
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View point on the 3D modelST23 on the anatomy
Needling techniquePerpendicular insertion 0.8-1.2 cun, or oblique downward in thin patients.
Depth0.8-1.2 cun
MoxibustionApplicable (5-10 minutes, indirect moxa)
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 ST23 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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