Clinically, there is no such thing as “not being able to pass through the middle epigastric region”, but if you have stomach pain, bloating, nausea (lack of appetite, reduced food intake) and other discomforts, you can use the middle epigastric point to treat them.
The mid-epigastric point is located in the upper abdomen, 4 inches above the umbilicus, on the anterior midline. It is mainly used for treating stomach pain, abdominal distension, nausea, vomiting, acid swallowing (swallowing the acid that rushes upward from the stomach to the oropharynx), hiccups (burping), pediatric chancre (a kind of children’s chronic disease manifested by emaciation of the body, abnormal eating and drinking, abdominal distension, and sparse and withered hair, etc.), and dirty agitation (upset and depression, sadness and wanting to cry for no reason).
In modern times, it is often used to treat acute and chronic gastroenteritis, gastric ulcer, gastric spasm, gastric dilatation, gastric ptosis, acute intestinal obstruction, constipation, dyspepsia, neurasthenia, hypertension, psychosis, and so on.
If you need to needle acupuncture point in the middle of the stomach, you need to be operated by a professional doctor.