Bladder 44 (BL 44) Shen Tang — Spirit Hall

This point, level with the Heart Shu, benefits the Heart, unbinds the chest and calms the spirit (shen).

Bladder 44 (BL 44) Shen Tang 神堂 — Spirit Hall

Location

On the back, 3 cun lateral to the lower border of the spinous process of the fifth thoracic vertebra (T5), level with BL-15.

Anatomy

On the trapezius and rhomboid; the posterior intercostal artery; the dorsal rami of the thoracic nerves.

Actions & Functions

  • Benefits the Heart and unbinds the chest
  • Calms the spirit (shen)

Indications

Cardiac pain and palpitations, oppression of the chest, anxiety, and stiffness of the back.

Needling

0.5-0.7 cun, oblique insertion towards the spine.

Moxibustion Suitability

Suitable for moxibustion.

Point Combinations

With BL-15 and HT-7 for anxiety and palpitations.

Classical Text References

The outer Back-Shu of the Heart, associated with the shen (spirit).

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.