BL46 Geguan (Diaphragm Gate)

膈關gé guānGeguan

Bladder Meridian

Location of acupuncture point BL46 Geguan (Diaphragm Gate)
32
Indications
17
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 ColdBelchingCommon ColdCounterflow QiDroolingDefecation Irregular ProblemsEnteritisFeverChest FullnessDiaphragm FullnessHemiplegiaHigh Blood PressureJoints StiffnessSpinal StiffnessImmobility JointsImmobility SpineFoot NumbnessHand NumbnessOppression ChestOppression DiaphragmPainBack PainLower Back PainHeadacheSpine PainStomach AcheSighing ExcessiveOrgans Phase StagnationUrine DarkVomitingVomiting BloodWind Organs Phase

TCM actions

What classical sources say BL46 does in the terms of Chinese medicine theory. These describe the point, not a condition.

Benefit DigestionBenefit Regulate DiaphragmBenefit Regulate Jiao MiddleRegulate DiaphragmRegulate Jiao Middle

Protocols using BL46

  • Respiratory Diaphragm Dysfunction, Breathing Reduced Capacity – BL17, BL46, GB34, LV03, CV17 (doi:10.1155/2022/6608200 ↗)
  • Fatigue, Anxiety, Insomnia, Cognitive Impairment, Depression Major, Mood Dysphoric – LI04, ST08, SP06, BL13, BL17, BL19, BL42, BL46, BL48, KD01, LV03, CV06, CV12, CV15, GV20, XH03 (doi:10.3389/fmed.2022.761419 ↗)
  • Depression, Acute Depressive Disorder – BL13, BL17, BL19, BL42, BL46, BL48, KD01 (doi:10.2147/NDT.S601078 ↗)
  • Anxiety, Sleep Disorder, Depression Subthreshold – BL13, BL17, BL18, BL19, BL42, BL46, BL47, BL48, CV11, CV12 (doi:10.13703/j.0255-2930.20250609-0004 ↗)
  • Renal Colic Pain – BL21, BL22, BL23, BL24, BL26, BL45, BL46, BL47, BL48, BL49 (doi:10.2147/JPR.S136299 ↗)
  • 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 Qi – ST25, ST36, ST40, SP04, BL17, BL21, BL25, BL46, PC06, PC07, CV12, CV22 (Acupuncture Point Prescriptions, entry ACC7)
  • Renal Colic Pain – BL21, 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 Qi – ST25, ST36, ST40, SP04, BL17, BL21, BL25, BL46, PC06, PC07, CV12, CV22 (Acupuncture Point Prescriptions, entry ACC7)
  • Dysphagia, Cancer Esophageal – BL17, BL46, PC06, AH14, CYC01, HCS01, HCS04, TF10 (Henry C. Lu. Clinical Cases of Acupuncture)
  • Dysphagia, Cancer Esophageal – ST25, ST40, BL17, BL21, BL25, BL46, PC06, PC07 (Zhang Dengbu. Acupuncture Cases from China: A Digest of Difficult and Complicated Case Histories. Edinburgh: Churchill Livingstone, 1994)
  • Neurosis Gastrointestinal, Hiccups Persistent – ST36, BL17, BL46, LV03 (Zhang Dengbu. Acupuncture Cases from China: A Digest of Difficult and Complicated Case Histories. Edinburgh: Churchill Livingstone, 1994)
  • Hiccups, Cold Stomach, Cold Stomach – ST20, ST36, BL17, BL18, BL46, PC06, CV12, CV13 (sacredlotus.com ↗)
  • Retention Food, Hiccups, Retention Food – ST18, ST36, BL17, BL18, BL46, PC06, CV12, CV14, XL25 (sacredlotus.com ↗)
  • Qi Stagnation, Hiccups, Qi Stagnation – ST19, ST36, BL17, BL18, BL46, PC06, LV03, CV12, CV17 (sacredlotus.com ↗)
  • Hiccups, Cold Stomach – ST20, ST36, BL17, BL18, BL46, PC06, CV12, CV13 (sacredlotus.com ↗)
  • Hiccups, Retention Food – ST18, ST36, BL17, BL18, BL46, PC06, CV12, CV14, XL25 (sacredlotus.com ↗)
  • Hiccups, Qi Stagnation – ST19, 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 Point15 protocols
  • CV12Stomach Centre10 protocols
  • PC06Inner Gate10 protocols
  • ST36Leg Three Miles9 protocols
  • BL18Liver Shu Point7 protocols
  • BL21Stomach Shu Point5 protocols
  • BL48Yang Headrope5 protocols
  • LV03Great Surge5 protocols
  • BL13Lung Shu Point3 protocols
  • BL19Gallbladder Shu Point3 protocols
  • BL25Large Intestine Shu Point3 protocols
  • BL42Door Of The Corporeal Soul3 protocols