Pressure Point: BL 46 – Geguan

  • Name (Chinese): Geguan – (膈關)
  • Name (English): Diaphragm Gate
  • Introduction: Geguan (BL 46) is a crucial pressure point associated with the Diaphragm Gate. It plays a significant role in traditional Chinese medicine, particularly in acupressure and acupuncture practices.

Location

Geguan (BL-46) is located 3 cun (about 4 finger-breadths) lateral to the lower border of the spinous process of the 7th thoracic vertebra (T7).

BL 46 Geguan

Pressure Point Identification

  • To locate Geguan (BL-46), first, identify the spinous process of the 7th cervical vertebra (C7). It remains palpable during neck flexion and extension, while C6 begins to slide anteriorly.
  • The spinous process of the 7th thoracic vertebra (T7) is seven spinous processes below C7.
  • Alternatively, directly locate the spinous process of T7, aligned with the inferior angle of the scapula when the patient is seated with arms hanging down.
  • Geguan (BL-46) is precisely 3 cun lateral to the lower border of T7. Geshu (BL-17) is at the same level but 1.5 cun lateral to T7.
  • Points between Fufen (BL-41) and Zhibian (BL-54) are in the lateral branch of the Bladder Channel, while those between Fengmen (BL-12) and Baihuanshu (BL-30) are in the medial branch.

Benefits

  • Supports respiratory health
  • Regulates diaphragmatic function
  • Alleviates chest tightness and discomfort

Technique

Apply gentle and steady pressure with the thumbs or fingers to BL-46 in a circular or kneading motion. Adjust the pressure according to the recipient’s comfort level.

Precautions

  • Avoid excessive pressure, especially on individuals with respiratory or cardiovascular conditions.
  • Pregnant women should consult with a healthcare professional before applying pressure to this point.

Conditions Treated

  • Respiratory issues (e.g., asthma, shortness of breath)
  • Chest discomfort
  • Diaphragmatic disorders

Related Points

  • Geshu (BL-17): Located 1.5 cun lateral to T7, it shares a similar level with Geguan (BL-46) and is often used in conjunction for respiratory issues.

Frequently Asked Questions (FAQs)

Can pressure on Geguan (BL-46) help with anxiety?

While Geguan primarily addresses respiratory and diaphragmatic concerns, some individuals may experience a sense of relaxation, indirectly contributing to anxiety relief.

Is Geguan (BL-46) effective for back pain?

Geguan BL 46 is more focused on respiratory and chest-related issues. For back pain, consider points along the Bladder meridian, such as Shenshu (BL-23) or Dachangshu (BL-25).

Can I apply acupressure to Geguan (BL 46) on myself?

Yes, self-acupressure can be applied to Geguan BL 46. Use your fingers to apply gentle pressure, and if you experience discomfort, adjust the pressure or consult with a practitioner.

Pressure points – Bladder Meridian (BL)