# BL45 Mianan (That Hurts!) – Bladder Meridian

譩譆 · mián àn

Location: 3 thumb widths lateral to the GV10 at the level of the lower border of the spinous process of the 6th thoracic vertebra on the spinal border of the scapula.

Cautions: Avoid deep perpendicular needling due to risk of pneumothorax.

Canonical page: https://acuiq.com/points/bl45

## Indications

An indication list is a reference index, not a prescription – see the protocols below for sourced treatments.

Agitation Five Palms, Agitation Five Palms, Benefit Descend Qi Lung, Boil / Furuncle Woolly, Boil Furuncle Woolly, Clove Sores, Common Cold, Common Cold, Contraction Armpit, Contraction Armpit, Cough, Descend Qi Lung, Disease Febrile, Disease Febrile, Disease Heart Acute, Disease Heart Acute, Disease Stomach, Disease Stomach, Abdominal Bloating, Abdominal Bloating, Hypogastrium Bloating, Hypogastrium Bloating, Shortness of Breath, Enteritis, Eyesight / Vision Dizzy, Dizzy Vision, Fever, Heat, Hemiplegia, High Blood Pressure, High Blood Pressure, Invigorate Qi, Invigorate Qi, Malaria, Nosebleed, Numbness, Foot Numbness, Foot Numbness, Hand Numbness, Hand Numbness, Pain, Back Pain, Back Pain, Lower Back Pain, Lower Back Pain, Chest Pain, Chest Pain, Rib Pain, Rib Pain, Eye Pain, Eye Pain, Headache, Headache, Headache Infantile Whilst Eating Pain, Headache (infant) Whilst Eating Pain, Heart Pain, Heart Pain, Lower Abdominal Pain, Lower Abdominal Pain, Lung Pain, Lung Pain, Shoulder Blade Pain, Shoulder Blade Pain, Shoulder Pain, Shoulder Pain, Stomach Ache, Stomach Ache, Papules, Paralysis, Blood Stagnation, Blood Stagnation, Organs Phase Stagnation, Organs Phase Stagnation, Stroke, Spontaneous Sweating, Spontaneous Sweating, Wind Cold Acute Syndrome, Wind-cold Acute Syndrome, Wind Cold Interior Syndrome, Wind-cold Interior Syndrome, Temperature High, Temperature High, Vomiting, Heart Zang Weakness, Heart Zang Weakness, Wind, Wind Organs Phase, Wind Organs Phase

## Most often selected alongside BL45

Sourced protocols in the index pairing each point with this one. Corpus frequency, not a combination to use.

- BL15 (Heart Shu Point) – 2 protocols
- GV20 (100 Convergences) – 2 protocols
- BL20 (Spleen Shu Point) – 1 protocols
- BL21 (Stomach Shu Point) – 1 protocols
- BL22 (Sanjiao Shu Point) – 1 protocols
- BL23 (Kidney Shu Point) – 1 protocols
- BL24 (Sea Of Qi Shu Point) – 1 protocols
- BL26 (Original Qi Gate Shu Point) – 1 protocols

## Protocols using BL45

| Symptoms | Points | Course | Source | Kind | Caveat |
|---|---|---|---|---|---|
| Memory Impaired, Cognitive Impairment Vascular, Dementia Vascular No Dementia, Stroke Post | ST36, SP10, HT05, BL15, BL45, KD06, CV06, CV12, CV17, GV16, GV20 | 90 days | doi:10.1186/1745-6215-15-442 | trial | Point selection reported in a published study. |
| Concentration Poor, Concentration Poor | ST40, HT07, HT09, BL15, BL20, BL45, GV20 | 7 days | Deadman, Al-Khafaji & Baker, A Manual of Acupuncture – point group actions | text | Point selection recorded in a clinical text or case report. |
| Renal Colic Pain | BL21, BL22, BL23, BL24, BL26, BL45, BL46, BL47, BL48, BL49 | 1 days | Acupuncture Versus Titrated Morphine in Patients With Renal Colic. ClinicalTrials.gov NCT02781415 | text | Point selection recorded in a clinical text or case report. |

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AcuiQ-authored prose (symptom and meridian descriptions, the wiki, the auricular crosswalk) is licensed CC-BY-4.0: https://creativecommons.org/licenses/by/4.0/. The assembled protocol compilation is not: build on it with attribution, but do not redistribute it whole as a dataset – https://acuiq.com/terms. The underlying findings are the cited sources' claims – each entry carries its citation; verify against the source before relying on it. Not medical advice: https://acuiq.com/terms