PC4 Ximen translates to 'Cleft Gate

Reviewed by · Licensed Acupuncturist & TCM Physician · Last reviewed June 2026

PC4 (Ximen, “Ximen translates to 'Cleft Gate”) is the Xi-Cleft point of the Pericardium Channel Meridian. It is located on the anterior forearm, 5 cun proximal to the transverse wrist crease (Daling, PC7), between the tendons of palmaris longus and flexor carpi radialis. It regulates Qi and Blood, calms the Heart and Spirit, opens the chest.

Location

On the anterior forearm, 5 cun proximal to the transverse wrist crease (Daling, PC7), between the tendons of palmaris longus and flexor carpi radialis.

Needling

Perpendicular insertion 0.5 to 1.0 cun. The median nerve lies deep to this point, so care must be taken.

TCM functions

Regulates Qi and Blood, calms the Heart and Spirit, opens the chest..

Indications

Rebellious rising Qi, vomiting, wheezing and coughing, abdominal distention with inability to eat or drink, pain in the chest, chronic wheezing..

Xi-Cleft

Clinical notes

As the Xi-Cleft point of the Pericardium channel, Ximen is a primary point for treating acute conditions of the chest and Heart, particularly those involving pain. Its classical indications for rebellious Qi, vomiting, and chest pain highlight its ability to descend Qi and alleviate stagnation. It is especially noted for its effectiveness with moxibustion in cases of chronic wheezing.

On the Pericardium Channel channel

PC4 is one of 9 points on the Pericardium Channel Meridian. Nearby points:

Frequently asked questions

Where is PC4 located?

PC4 (Ximen) is located on the anterior forearm, 5 cun proximal to the transverse wrist crease (Daling, PC7), between the tendons of palmaris longus and flexor carpi radialis.

What is PC4 used for?

PC4 regulates Qi and Blood, calms the Heart and Spirit, opens the chest. Common clinical indications include rebellious rising Qi, vomiting, wheezing and coughing, abdominal distention with inability to eat or drink, pain in the chest, chronic wheezing.

How is PC4 needled?

Perpendicular insertion 0.5 to 1.0 cun. The median nerve lies deep to this point, so care must be taken.

Which meridian is PC4 on?

PC4 is a point on the Pericardium Channel Meridian (Xīnbāo Jīng).

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⚠️ This page is for general education and is not medical advice. Acupuncture is a traditional practice; evidence varies by condition and study quality, and individual results differ. It does not replace diagnosis or treatment by a licensed professional. Always consult a qualified acupuncturist or physician.