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3 cunSanjiao lateral to the midline, level with the lower border of the spinous process of the Gall Bladder seventh thoracic vertebra (T7) and level with Geshu BL-17. Liver
vomiting blood, drooling, irregular defecation, dark urine. Stiffness and pain of the spine, difficulty in bending and extending the spine, back pain with aversion to cold, pain of the body, stiffness of the joints.
COMMENTARY
Geguan BL-46
Geshu BL-17
Geguan BL-46 (Diaphragm Gate) is level with Geshu BL-17 (Diaphragm Shu) the hui-meeting point of blood. Like Geshu BL-17, Geguan BL-46 has an important action on harmonising the diaphragm which lies between the upper and middle jiao and is able to resolve stagnation of qi in the upper jiao (fullness and oppression of the chest and diaphragm, sighing) and descend Stomach qi in the middle jiao (vomiting, difficult ingestion, belching).
COMBINATIONS
Aversion to cold in the back and stiffness of the spine with difficulty in bending: Geguan BL-46, Zhibian BL-54 and Jinggu BL-64 (Thousand Ducat Formulas).
3 cun
LOCATION NOTE
When the shoulder is relaxed, the three cun line corresponds to the medial border of the scapula.
NEEDLING
Oblique insertion 0.3 to 0.5 cun. Caution: deep perpendicular or deep oblique needling in a medial direction carries a substantial risk of causing a pneumothorax.
ACTIONS
Regulates the diaphragm, benefits the middle jiao and descends rebellion Activates the channel and alleviates pain
INDICATIONS
Belching, sighing, fullness and oppression of the chest and diaphragm, difficult ingestion, vomiting,