Bladder 43 (BL 43) Gao Huang Shu — Vital Region Shu

This is a classic point for chronic and severe deficiency. It tonifies the Lung and Kidney, nourishes deficiency and supports the body in consumptive and exhausting conditions.

Bladder 43 (BL 43) Gao Huang Shu 膏肓俞 — Vital Region Shu

Location

On the upper back, 3 cun lateral to the lower border of the spinous process of the fourth thoracic vertebra (T4), level with BL-14.

Anatomy

On the trapezius, rhomboid and, deeper, the erector spinae; the posterior intercostal artery; the dorsal rami of the thoracic nerves.

Actions & Functions

  • Tonifies the Lung and Kidney and nourishes deficiency
  • Strengthens the body in chronic, consumptive conditions
  • Supports the original qi (classically moxa’d extensively)

Indications

Chronic cough and asthma, consumption, night sweats, seminal emission, poor memory, and general weakness and exhaustion.

Needling

0.5-0.7 cun, oblique insertion towards the spine.

Moxibustion Suitability

Highly suitable - classically the focus of extensive moxibustion to treat deep deficiency.

Point Combinations

With BL-13 and BL-23 for chronic deficiency; with REN-4 and moxa for exhaustion.

Classical Text References

A celebrated point for chronic, deep-seated deficiency, especially via moxibustion.

Cautions & Contraindications

Deep insertion risks pneumothorax; needle obliquely.

Latest Research

Latest peer-reviewed research on this point will be summarised here, with citations linked to PubMed, via our research integration.

About Attilio

Doctor of Chinese medicine, acupuncture expert and author of My Fertility Guide and My Pregnancy Guide.

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PubMed research

Traditional Chinese Medicine Improves Nutritional Status in Maintenance Haemodialysis Patients, Meta-Analysis Finds

Research summary (Traditional Chinese Medicine): Efficacy of traditional Chinese medicine in improving nutritional status among Chinese maintenance hemodialysis patients: a meta-analysis of - Frontiers in nutrition, 2026.