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Acupuncture point · Bladder

Geguan (BL46)

Geguan (BL46), “Diaphragm Pass”, is a point on the Bladder meridian. It is point 46 of the 67 on the channel. Relaxes the diaphragm, descends rebellious Qi and stops hiccup.

膈关 · Gé GuānUpdated on

Location

In the back, level with the lower border of the T7 spinous process, 3 cun lateral to the posterior median line.

Functions according to tradition

Relaxes the diaphragm, descends rebellious Qi and stops hiccup.

Traditional indications

  • Hiccup
  • Vomiting
  • Belching
  • Back pain
  • Poor appetite

Indications described by tradition; they do not amount to proven clinical effectiveness for each one.

Precautions

Needle obliquely towards the spine: deep perpendicular insertion reaches the lung.

Points on other channels with similar indications

They share several traditional indications with this point. Comparing them helps understand why one or the other is chosen.

  • CV16 Zhongting (Ren Mai (Conception Vessel)): Poor appetite, Vomiting
  • GV7 Zhongshu (Du Mai (Governing Vessel)): Back pain, Poor appetite
  • ST19 Burong (Stomach): Poor appetite, Vomiting
  • CV11 Jianli (Ren Mai (Conception Vessel)): Poor appetite, Vomiting
  • CV13 Shangwan (Ren Mai (Conception Vessel)): Hiccup, Vomiting
  • GV9 Zhiyang (Du Mai (Governing Vessel)): Back pain, Poor appetite

Point profile

Code
BL46
Pinyin name
Gé Guān
Characters
膈关
Translation
Diaphragm Pass
Meridian
Bladder
Element
Water
Topics
Digestion, Nausea, Back

Health notice. Educational and study content. It describes concepts of Traditional Chinese Medicine and does not replace diagnosis or treatment by a healthcare professional. Needling, medicinal herbs and invasive techniques must be applied by trained professionals. Safety guide.