Bladder 46 (BL 46) Ge Guan — Diaphragm Gate

This point, level with the Diaphragm Shu, harmonises the diaphragm and Stomach and descends rebellious qi.

Bladder 46 (BL 46) Ge Guan 膈關 — Diaphragm Gate

Location

On the back, 3 cun lateral to the lower border of the spinous process of the seventh thoracic vertebra (T7), level with BL-17.

Anatomy

On the latissimus dorsi; the posterior intercostal artery; the dorsal rami of the thoracic nerves.

Actions & Functions

  • Harmonises the diaphragm and Stomach
  • Descends rebellious qi (belching, vomiting, hiccup)

Indications

Belching, vomiting and hiccup, difficulty swallowing, 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-17 and REN-12 for diaphragm and Stomach disorders.

Classical Text References

A point of the outer Bladder line.

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

Acupuncture Shows Sustained Benefits for Chronic Daily Headache Prevention in Adults, Meta-Analysis Finds

Research summary (Acupuncture): Utility of Acupuncture Therapy for Adult Chronic Daily Headache Prophylaxis: A Systematic Review and Meta-Analysis. - Medical science monitor : international medical journal of experimental and clinical research, 2026.