BL48

Bladder Channel

Master Cord of Yang

阳纲Yáng Gāng

Anatomical location

On the back, 3 cun lateral to the midline, at the level of the space between the spinous processes of T10 and T11.

Main function

Regulates the Gallbladder, drains Damp-Heat, relieves hypochondriac pain, strengthens the back.

Therapeutic indications

  • Hypochondriac pain
  • jaundice
  • bitter taste in the mouth
  • back pain
  • abdominal distension
  • vomiting
  • abdominal pain
  • borborygmi
  • diarrhea
  • intense thirst

Name and classical tradition

Yanggang, 阳纲, is the “master cord of Yang.” 綱 is the main cord of a net, the one that holds it up and on which the others depend, and by extension that which governs and orders. The point is on the outer line of the back, next to BL19, Danshu, the Back-Shu point of the Gallbladder, and the reference works explain it through that organ, which represents Yang and regulates it. The formulation is reasonable and consistent with the doctrine of the organs, but no classical citation expresses it in those terms.

The Zhenjiu Jiayi Jing (Systematic Classic of Acupuncture and Moxibustion) locates it level with the tenth vertebra, three cun to each side, in a depression. It has no documented alternative names or period commentaries.

Location of point BL48, Master Cord of Yang
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View point on the 3D modelBL48 on the anatomy
Needling techniqueOblique insertion toward the spine 0.5-1 cun. Avoid deep needling so as not to damage the internal organs.
Depth0.5-1 cun
MoxibustionApplicable (3-5 cones or 5-10 minutes)
Cover of the guide “Protocols for the 20 most common patterns”

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Protocols for the 20 patterns you see most in practice

Each pattern with its tongue, its pulse, the treatment principle and the points to tonify and disperse. Made for the treatment table, not the bookshelf.

Do you use BL48 with your patients?

In the Clinic you record it in the patient's file, next to the tongue, the pulse and the measurements, so at the next session you know exactly what you used. The Atlas is built in.

See the Clinic