L. Intestine CONTENTS CONTENTS CONTENTS CONTENTS CONTENTS CONTENTS Stomach Bladder Channel Spleen Heart S.

Intestine GEGUAN BL-46 Bladder Diaphragm Gate Kidney LOCATION Pericardium

General Index Indications Index Point Names Index Glossary Points Index General General General Index Index Index Indications Indications Indications Index Index Index Point Point Point Names Names Names Index Index Index Glossary Glossary Glossary Points Points Points Index Index Index Index Index Names Index Points Index General Index Indications Indications Index Point Point Names Index Glossary Glossary Points Index General Previous Point Next Point Combinations Index Previous Previous Previous Point Point Point Next Next Next Point Point Point Combinations Combinations Combinations Index Index Index 1 See Notes Previous Point Point Combinations Index Previous Point Next Next Point Combinations Index

3 cunSanjiao lateral to the midline, level with the lower border of the spinous process of the Gall Bladder seventh thoracic vertebra (T7) and level with Geshu BL-17. Liver

vomiting blood, drooling, irregular defecation, dark urine. Stiffness and pain of the spine, difficulty in bending and extending the spine, back pain with aversion to cold, pain of the body, stiffness of the joints.
COMMENTARY

Conception Governing Zhiyang DU-9 Extra Points

lower border of T7

Geguan BL-46

Geshu BL-17

Geguan BL-46 (Diaphragm Gate) is level with Geshu BL-17 (Diaphragm Shu) the hui-meeting point of blood. Like Geshu BL-17, Geguan BL-46 has an important action on harmonising the diaphragm which lies between the upper and middle jiao and is able to resolve stagnation of qi in the upper jiao (fullness and oppression of the chest and diaphragm, sighing) and descend Stomach qi in the middle jiao (vomiting, difficult ingestion, belching).
COMBINATIONS

Aversion to cold in the back and stiffness of the spine with difficulty in bending: Geguan BL-46, Zhibian BL-54 and Jinggu BL-64 (Thousand Ducat Formulas).

3 cun

LOCATION NOTE

When the shoulder is relaxed, the three cun line corresponds to the medial border of the scapula.
NEEDLING

Oblique insertion 0.3 to 0.5 cun. Caution: deep perpendicular or deep oblique needling in a medial direction carries a substantial risk of causing a pneumothorax.
ACTIONS

Regulates the diaphragm, benefits the middle jiao and descends rebellion Activates the channel and alleviates pain
INDICATIONS

Belching, sighing, fullness and oppression of the chest and diaphragm, difficult ingestion, vomiting,