Tianshu (ST25)
Tianshu (ST25), “Celestial Pivot”, is a point on the Stomach meridian. It is point 25 of the 45 on the channel. Front-Mu of Large Intestine.

Location
2 cun lateral to the navel.
Functions according to tradition
Front-Mu of Large Intestine. Regulates Small and Large Intestine, transforms Dampness, relieves abdominal pain, regulates Middle Jiao Qi. Essential for all intestinal disorders.
Traditional indications
- Diarrhea
- Constipation
- Irritable bowel syndrome
- Abdominal distension
- Colicky pain
- Dysmenorrhea
- Chronic enteritis
Indications described by tradition; they do not amount to proven clinical effectiveness for each one.
What its classification means
On the chest or abdomen, where the Qi of an organ “gathers”. Its tenderness to pressure guides diagnosis; it is used more in acute conditions and those of the fu organs.
Precautions
Caution during pregnancy. Check bladder position before needling.
Points on other channels with similar indications
They share several traditional indications with this point. Comparing them helps understand why one or the other is chosen.
- SP15 Daheng (Spleen): Abdominal distension, Constipation, Diarrhea
- BL25 Dachangshu (Bladder): Abdominal distension, Constipation, Diarrhea
- SP3 Taibai (Spleen): Abdominal distension, Constipation, Diarrhea
- BL50 Weicang (Bladder): Abdominal distension, Constipation
- BL53 Baohuang (Bladder): Abdominal distension, Constipation
- CV12 Zhongwan (Ren Mai (Conception Vessel)): Abdominal distension, Diarrhea
Point profile
- Code
- ST25
- Pinyin name
- Tiān Shū
- Characters
- 天枢
- Translation
- Celestial Pivot
- Meridian
- Stomach
- Element
- Earth
- Classification
- Front-Mu (LI)
- Topics
- Intestine, Digestion, Abdomen
Health notice. Educational and study content. It describes concepts of Traditional Chinese Medicine and does not replace diagnosis or treatment by a healthcare professional. Needling, medicinal herbs and invasive techniques must be applied by trained professionals. Safety guide.