Yibian
 Shen Yaozi 
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acupointGaohuangshu
aliasGaohuang
International codeBL43
bubble_chart Etymology

Qianjin Yaofang: "Below the ointment, above the diaphragm, this point is beyond the reach of acupuncture." It means that this point can treat severe deficiency, hence the name.

bubble_chart Location

Gaohuang (BL43) acupoint
(quoted from "Meridians and Acupoints")
It opens 3 cun below and lateral to the spinous process of the fourth thoracic vertebra on the back, and is level with Jueyinshu (BL14). Sit upright and open your scapula, when the fourth intercostal space is close to the depression on the medial edge of the scapula.
  • Qianjin Yaofang: "Sit upright with your spine bent, stretch out your hands, put your arms in front of your knees...feel from the upper corner of the blade to the lower head of the blade. There should be something in between. On the fourth rib Sanjian (LI3), moxibustion is done in the middle, in the space between the ribs, inside the blade, and the fingers are removed from the side. The finger surface is deficient; the same is true for the left hand. ...The acupoint is close to the fifth vertebra. "
  • Tongren acupoint acupuncture and moxibustion illustration: "On both sides under the fourth vertebra. "Divide three cun from each other." ) can hold side fingers, sit flat, press your hands on your knees, open the shoulder bones, and the acupuncture points will be revealed."

bubble_chart Anatomy

  • Muscles: trapezius, rhomboids, the deep layer is the iliocostalis (the lungs are inside the chest, when the lower lobe of the lungs).
  • Nerve: the medial branch of the posterior branch of the second thoracic nerve, the deep layer is the lateral branch of the posterior branch of the third thoracic nerve, the dorsal scapular nerve, and the deeper layer is the fourth intercostal nerve trunk.
  • Vessels: dorsal branch of the fourth intercostal artery, descending branch of the transverse cervical artery.

bubble_chart Manipulation

oblique insertion 0.5~0.8 cun. It should not be too deep to avoid accidentally entering the chest and injuring the lungs. Moxibustion is often used, Moxibustion with moxa cone is commonly used for 7 to 15 minutes, and Zusanli (ST36) or Qihai (CV6) acupuncture is used at the same time, and moxibustion with moxa stick is used for 10 to 15 minutes.

bubble_chart Efficacy

Warms the lungs and replenishes deficiency.

  • Classical: weakness and thinness, nocturnal emission seminal emission, cough, scapula soreness, night sweating, expectation of blood, hematemesis, dizziness, fatigue of limbs, hiccups, regurgitation, spontaneous sweating, Yongju back gangrene, pulmonary tuberculosis, phlegm, amnesia.
  • Modern: Bronchitis, asthma, chronic cough disease, pulmonary disease, pleural inflammation, neurasthenia, indigestion, chronic illness and frailty, rhomboidal muscle strain.

bubble_chart Combinations

  • consumptive disease: Bailao, Gaohuangshu (BL43).
  • spontaneous sweating: Dazhui (GV14), Gaohuangshu (BL43), Fuliu (KI7).
  • Chronic illness and frailty: Gaohuangshu (BL43), Guanyuan (CV4), Zusanli (ST36).

bubble_chart Notes

Tongren acupoint acupuncture and moxibustion pictures are classified under foot taiyang bladder meridian (BL).

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