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Gao Huang (BL 43, Bladder-43) acupoint can treat various diseases. It mainly indicates emaciation and deficiency exhaustion, nocturnal seminal emission, rebellious Qi with coughing and wheezing, mania, confusion, and amnesia.

Acupoint location method: Have the patient sit upright, bend the spine, and extend both hands, placing the arms in front of the knees. Align the thumb of the extended hand with the knee cap. Support the elbow with an object to prevent arm movement. Palpate from the upper angle of the scapula down to its lower end. There should be four ribs and three intercostal spaces; moxa should be applied in the middle. Locate the empty space within the intercostal area inside the scapula, approximately one finger-width away from the scapular edge. Palpate the space between the muscles on the surface of the chest wall. Upon pressing, a sensation of traction towards the chest should be felt. Apply moxibustion at one point in the center of each scapula. The dosage is up to 600 moxa cones, or up to 1,000 cones if necessary. One should feel the Qi descending like flowing water, and pathological products may be expelled. If there are no retained phlegm or chronic diseases, nothing will be expelled. If the patient is too weak to sit upright, they should lie on their side, pull one arm forward to locate the acupoint and apply moxibustion. The general method for locating the acupoint is to use the right hand to press from above the right shoulder; the spot beyond the reach of the fingertips is the acupoint. The same applies to the left side. Then, apply moxibustion using the aforementioned method. If the patient cannot sit upright and extend both arms for long, they may lie prone on a cloth pad, extending both arms. Ask someone to separate the two scapulae. Otherwise, the scapulae will cover the acupoint, leading to inaccurate location. The cloth pad used for lying should remain fixed in size; otherwise, the accurate acupoint position will be lost. After this moxibustion treatment, the body's Yang Qi will become robust. The patient should adjust their diet and lifestyle for self-nourishment. When the body returns to balance and health, note that the acupoint is near the fifth thoracic vertebra (D5), and locate it according to standard measurements.

Discussion states: In ancient times, Bian Que (Qin Huan) failed to cure the Marquis of Jin because the disease was located above the Gao (heart fat) and below the Huang (diaphragm fat), where acupuncture and herbs could not reach. This refers to this acupoint. People at that time were incompetent and could not locate this acupoint, so chronic diseases were difficult to dispel. If one can diligently seek out this acupoint and apply moxibustion, no disease will remain uncured.

The two Gao Huang (BL 43) acupoints are located on both sides of the fourth thoracic vertebra (D4), three cun apart. They indicate universal curative effects for emaciation and deficiency exhaustion, nocturnal seminal emission, rebellious Qi with coughing, mania, and amnesia.

Another method for locating the acupoint: Have the patient sit upright, bend the spine, and extend both hands, placing the arms in front of the knees. Align the thumb of the extended hand with the knee cap. Support the elbow with an object to prevent arm movement. Palpate from the upper angle of the scapula down to its lower end. There should be four ribs and three intercostal spaces; apply moxibustion in the middle. From the inner side of the scapula, move one finger-width away from the scapula, palpating the intercostal space beneath the superficial muscles. Upon pressing, a sensation of traction towards the shoulder should be felt. Apply moxibustion at one point in the center of each scapula. The dosage is up to 100 moxa cones, or up to 500 cones if necessary. One should feel a downward flow resembling water, and pathological products may be expelled. If there is a phlegm-related disease, all such pathogens will be expelled. If the patient is too weak to sit upright, they should lie on their side, raise the upper arm, and locate the acupoint anteriorly for moxibustion. Use the right hand to press from above the left shoulder; the spot beyond the reach of the fingertips is the acupoint. The same applies to the left side. Then, apply moxibustion using the aforementioned method. If the patient cannot sit for long periods, they should extend both arms, and ask someone to separate the two scapulae. Otherwise, the scapulae will cover the acupoint, rendering moxibustion ineffective. After this moxibustion treatment, the body's Yang Qi becomes robust, and the patient should adjust their regimen for self-nourishment. Discussion states: In ancient times, He Huan (Bian Que) failed to cure the Marquis of Jin because the disease was located above the Gao and below the Jian (shoulder), where acupuncture and herbs could not reach. This refers to this acupoint. Since people could not locate this acupoint, chronic diseases were difficult to dispel. If one can diligently seek out this acupoint and apply moxibustion, no disease will remain uncured. Source: *Qianjin Fang* (Prescriptions Worth a Thousand Gold) and *Waitai Miyao* (Essential Prescriptions from the Imperial Cabinet).