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POINT: UB-46 (URINARY BLADDER-46)

NAME: GEGUAN

English: Diaphragm Gate
Also Known As: Diaphragm's Hinge

LOCATION:

  • 3 cun lateral to DU-9 Zhiyang, at the level of lower border of the spinous process of the seventh thoracic vertebra, approximately at the level of the lower border of the scapula.
  • 3 cun lateral to lower end of the spinous process of the seventh thoracic vertebra.
  • 3 cun lateral to the midline, level with the lower border of the spinous process of the seventh thoracic vertebra and level with UB-17 Geshu.
    Note: With the shoulder relaxed, the 3 cun line corresponds with the media border of the scapula.

NEEDLING:

  • Puncture obliquely downward 0.3 to 0.5 cun.
  • Moxibustion is applicable.
  • Oblique insertio0n, 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.

COMMAND FUNCTIONS:

ACTIONS:

  • Regulates the diaphragm
  • Benefits the Middle Jiao
  • Activates the channel
  • Alleviates pain

INDICATIONS:

  • Dysphagia
  • Hiccup
  • Vomiting
  • Hematemesis
  • Drooling
  • Belching
  • Pain and stiffness of the back
  • Irregular defecation
  • Dark urine
  • Pain of the body
  • Inflammation of the breast
  • Gas
  • Flatulence
  • Intercostal neuralgia
  • Esophageal spasm
  • Gastric hemorrhage
  • Sighing
  • Fullness and oppression of the chest and diaphragm
  • Difficult ingestion
  • Difficulty bending and extending the spine
  • Back pain with aversion to Cold
  • Stiff joints
  • Pain just below the Heart
  • Hiatal hernia
  • Stomach spasm

COMBINATIONS:

UB-54
Zhibian
UB-64
Jinggu

    

Aversion to Cold in the back

Difficulty bending and extending the back

   

CONTRAINDICATIONS:

NOTES:

  • This point has an important action on harmonizing the diaphragm.
  • This point is good for harmonizing the mind.