BL46 (Geguan, “Geguan”) 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 seventh thoracic vertebra (T7), level with BL17 (Geshu). It strengthens the spine, expels cold from the back, and alleviates pain and stiffness.
On the upper back, 3 cun lateral to the lower border of the spinous process of the seventh thoracic vertebra (T7), level with BL17 (Geshu).
Oblique insertion towards the spine, 0.5 to 1.0 cun. Deep perpendicular or medial oblique insertion carries a risk of pneumothorax.
Strengthens the spine, expels cold from the back, and alleviates pain and stiffness..
Stiffness and rigidity of the lumbar spine and back, aversion to cold and pain in the back, spinal rigidity with difficulty bending forward and backward..
Geguan is a point on the outer Bladder line, level with the influential point of Blood, Geshu (BL17). While its classical indications focus on spinal rigidity and back pain, its name 'Diaphragm Gate' suggests a relationship with the diaphragm and middle jiao. Clinically, it can be used as a local point for musculoskeletal pain and stiffness in the upper and middle back, especially when there is a component of cold.
BL46 is one of 67 points on the Bladder Meridian. Nearby points:
BL46 (Geguan) is located on the upper back, 3 cun lateral to the lower border of the spinous process of the seventh thoracic vertebra (T7), level with BL17 (Geshu).
BL46 strengthens the spine, expels cold from the back, and alleviates pain and stiffness. Common clinical indications include stiffness and rigidity of the lumbar spine and back, aversion to cold and pain in the back, spinal rigidity with difficulty bending forward and backward.
Oblique insertion towards the spine, 0.5 to 1.0 cun. Deep perpendicular or medial oblique insertion carries a risk of pneumothorax.
BL46 is a point on the Bladder Meridian (Zú Tài Yáng Páng Guāng Jīng).