BL44 Hall of the Spirit

Reviewed by · Licensed Acupuncturist & TCM Physician · Last reviewed June 2026

BL44 (Shentang, “Hall of the Spirit”) is an acupuncture point on the Bladder Meridian. It is located on the upper back, in a depression 3 cun lateral to the lower border of the spinous process of the fifth thoracic vertebra (T5), level with the Heart Shu (BL15). It calms the Spirit, unbinds the chest, relieves pain, and relaxes the sinews.

Location

On the upper back, in a depression 3 cun lateral to the lower border of the spinous process of the fifth thoracic vertebra (T5), level with the Heart Shu (BL15).

Needling

Oblique insertion towards the spine, 0.5 to 1.0 cun. Deep perpendicular or medial oblique insertion carries a substantial risk of causing a pneumothorax.

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TCM functions

Calms the Spirit, unbinds the chest, relieves pain, and relaxes the sinews..

Indications

Shoulder and back pain connecting to the chest, inability to bend forward or backward, shoulder pain, fullness of the chest and abdomen, shivering with alternating chills and fever, stiffness and rigidity of the spine and back, chest fullness, upward counterflow of qi, occasional esophageal constriction, back pain, cough, wheezing, asthma..

Clinical notes

Shentang is located lateral to the Heart's Back-Shu point, and its name, 'Hall of the Spirit,' reflects its strong influence on the Shen. It is a key point for addressing emotional and psychological issues rooted in Heart disharmony, such as anxiety, insomnia, and palpitations, especially when accompanied by chest tightness or back pain. Locally, it is effective for stiffness and pain in the upper back, scapular region, and shoulders, particularly when movement is restricted.

On the Bladder channel

BL44 is one of 67 points on the Bladder Meridian. Nearby points:

Frequently asked questions

Where is BL44 located?

BL44 (Shentang) is located on the upper back, in a depression 3 cun lateral to the lower border of the spinous process of the fifth thoracic vertebra (T5), level with the Heart Shu (BL15).

What is BL44 used for?

BL44 calms the Spirit, unbinds the chest, relieves pain, and relaxes the sinews. Common clinical indications include shoulder and back pain connecting to the chest, inability to bend forward or backward, shoulder pain, fullness of the chest and abdomen, shivering with alternating chills and fever, stiffness and rigidity of the spine and back, chest fullness, upward counterflow of qi, occasional esophageal constriction, back pain, cough, wheezing, asthma.

How is BL44 needled?

Oblique insertion towards the spine, 0.5 to 1.0 cun. Deep perpendicular or medial oblique insertion carries a substantial risk of causing a pneumothorax. Caution: The Zhen Jiu Ju Ying notes that the name 'Shentang' is also an alternate name for the Du Mai point Shangxing (DU23).

Which meridian is BL44 on?

BL44 is a point on the Bladder Meridian (Zú Tài Yáng Páng Guāng Jīng).

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⚠️ This page is for general education and is not medical advice. Acupuncture is a traditional practice; evidence varies by condition and study quality, and individual results differ. It does not replace diagnosis or treatment by a licensed professional. Always consult a qualified acupuncturist or physician.