BL 43

L.
Intestine CONTENTS CONTENTS CONTENTS CONTENTS CONTENTS CONTENTS Stomach Bladder Channel Spleen Heart
General Index Indications Index Point Names Index Glossary Points Index General General General Index Index Index Indications Indications Indications Index Index Index Point Point Point Names Names Names Index Index Index Glossary Glossary Glossary Points Points Points Index Index Index Index Index Names Index Points Index General Index Indications Indications Index Point Point Names Index Glossary Glossary Points Index General Previous Point Next Point Combinations Index Previous Previous Previous Point Point Point Next Next Next Point Point Point Combinations Combinations Combinations Index Index Index 1 See Notes Previous Point Point Combinations Index Previous Point Next Next Point Combinations Index
S. Intestine GAOHUANGSHU BL-43
INDICATIONS
Vital Bladder Region Shu Kidney LOCATION Pericardium
3 cunSanjiao lateral to the midline, level with the lower border of the spinous process of Gall Bladder the fourth thoracic vertebra (T4) and level with Liver Jueyinshu BL-14. Conception
Governing Extra Points
Gaohuangshu BL-43
lower border of T4
Jueyinshu BL-14
All kinds of deficiency, Lung deficiency-taxation, deficiency-taxation, the five taxations and the seven injuries, cough, asthma, coughing blood, night sweating, spontaneous sweating, steaming bone disorder, consumption, emaciation. Poor memory, pounding of the Heart, insomnia, phlegm-fire mania. Seminal emission, seminal emission with dreams, impotence. Feebleness and deficiency of the Spleen and Stomach, undigested food (in the stool), oesophageal constriction, weariness of the four limbs, vomiting blood. Visual dizziness, dizziness, phlegm disease, pain of the back and shoulder.
COMMENTARY
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
Tonifies and nourishes the Lung, Heart, Kidneys, Spleen and Stomach Nourishes yin and clears heat Calms the spirit Fosters the original qi Resolves phlegm
The name Gaohuang can be translated as Vital Region. This concept, implying one of the deepest and most fundamental regions of the body, is first mentioned in Master Zuo-jius Tradition of the Spring and Autumn Annals (580 BCE), one of the earliest textual references to acupuncture. The Prince of Jin who was gravely ill sent for the famous Doctor Yi Huan. After examining the patient, Doctor Huan declared that the disease had settled in the gaohuang region (between the Heart and the diaphragm) and hence it cannot be purged, it cannot be reached [by needling], herbs will not penetrate it, there is nothing to be done61. Gaohuangshu BL-43 was comprehensively discussed in a text called Method of Moxibustion at Gaohuangshu by Zhuang Zhuo in 1128. Zhuang was inspired to write this book after being cured of various diseases, including malaria and beriberi, by three hundred moxa cones burnt on Gaohuangshu BL-43. He measured the location of Gaohuangshu BL-43 on people of various body builds and gave diagrams and specific instructions for locating the point. In discussing this point, Sun Si-miao in the Thousand Ducat Formulas simply states Gaohuangshu BL-43, there is no [disorder] that it cannot treat and once moxibustion is completed, it causes a persons yang qi to be healthy and full. Many classical texts say that Gaohuangshu BL-43 is contraindicated to needling and emphasise its treatment by moxibustion, for example the Illustrated Classic of Acupuncture Points on the Bronze Man recommends the application of a hundred or even as many as three hundred moxa cones to Gaohuangshu BL-43. Early texts, however, stress that after moxibustion at Gaohuangshu BL-43, moxibustion should also be applied to points below the umbilicus, e.g. Qihai REN-6 and Guanyuan REN-4, in order to conduct downwards the heat thus generated. Careful examination of the classical indications of this
CONTENTS CONTENTS CONTENTS CONTENTS CONTENTS CONTENTS CONTENTS
Index Indications Index Point Names Index Glossary Points Index General General General Index Index Index Indications Indications Indications Index Index Index Point Point Point Names Names Names Index Index Index Glossary Glossary Glossary Points Points Points Index Index IndexGeneral General Index Indications Index Point Names Index Glossary General Index Indications Index Point Names Index Glossary Points Index Points Index General Index Indications Index Point Names Index Glossary Points Index Previous Point Next Point Combinations Index Previous Previous Previous Point Point Point Next Next Next Point Point Point Channel Combinations Combinations Combinations Index Index Index Previous Point Next Point Previous Point Next Point Combinations Index Combinations Index Previous Point Next Point Bladder Combinations Index
point demonstrate its actions on the Lung, Heart, Kidneys, Spleen and Stomach. Like Feishu BL-13 and Pohu BL-42, it is able to treat severe deficiency (especially of the yin) of the Lung, and is indicated for consumption, cough, coughing of blood, steaming bone disorder, night sweating and emaciation. By both nourishing and calming the Heart it is applicable in the treatment of poor memory, pounding of the Heart, insomnia and phlegm-fire mania. Acting on the Kidneys, it is able to treat seminal emission, with or without dreams, and impotence. By strengthening the middle jiao it is able to treat feebleness and deficiency of the Spleen and Stomach, undigested food in the stool and weariness of the four limbs. So great was the tonifying action of Gaohuangshu BL-43 considered to be, that it was said to strengthen the original qi and treat every kind of deficiency, the five types of taxation and the seven injuries. Finally, it is interesting to note that Gaohuangshu BL-43 was also indicated for phlegm diseases and Sun Si-miao in his Supplement to the Thousand Ducat Formulas says it stops phlegm in chronic disease. The importance of phlegm as a pathological factor in difficult and chronic diseases is long documented and is reflected in such sayings as The hundred diseases all pertain to phlegm, Strange diseases often involve phlegm and There is no place that phlegm cannot reach.
COMBINATIONS
The hundred syndromes of deficiency-taxation: moxa Gaohuangshu BL-43, Huanmen (M-BW-6) and the Four Flowers [Geshu BL-17 and Danshu BL-19] (Compilation). Consumption: Gaohuangshu BL-43 and Pohu BL-42 (One Hundred Symptoms). Spontaneous sweating: moxa Gaohuangshu BL-43, Dazhui DU-14 and Fuliu KID-7 (Divine Moxibustion). Poor memory: Gaohuangshu BL-43, Shendao DU-11, Youmen KID-21 and Lieque LU-7 (Supplementing Life).

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L.

S. Intestine GAOHUANGSHU BL-43

Vital Bladder Region Shu Kidney LOCATION Pericardium

Governing Extra Points

CONTENTS CONTENTS CONTENTS CONTENTS CONTENTS CONTENTS CONTENTS

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