BL44 Spirit Hall

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

BL44 (Shentang, “Spirit Hall”) is an acupuncture point on the Bladder Meridian. It is located on the upper back, 3 cun lateral to the lower border of the spinous process of the fifth thoracic vertebra (T5), at the level of BL15 (Xinshu). It calms the spirit, regulates heart qi, alleviates cough.

Location

On the upper back, 3 cun lateral to the lower border of the spinous process of the fifth thoracic vertebra (T5), at the level of BL15 (Xinshu).

Needling

Oblique insertion 0.5-1.0 cun. Caution for pneumothorax.

⚠ Pneumothorax risk: oblique/shallow only, never deep perpendicular over the chest wall.

TCM functions

Calms the spirit, regulates heart qi, alleviates cough.

Indications

Palpitation, cough, asthma, stiffness and pain of the back.

Clinical notes

Shentang is a key point for calming the spirit and regulating Heart Qi, making it highly effective for emotional disturbances such as anxiety, palpitations, and insomnia, especially when accompanied by chest oppression. It also helps alleviate cough and asthma by influencing the Heart-Lung relationship. Its name, 'Spirit Hall,' reflects its strong connection to the Shen and its ability to stabilize the mind.

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, 3 cun lateral to the lower border of the spinous process of the fifth thoracic vertebra (T5), at the level of BL15 (Xinshu).

What is BL44 used for?

BL44 calms the spirit, regulates heart qi, alleviates cough. Common clinical indications include palpitation, cough, asthma, stiffness and pain of the back.

How is BL44 needled?

Oblique insertion 0.5-1.0 cun. Caution for pneumothorax. Caution: ⚠ Pneumothorax risk: oblique/shallow only, never deep perpendicular over the chest wall.

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.