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POINT: PC-4 (PERICARDIUM-4)  

English: Xi-Cleft Gate
Also Known As: Cleft Door
Crevice Gate
Adjacent door
Narrow Space Door
Gate of Qi Reserve
Door of Opposition
Gate of the Crevice
  • On the flexor aspect of the forearm, 5 cun proximal to PC-7 Daling, on the line connecting PC-7 Daling and PC-3 Quze, between the tendons of the palmaris longus and flexor carpi radialis.
    Note: in the absence of the tendon of the palmaris longus, locate this point on the ulnar side of the tendon of the flexor carpi radialis. Divide the distance between the cubital crease and PC-7 Daling into half and locate this point 1 cun distal to the midpoint.
  • 5 cun directly above the midpoint of the transverse crease of the wrist, between the two tendons.
  • Perpendicular insertion, 0.5 to 1.5 cun or oblique proximal insertion 1 to 1.5 cun.
  • Straight insertion 1 to 1.5 cun, causing local distention and soreness or a distended, numb sensation reaching to the fingertips.
  • Moxibustion is applicable.
  • Xi-Cleft point
  • Alternative Source point
  • Invigorates the Blood
  • Dispels Blood Stasis
  • Cools the Blood
  • Stops bleeding
  • Calms the Shen
  • Moderates acute conditions
  • Regulates Qi
  • Expands the diaphragm
  • Alleviates pain
  • Calms the Heart
  • Opens the chest
  • Strengthens the Mind
  • Chest pain
  • Heart pain
  • Heart pain with vomiting
  • Hematemesis
  • Hemoptysis
  • Epistaxis
  • Five soles agitated and hot
  • Chronic malaria
  • Chronic hemorrhoids
  • Palpitations
  • Angina pectoris
  • Pleurisy
  • Hiccup
  • Chest fullness
  • Irritability and pain due to diaphragm constraint
  • Boils
  • Pain or paralysis of the anterior forearm and fingers
  • Diaphragmatic spasms
  • Fear of one's family
  • Hysteria
  • Mastitis
  • Agitation
  • Insomnia
  • Melancholy
  • Fear and fright of people
  • Insufficiency of Spirit Qi
  • Epilepsy
  • Chest pain radiating to the neck, back or left arm
  • Cough
  • Depressive psychosis
  • Furuncles
  • Skin diseases due to Blood heat
  • Rheumatic Heart disease
  • Hysteria
  • Fear of surroundings
  • Nervousness
  • Forgetfulness
  • Anxiousness
  • Myocarditis
  • Mastitis
  • Psychopathy
  • Dyspnea
  • Lack of energy

PC-3
Quze
PC-7
Daling

HT-1
Jiaquan

PC-7
Daling

Heart pain

Heart pain with retching, agitation and fullness

Hemoptysis

KI-4
Dazhong

SP-21
Dabao
SJ-8
Sanyangluo
GB-38
Yangfu
GB-41
Zulinqi

PC-6
Neiguan
PC-3
Quze

Fright and fear of people

Spirit Qi insufficient

Pain of the chest and lateral costal region

Rheumatic Heart disease

LI-11
Quchi
SJ-8
Sanyangluo

 

 

Hemoptysis

 

 

  • This is a primary point for treating Blood Stagnation in the chest and Heart.
  • It is used for acute obstruction or pain in the channel or organ.
  • It is a major point for angina pectoris.
  • It is also an important point for regulating Heart rhythm.
  • It becomes painful in pleurisy and palpitations and hence, has diagnostic value.