PC4 (Ximen, “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.
On the anterior forearm, 5 cun proximal to the transverse wrist crease (Daling, PC7), between the tendons of palmaris longus and flexor carpi radialis.
Perpendicular insertion 0.5 to 1.0 cun. The median nerve lies deep to this point, so care must be taken.
Regulates Qi and Blood, calms the Heart and Spirit, opens the chest.
Rebellious rising Qi, vomiting, wheezing and coughing, abdominal distention with inability to eat or drink, pain in the chest, chronic wheezing.
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.
Classical text; the translation was prepared with AI and is not clinical advice.
《針方六集》 Zhēnfāng Liùjí — Six Collections on Needling, Wu Kun, 1618 · 卷之一·神照集 · 心主手厥陰心包絡經圖穴十六 · 手厥陰心包絡脈所發九穴（左右共一十八穴，一名手心主脈） · Source: jicheng.tw ↗
郄門二穴，手心主郄。 在掌後，去腕五寸。 《針經》刺入三分，灸三壯According to this text, PC4 (two points) is the xi-cleft point of the hand Xinzhu and lies behind the palm, 5 cun from the wrist; the Zhenjing gives 3 fen needling and 3 moxa cones.
《普濟方·針灸門》 Pǔjì Fāng · Zhēnjiǔ Mén — Formulas for Universal Relief: Acupuncture & Moxibustion Section, Zhu Su, 1406 · 卷四百十三 · 針灸門 · 心包 · Source: jicheng.tw ↗
郄門（手心主郄。 去腕五寸。 灸五壯。 主心痛According to this text, PC4, the xi-cleft point of the hand Xinzhu, lies 5 cun from the wrist, receives 5 moxa cones and was used for heart pain.
《針方六集》 Zhēnfāng Liùjí — Six Collections on Needling, Wu Kun, 1618 · 卷之五·紛署集 · 手厥陰心主及臂凡一十六穴第二十四 · Source: jicheng.tw ↗
郄門二穴，主心痛，衄血，唾血，嘔噦，驚悸，神氣不足The text records that PC4 (two points) was used for heart pain, nosebleed, spitting blood, retching and hiccup, fright palpitations, and insufficient spirit-qi.
PC4 is one of 9 points on the Pericardium Channel Meridian. Nearby points:
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.
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.
Perpendicular insertion 0.5 to 1.0 cun. The median nerve lies deep to this point, so care must be taken.
PC4 is a point on the Pericardium Channel Meridian (Xīnbāo Jīng).