BL46 (Diaphragm Gate)

膈關gé guān

Bladder Meridian

Location of acupuncture point BL46 (Diaphragm Gate)
59
Indications
12
Protocols

Location

3 thumb widths lateral to the du9 at the level of the lower border of the spinous process of the 7th thoracic vertebra approximately at the level of the inferior angle of the scapula.

Cautions

Avoid deep perpendicular needling due to risk of pneumothorax.

Indications

Conditions for which BL46 is listed as indicated. An indication list is a reference index, not a prescription – see the protocols below for sourced treatments.

Aversion ColdAversion ColdBelchingBenefit DigestionBenefit DigestionBenefit Regulate DiaphragmBenefit Regulate Jiao MiddleCommon ColdCommon ColdCounterflow QiCounterflow QiDroolingDefecation Irregular ProblemsDefecation Irregular ProblemsEnteritisFeverChest FullnessChest FullnessDiaphragm FullnessDiaphragm FullnessHemiplegiaHigh Blood PressureHigh Blood PressureJoints StiffnessSpinal StiffnessImmobility JointsImmobility SpineFoot NumbnessFoot NumbnessHand NumbnessHand NumbnessOppression ChestOppression ChestOppression DiaphragmOppression DiaphragmPainBack PainBack PainLower Back PainLower Back PainHeadacheHeadacheSpine PainSpine PainStomach AcheStomach AcheRegulate DiaphragmRegulate Jiao MiddleSighing ExcessiveSighing ExcessiveOrgans Phase StagnationOrgans Phase StagnationUrine DarkUrine DarkVomitingVomiting BloodVomiting BloodWind Organs PhaseWind Organs Phase

Protocols using BL46

  • Renal Colic PainBL21, BL22, BL23, BL24, BL26, BL45, BL46, BL47, BL48, BL49 (Acupuncture Versus Titrated Morphine in Patients With Renal Colic. ClinicalTrials.gov NCT02781415)
  • Fatigue, Anxiety, Insomnia, Cognitive Impairment, Depression Major, Mood DysphoricLI04, ST08, SP06, BL13, BL17, BL19, BL42, BL46, BL48, KD01, LV03, CV06, CV12, CV15, GV20, XH03 (https://doi.org/10.3389/fmed.2022.761419)
  • Benefit DigestionLU01, LI17, ST11, ST18, ST20, ST25, ST36, SP01, SP13, SP17, SP20, BL14, BL15, BL17, BL19, BL21, BL22, BL46, BL47, BL48, BL49, BL50, BL51, KD07, KD11, KD21, PC08, GB24, GB34, LV14, CV12, CV13, CV15, CV16, CV17, CV18, CV19, CV20, CV21, XB04, XC03, XC04, XC05A, XC05B, XC05C, XC05D, XC11A, XC11B, XC11C, XC11D, XC11E, XC14A, XC14B, XC23, XH47, XL07 (DEADMAN-COMPOSITE)
  • Oppression ChestLU01, LU02, LU09, LI11, ST40, SP02, SI01, BL14, BL15, BL17, BL46, KD04, KD25, KD27, PC05, TB05, TB06, TB15, GB41, CV17 (DEADMAN-COMPOSITE)
  • High Blood PressureLU07, LI04, LI11, LI15, ST09, ST36, ST40, ST41, SP06, BL16, BL22, BL41, BL42, BL43, BL44, BL45, BL46, BL47, KD01, PC06, PC08, PC09, TB05, GB20, GB34, GB41, GB43, LV02, LV03, GV06, GV07, GV08, GV09, GV10, GV11, GV12, GV14, GV16, GV26, XH03, XH16, XH32 (DEADMAN-COMPOSITE)
  • Depression, Acute Depressive DisorderBL13, BL17, BL19, BL42, BL46, BL48, KD01 (https://doi.org/10.2147/NDT.S601078)
  • Spinal StiffnessBL05, BL10, BL11, BL16, BL17, BL18, BL30, BL46, KD18, LV13, GV01, GV04, GV09, GV13, GV14, GV15 (DEADMAN-COMPOSITE)
  • Chest FullnessLU01, LU05, LI01, LI03, ST09, ST12, ST13, ST14, ST16, ST36, ST37, ST43, ST45, SP01, SP17, SP18, SP19, SP20, HT03, HT05, HT06, SI02, SI03, SI11, SI17, BL11, BL13, BL16, BL18, BL30, BL39, BL44, BL46, BL47, BL60, BL62, BL66, KD06, KD07, KD20, KD22, KD23, KD25, KD26, PC01, PC02, PC07, TB04, TB15, GB10, GB22, GB23, GB39, GB42, GB43, LV13, LV14, CV14, CV15, CV16, CV17, CV18, CV20, CV21, CV22, GV09, GV14, GV20, XC22, XU03 (DEADMAN-COMPOSITE)
  • Aversion ColdLU01, LU10, ST05, ST44, BL01, BL12, BL13, BL17, BL42, BL46, BL47, BL49, BL50, BL64, BL65, PC02, PC05, TB03, TB23, GB03, GB15, GB16, GB17, GB18, GB36, GV16, GV19, GV21 (DEADMAN-COMPOSITE)
  • Stomach AcheST36, BL14, BL16, BL22, BL41, BL42, BL43, BL44, BL45, BL46, BL47, BL51, GB34, GV06, GV07, GV08, GV09, GV10, GV11, GV12, XC03 (DEADMAN-COMPOSITE)
  • Back PainLU09, LI01, LI16, ST19, ST28, SI02, SI03, SI04, SI06, BL11, BL12, BL14, BL15, BL17, BL20, BL21, BL30, BL31, BL36, BL37, BL41, BL42, BL43, BL44, BL45, BL46, BL47, BL49, BL50, BL52, BL58, BL60, BL64, BL65, KD21, PC02, TB01, TB05, TB06, TB12, GB21, GB25, GB27, GB28, GB29, GB30, GB32, GB41, LV02, CV03, CV04, CV14, CV15, CV22, GV07, GV10, GV20, XB06, XU24 (DEADMAN-COMPOSITE)
  • BelchingLU09, ST36, ST41, ST43, SP17, BL46, LV05, CV04 (DEADMAN-COMPOSITE)