Sifeng Four Seams

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

Sifeng (Sìfèng, “Four Seams”) is an extra (non-channel) acupuncture point. Sifeng consists of four points located on the palmar surface of the hand, at the midpoint of the transverse creases of the proximal interphalangeal joints of the index, middle, ring, and little fingers. It fortifies the Spleen and dispels accumulation, eliminates phlegm and resolves malnutrition.

Location

Sifeng consists of four points located on the palmar surface of the hand, at the midpoint of the transverse creases of the proximal interphalangeal joints of the index, middle, ring, and little fingers.

Needling

Prick to bleed, or perpendicular insertion 0.1-0.2 cun.

TCM functions

Fortifies the Spleen and dispels accumulation, eliminates phlegm and resolves malnutrition.

Indications

Infantile malnutrition, indigestion, whooping cough, childhood diarrhea.

Clinical notes

Sifeng are a set of four empirical points classically used to treat childhood nutritional impairment (gan ji) and digestive disorders. They excel at fortifying the Spleen and dispelling accumulation, making them highly effective for indigestion, abdominal distention, and parasitic infections. These points are typically pricked and squeezed to express a small amount of yellow-white fluid, often paired with ST36 for chronic digestive issues.

Frequently asked questions

Where is Sifeng located?

Sifeng consists of four points located on the palmar surface of the hand, at the midpoint of the transverse creases of the proximal interphalangeal joints of the index, middle, ring, and little fingers.

What is Sifeng used for?

Sifeng fortifies the Spleen and dispels accumulation, eliminates phlegm and resolves malnutrition. Common clinical indications include infantile malnutrition, indigestion, whooping cough, childhood diarrhea.

How is Sifeng needled?

Prick to bleed, or perpendicular insertion 0.1-0.2 cun.

Interactive body mapConditions & evidenceFind an acupuncturistTCM glossary
⚠️ 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.