Bladder Meridian

Geguan BL46: Nomenclature, Location, Functions, Indications

Geguan, BL46 is at the level of Geshu (BL17)


Ge: diaphragm Guan:pass
Geguan is at the level of Geshu (BL17)
Point: BL46
Chinese Name: 膈关
Name: Geguan
English Name/Meaning: Diaphragm Gate
Pinyin: gé guān
Han Geul 한글: gyeok gwan 격관
Romaji: kaku kan(?)
Vietnamese:Cách quan


3 cun lateral to Zhiyang (GV9), at the level of the lower border of the spinous process of the seventh thoracic vertebra, approximately at the level of the inferior angle of the scapula.

Functions of Geguan:

  • Harmonizes the diaphragm.
  • Regulates middle burner.
  • Strengthens the spleen and harmonizes the stomach.
  • Relaxes the sinew and invigorates the collaterals.


Dysphagia, hiccup, vomiting, bleching, pain and stiffness of the back.


Oblique insertion towards lateral 0.3 to 0.5 cun.


Deep perpendicular or needling in a wrong direction carries a substantial risk of causing a pneumothorax.


Dr. Ishwar Gyawali is Consultant Acupuncturist and Ayurveda Physician from Kathmandu, Nepal. He had completed BAMS (Bachelor of Ayurveda Medicine and Surgery), a five and half year course on Ayurveda Medicine from Kirtipur Campus affiliated to Tribhuvan University ,Institute Of Medicine, Nepal under scholarship in 2011. He had completed his MD in TCM from Nanjing University Of Chinese Medicine in 2016 under scholarship of Ministry of Education, Nepal. With an experience of Serving for Government of Nepal for 2 years and private practise for more than 5 years, he has sound knowledge in Ayurveda as well as Chinese Medicine. He is a registered Doctor in NAMC (Nepal Ayurveda Medical Council ) both as a physician as well as TCM/Acupuncture Specialist.