Epigastric pain treated with Acupuncture Prescriptions
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Acupuncture Point Xiawan (CV10)
Location:
Lie supinely; draw a line connecting xiphoid process and umbilicus, a spot on this line, 3/4 apart from xiphoid process, or 1/4 apart from umbilicus. Or, 1 cun vertically above ShuifenCV9(Shuifen (CV9)).

Function:
Warming the stomach and expelling cold, regulating qi and resolving masses.

Regional Anatomy:
Skin subcutaneous tissue-linea alba-transverse fascia-extraperitoneal fat tissue-parietal peritoneum.
In the superficial layer, there are the anterior cutaneous branches of the anterior branch of the 9th thoracic nerve and the tributaries of the superficial epigasteic vein.In the deep layer, there are the branches of the anterior branch of the 9th thoracic nerve.

Indications:
Epigastric pain, abdominal pain, borborygmus, indigestion, vomiting, and Diarrhea.

Prescription:
Combined use with Zusanli (ST 36) He-Sea Point) for treatment of chronic gastroenteritis; with Neiguan (PC6) Luo-Connecting Point the Eight Confluent Point) for treatment of gastrospasm; with Qihaishu (BL24) for treatment of gastroptosis; and with Tianshu (ST25) Front-Mu Point of the Large Intestine), and Zhaohai (KI 6) The Eihgt Confluent Point) for treatment of dysentery.

Methods:
Insert the needle perpendicularly to 1-1.5 cun depth; needling response: local distention and heaviness; moxibustion: using 3-5 moxa-cones, or mild moxibustion for 10 min.
Note:
Deep under the point, the organs involved include the greater omentum, the transverse colon, the stomach and the pancreas as well asthe inferior vena cava ( on right side ) and the abdominal aorta ( on left side ) anterior to the pyramid in the abdominal cavity.



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