BL 46 — Gé Guān (膈关) — Diaphragm Gate
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1. Overview
BL 46 — Gé Guān (膈关) — is an acupuncture point on the Bladder meridian. Its English name, Diaphragm Gate, reflects the point’s classical character and location. It is used in acupuncture practice as part of channel-balancing prescriptions for a range of conditions.
I am Dr (TCM) Attilio D’Alberto, a member of the British Acupuncture Council with over 25 years of clinical experience. I use BL 46 as part of individually tailored acupuncture prescriptions at my clinic in Wokingham, Berkshire.
2. Location
3 cun lateral to lower end of the spinous process of the seventh thoracic vertebra.
3. Actions
- Regulates the diaphragm
- Benefits the Middle Jiao
- Activates the channel
- Alleviates pain
4. Indications
- Dysphagia
- Hiccup
- Vomiting
- Hematemesis
- Drooling
- Belching
- Pain and stiffness of the back
- Irregular defecation
- Dark urine
5. Needling
Puncture obliquely downward 0.3 to 0.5 cun.
Important: Acupuncture should only be performed by a fully qualified practitioner. Never attempt self-needling. All needles I use are sterile, single-use and disposed of immediately after treatment in a clinical sharps container.
6. Clinical notes
BL 46 Gé Guān (Diaphragm Gate) is used as part of channel-balancing prescriptions tailored to the patient’s individual TCM diagnosis.
7. Treatment at my clinic
I use BL 46 as part of tailored acupuncture prescriptions for conditions including Back pain. Each treatment is individually designed following a full TCM assessment.
I see patients in person at my clinic in Wokingham, Berkshire. Visit the prices page for consultation fees. Return to the acupuncture points directory or the acupuncture main page.















