BL46 Geguan (Diaphragm Gate)

膈關gé guānGeguan

Bladder Meridian

Location of acupuncture point BL46 Geguan (Diaphragm Gate)
37
Indications
12
Protocols
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Location

3 thumb widths lateral to the GV09 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 ColdBelchingBenefit DigestionBenefit Regulate DiaphragmBenefit Regulate Jiao MiddleCommon ColdCounterflow QiDroolingDefecation Irregular ProblemsEnteritisFeverChest FullnessDiaphragm FullnessHemiplegiaHigh Blood PressureJoints StiffnessSpinal StiffnessImmobility JointsImmobility SpineFoot NumbnessHand NumbnessOppression ChestOppression DiaphragmPainBack PainLower Back PainHeadacheSpine PainStomach AcheRegulate DiaphragmRegulate Jiao MiddleSighing ExcessiveOrgans Phase StagnationUrine DarkVomitingVomiting BloodWind Organs Phase

Protocols using BL46

  • Respiratory Diaphragm Dysfunction, Breathing Reduced CapacityBL17, BL46, GB34, LV03, CV17 (doi:10.1155/2022/6608200)
  • Fatigue, Anxiety, Insomnia, Cognitive Impairment, Depression Major, Mood DysphoricLI04, ST08, SP06, BL13, BL17, BL19, BL42, BL46, BL48, KD01, LV03, CV06, CV12, CV15, GV20, XH03 (doi:10.3389/fmed.2022.761419)
  • Depression, Acute Depressive DisorderBL13, BL17, BL19, BL42, BL46, BL48, KD01 (doi:10.2147/NDT.S601078)
  • Chest Pain, Phlegm, Qi Rebellious, Constipation, Difficulty Swallowing, Oesophagectasis, Retroperistalsis, Chest Fullness, Open Chest, Open Diaphragm, Benefit Regulate Rebellious Qi, Chest Pain, Qi Rebellious, Difficulty Swallowing, Chest Fullness, Open Chest, Open Diaphragm, Benefit Regulate Rebellious QiST25, ST36, ST40, SP04, BL17, BL21, BL25, BL46, PC06, PC07, CV12, CV22 (Acupuncture Point Prescriptions, entry ACC7)
  • Renal Colic PainBL21, BL22, BL23, BL24, BL26, BL45, BL46, BL47, BL48, BL49 (Acupuncture Versus Titrated Morphine in Patients With Renal Colic. ClinicalTrials.gov NCT02781415)
  • Phlegm, Constipation, Oesophagectasis, Retroperistalsis, Chest Pain, Qi Rebellious, Difficulty Swallowing, Chest Fullness, Open Chest, Open Diaphragm, Benefit Regulate Rebellious QiST25, ST36, ST40, SP04, BL17, BL21, BL25, BL46, PC06, PC07, CV12, CV22 (Acupuncture Point Prescriptions, entry ACC7)
  • Hiccups, Cold Stomach, Cold StomachST20, ST36, BL17, BL18, BL46, PC06, CV12, CV13 (sacredlotus.com)
  • Retention Food, Hiccups, Retention FoodST18, ST36, BL17, BL18, BL46, PC06, CV12, CV14, XL25 (sacredlotus.com)
  • Qi Stagnation, Hiccups, Qi StagnationST19, ST36, BL17, BL18, BL46, PC06, LV03, CV12, CV17 (sacredlotus.com)
  • Hiccups, Cold StomachST20, ST36, BL17, BL18, BL46, PC06, CV12, CV13 (sacredlotus.com)
  • Hiccups, Retention FoodST18, ST36, BL17, BL18, BL46, PC06, CV12, CV14, XL25 (sacredlotus.com)
  • Hiccups, Qi StagnationST19, ST36, BL17, BL18, BL46, PC06, LV03, CV12, CV17 (sacredlotus.com)

Most often selected alongside BL46

How many sourced protocols in the index pair each point with BL46. Corpus frequency, not a combination to use.

  • BL17Diaphragm Shu Point11 protocols
  • CV12Stomach Centre9 protocols
  • PC06Inner Gate8 protocols
  • ST36Leg Three Miles8 protocols
  • BL18Liver Shu Point6 protocols
  • LV03Great Surge4 protocols
  • BL21Stomach Shu Point3 protocols
  • BL48Yang Headrope3 protocols
  • CV17Chest Centre3 protocols
  • BL13Lung Shu Point2 protocols
  • BL19Gallbladder Shu Point2 protocols
  • BL25Large Intestine Shu Point2 protocols