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Clinical Application of Zhuang Medicine Special Acupoint Umbilical Ring
This review systematically summarized recent advances in the clinical application of the Umbilical Ring Acupoint, a distinctive acupoint system in Zhuang medicine. Based on the theoretical frameworks of Three Pathways and Two Circuits, Triple Qi Synchronization, and bioholography, the umbilical region is regarded as a central hub for regulating systemic Qi dynamics. Current clinical studies indicate that acupuncture and related therapies targeting the Umbilical Ring Acupoint demonstrate favorable therapeutic effects in neurological disorders, dermatological and immune-related diseases, digestive system disorders, respiratory and metabolic conditions, as well as gynecological and reproductive dysfunctions. The underlying mechanisms may involve modulation of the neuro–endocrine–immune network, regulation of the gut–brain axis, and embryological and holographic characteristics of the umbilical region. In addition, recent technological innovations and standardized operational protocols have promoted the clinical applicability of this therapy. Despite limitations such as regional concentration of studies and insufficient mechanistic evidence, the Umbilical Ring Acupoint shows promising potential for further development within integrative medicine.
[1] Jiang X, Deng Y, Luo S, et al., 2010, The Origin of the “Three Qi Synchronization” Theory in Zhuang Medicine. Shizhen Guoyi Guoyao, 21(6): 1488.
[2] Huang H, 1996, An Overview of the Theoretical System of Zhuang Medicine. China Journal of Basic Medical Sciences, 2(6): 3–7.
[3] Huang J, Huang H, Huang D, 1986, Zhuang Medicine Line Point Moxibustion Therapy. Guangxi People’s Publishing House: 40.
[4] Huang J, Song N, Huang K, 2010, China Zhuang Medicine Acupuncture and Moxibustion. Guangxi Ethnic Publishing House: 82–83.
[5] Song N, 2013, Analysis of the Academic Characteristics of “China Zhuang Medicine Acupuncture and Moxibustion”. China Journal of Basic Medical Sciences, 19(9): 1071–1073.
[6] Song N, 2011, A Preliminary Study on the Academic Thoughts of Professor Huang Jinming, a National Renowned Elderly Traditional Chinese Medicine Physician. Guangxi Journal of Traditional Chinese Medicine, 34(3): 35–36.
[7] Song C, Li K, Feng J, et al., 2025, Observation on the Efficacy of Five-Direction Eight-Trigram Acupoint Array in Treating Post-Stroke Cognitive Impairment. Shanghai Acupuncture and Moxibustion Journal, 44(1): 1–6.
[8] Cheng S, 2018, Clinical Observation of Acupoint Thread Embedding Therapy for Cervical Spondylotic Radiculopathy Using the Five Elements and Eight Trigrams (Postnatal) Acupoints at the Navel Region. Journal of Practical Traditional Chinese Medicine, 34(9): 1114–1115.
[9] Song N, Zeng Z, Ya Y, et al., 2018, Immediate Effect Observation of Zhuang Medicine Line-Point Moxibustion Combined with Acupuncture at Umbilical Ring Acupoint in the Treatment of Migraine. Shizhen Guoyi Guoyao, 29(3): 639–640.
[10] Li Y, Kuang J, Wang X, et al., 2018, Effect of Acupuncture at the Umbilical Ring Point Combined with Warm Needle at the Yongquan Point on Sleep Quality, Depression and Anxiety Scores in Patients with Insomnia of Heart-Kidney Disharmony Type. Guangxi Medical Journal, 40(9): 1094–1096.
[11] Li Y, Kuang J, Wang X, et al., 2017, Clinical Study on Acupuncture at the Umbilical Ring Point Combined with Warm Needle Therapy at the Yongquan Point in Treating Insomnia of Heart-Kidney Disharmony Type. Guangxi Journal of Traditional Chinese Medicine, 40(6): 14–17.
[12] Li W, 2020, Acupuncture’s Effects on 5-HT Transmitter, 5-HT1AR (5-HT2AR)/AC Signal Pathway and Their Correlation in PCPA Insomnia Rats, thesis, Guangxi University of Traditional Chinese Medicine.
[13] Luo B, Luo M, Wang Y, et al., 2016, A Comparative Study on the Effects of Umbilical Ring Needle and Diazepam Tablets on Neurobehavioral Manifestations in PCPA-Induced Insomnia Rats. Popular Science, 18(2): 90–92 + 104.
[14] Wei Y, Liang W, Guo Y, et al., 2019, Effects of Acupuncture at the Inner Umbilical Ring and Insomnia Points on Glutamate and Gamma-Aminobutyric Acid Content in the Hypothalamus of PCPA-Induced Insomnia Rats. Shizhen Journal of Traditional Chinese Medicine and Pharmaceutical Sciences, 30(9): 2279–2281.
[15] Su L, He S, Li S, et al., 2025, Acupuncture at the Zhuang Medicine Umbilical Ring Acupoint Affects Sleep Quality and Microcirculation in Patients with Post-Stroke Sleep Disorders. Journal of Shanxi University of Traditional Chinese Medicine, 26(4): 424–429.
[16] Xie Y, Xu J, Tan L, et al., 2021, Clinical Efficacy of Zhuang Medicine Umbilical Ring Acupoint Acupuncture in Treating Chronic Eczema of Blood Deficiency and Wind-Dryness Type and Its Effect on Th1/Th2 Immune Balance. Guangxi Medical Journal, 43(1): 56–61.
[17] Xie Y, Xu J, Tan L, et al., 2021, Therapeutic Effect of Zhuang Medicine Umbilical Ring Acupoint Acupuncture on Chronic Eczema and Its Influence on Serum Inflammatory Factor Expression. Hunan Journal of Traditional Chinese Medicine, 37(10): 77–79.
[18] He J, Liao M, Meng Z, 2015, Clinical Efficacy of Acupuncture Combined with Ginger Moxibustion on the Periumbilical Ring Point in Treating Ulcerative Colitis of Spleen-Kidney Yang Deficiency Type and Its Effect on Related Inflammatory Factors. Journal of Guangzhou University of Chinese Medicine, 32(4): 687–689 + 693.
[19] Xiao Q, Liu C, Huang Y, et al., 2020, Clinical Study on the Treatment of Diarrhea-Type Irritable Bowel Syndrome by Acupuncture at the Umbilical Ring Point in Zhuang Medicine. Popular Science, 22(1): 54–57.
[20] Ning Y, Liu R, Huang Y, et al., 2020, Effect of Wenyang Yiqi Plaster on the Umbilical Ring Acupoint in Zhuang Medicine for Elderly Patients with Yang Deficiency Constipation. Journal of Nursing, 35(12): 42–44 + 53.
[21] Liu C, Wang M, Huang Y, et al., 2019, Clinical Observation of Acupuncture at the Internal Navel Ring Point in Zhuang Medicine for Chronic Transmission Constipation (Qi-Impeded Type). Guangxi Journal of Traditional Chinese Medicine, 42(6): 26–28.
[22] Zhang J, Liu X, 2019, Acupuncture at the Inner Umbilical Ring Point in Zhuang Medicine Affects Pulmonary Function and Serum Inflammatory Factor Levels in Stable COPD Patients. Frontiers in Medicine and Pharmacy, 9(23): 220–221.
[23] Zhang Y, Lan Y, Li L, 2022, Exploring the Therapeutic Mechanism of Zhuang Medicine Umbilical Ring Acupoint in Treating Edema Based on the “Three Channels and Two Pathways” Theory. Journal of Traditional Chinese Medicine, 28(5): 187–190.
[24] Tang M, Wang M, Zhou L, et al., 2018, Clinical Study on the Treatment of Liver Depression Type Menstrual Disorders by Combining Moxibustion with Acupuncture at the Umbilical Ring Point. Asia Pacific Traditional Medicine, 14(7): 145–147.