Sundance Acupuncture

Herb & Acupuncture Database

(This is my own personal database of teachers, teachings and notes that I use in my practice. I’ve decided to share it freely with anyone who would like to reference it.)

LIV-14 Qimen - Gate of Hope

More Spirit Names: Cycle Gate, Expectation's Door

English: Cyclic Gate
Also Known As: Gate of Hope
Period Door
Expectation's Door

Location

  • 6 cun above the umbilicus and 3.5 cun lateral to REN-14 Juque, in the sixth intercostal space.
  • Directly below the nipple, in the sixth intercostal space, 4 cun lateral to the anterior midline.
  • On the mammilary line, two ribs below the nipple in the intercostal space.
  • On the mammilary line, in the sixth intercostal space, 4 cun lateral to the midline.

Needling

  • Slanted insertion, 0.54 cun. Sensation: slight pain, sometimes extending to the back of the abdominal wall.
  • Puncture obliquely 0.3 to 0.5 cun.
  • Moxibustion is applicable.
  • Oblique medial or lateral insertion 0.5 to 1 cun.
  • Caution: deep perpendicular or oblique insertion carries a substantial risk of causing a pneumothorax.

Command Functions

  • Front-Mu point of the Liver
  • Meeting point of the Tai Yin and Yin Wei channels
  • Exit point
  • Shokanten point of Absolute Yin
  • Spirit point
  • Crossing point of the Spleen and Yin Wei channels (Secondary source).

Actions

  • Facilitates the spreading of Liver Qi
  • RegulatesQi
  • Promotes the function of the Liver and Gall Bladder
  • Invigorates Blood
  • Transforms and removes congealed Blood
  • Disperses masses
  • Cools Blood
  • Expels Damp-Heat
  • Relieves retention of food
  • Harmonizes Liver and Stomach Qi

Indications

  • Chest pain
  • Nervousness
  • Vomiting
  • Diarrhea with vomiting
  • Hard abdomen
  • Shortness of breath
  • Epigastric pain due to Cold
  • Anorexia
  • Swelling of the flanks
  • Heat in the Blood
  • Bloody stools
  • Women's diseases
  • Menstrual problems
  • Trouble giving birth
  • Postpartum problems
  • Hypochondriac pain
  • Hiccup
  • Acid regurgitation
  • Mastitis
  • Depression
  • Febrile diseases
  • Insufficient lactation
  • Belching
  • Nausea
  • Masses in the lateral costal region
  • Much sighing
  • Cutting pain of the Heart
  • Distention and pain of the breast
  • Agitation and Heat of the chest
  • Cough
  • Dyspnea
  • Enlarged, hard abdomen with difficulty breathing
  • Injury by Cold leading to Heat which enters the Blood chamber (uterus)
  • Jaundice
  • Gallstones
  • Wasting and thirsting
  • Running piglet Qi
  • Stiffness and pain of the head and neck
  • Visual dizziness
  • Frequent vomiting
  • After a Cold Attack, patient presents with Heart pain and acid vomiting and cannot eat or drink. if he eats, there is watery vomiting
  • Intense dyspnea preventing lying down or sleep
  • Cholelithiasis
  • Inguinal Bubo (enlarged and inflamed lymph gland)
  • Anuria
  • Intolerable Heat in the pit of the Stomach
  • Irregular menstruation
  • Pain in the penis
  • Raging anger
  • Chaotic actions
  • Lack of desire
  • Lack of will
  • Hypertension
  • Abnormal thirst
  • Both sides of the body painful and sore
  • Intercostal neuralgia
  • Hepatitis
  • Hepatomegaly
  • Cholecystitis
  • Pleurisy
  • Nervous dysfunction of the Stomach
  • Distention around the ribs
  • Tidal fevers
  • Splenomegaly as a result of prolonged tidal fevers
  • Failure to discharge the placenta
  • Malarial disorders
  • Pancreatitis
  • Liver cirrhosis
  • Hunger with no desire to eat
  • Epigastric distention and pain due to Qi Stagnation
  • Chest and hypogastric fullness, distention and pain
  • Vomiting fluid after eating
  • Sudden turmoil disorder
  • Desire to eat despite difficult ingestion
  • Abdominal distention with watery diarrhea
  • Hardness of the epigastrium, hypogastrium and abdomen
  • Manic raving
  • Alternating chills and fever
  • Uterine bleeding
  • Red face
  • Tetany
  • Dry mouth
  • Disordered speech at night
  • Cholera
  • Vomiting with yellow conjunctiva
  • Intolerable chest pain with a ruddy, dry face and thirst
  • Schistosomiasis with hepatic and splenic enlargement
  • Fever with Blood on passing stools and divagation; for six days from the start of the fever the patient does not perspire
  • Chronic peritonitis
  • Myocarditis
  • Congestion of Blood in the chest
  • Indigestion
  • Sensation of malaise and Heat in the chest

Combinations

UB-17
Geshu
UB-18
Ganshu
ST-36 (moxa)
Zusanli

LIV-4
Zhongfeng
GB-34
Yanglingquan

LIV-1
Dadun

Intercostal neuralgia

Hepatitis

Hard nodules and pain in the flanks

DU-1
Changqiang
REN-22
Tiantu
LU-4
Xiabai
PC-9
Zhongchong

ST-19
Burong

UB-13
Feishu
LU-2
Yunmen
LU-1
Zhongfu
SP-1
Yinbai
UB-47
Hunmen
PC-7
Daling

Pain of the Heart with shortness of breath

Stabbing pain of the Heart

Chest pain

ST-12
Quepen

PC-7
Daling

REN-12
Zhongwan
LI-9
Shanglian

Heat in the chest

Chest pain due to injury by Cold

Dyspnea with inability to walk

REN-14
Juque

REN-4
Guanyuan
LU-11
Shaoshang

UB-48
Yanggang
LU-11
Shaoshang
PC-8
Laogong

Fifty cones of moxa on each point for Qi Rebellion with cough, fullness of the chest and shortness of breath with pain that radiates to the back

Distention of the lateral costal region

Difficult ingestion

ST-43
Xiangu

REN-4
Guanyuan
REN-3
Zhongji
SP-6
Sanyinjiao
REN-5
Shimen
SP-10
Xuehai

LI-7
Wenliu

Postpartum belching

Running piglet Qi in women

Stiffness of the nape of the neck due to injury by Cold

LIV-1
Dadun
KI-10
Yingu
UB-40
Weizhong
UB-39
Weiyang

Involuntary erection with difficult urination

Contraindications

Notes

  • This point gives hope.
  • When this point is opened, it allows verbal stuff to come out.
  • It is used to make childbirth easier.
  • This point has a similar function to LIV-13 Zhangmen. the main difference being that this point mainly affects the Stomach, while Zhangmen mainly affects the Spleen. This point is used for Liver Qi Attacking the Stomach.
  • LIV-13 Zhangmen acts on the Middle and Lower jiao, while Qimen acts on the Middle and Upper Jiao.
  • A basic point for hypochondriac pain in both Excess and Deficiency patterns.
  • Clinically, a higher location is used for channel problems and a lower location for organ problems.

Five Elements Spirit Perspective

Spirit of the Point

Gate of Hope is the Exit point of the Liver and the last gate of the Qi cycle, which begins anew at the Lung, the way one year's end opens onto the next. Opening up the gate brings renewed hope. On the Liver it comes closer than any other point to being a Window point, a powerful spirit point giving hope and vision when a person has given up on the future. Think of it also as a gate of frustration, when a person cannot get what they want. It is the gate that must open for a person to enter the Middle Palace (LU-1); blocked here, they cannot hope to reach that palace, their own center, the god inside. It smooths and opens the Qi, relieves stagnation and empowers the quality of aspiration, bringing hope for the future, the hope of getting on. At the treetop the branches reach up toward Heaven, represented by this point's Entry-Exit link to LU-1, so it speaks to both aspiration (Liver) and inspiration (Lungs). It has a very distinctive gloomy quality: anger and hopelessness turned inward, dark clouds and a negative future with no hope.

Worsley

Location: On the paramedian nipple line, at the rib cage's lower border, at a height midway between REN-11 and REN-12.
Needle depth: 4 fen
Moxa: 5-7 cones

When to Consider
  • When there is total resignation and the patient is on the point of giving up
  • When the person sees no birth and no growth and has no wish to plan ahead
  • When there is mental torture and shutting off
  • When there is no elation and no fulfillment: they are achieving, yet every achievement feels empty
  • When a person is unable to conceive of plans, or has nothing in their life to look forward to
  • When there is difficulty seeing life's possibilities and no sense of direction
  • When the Liver has lost its relationship with the Stomach, with hopelessness, no sense of newness, and a feeling that things never change
  • When the spirit is stuck, alone, rejected, empty and hopeless, unable to see a harvest: "I'll deal with tomorrow"
  • When the person sees no light at the tunnel's end and needs to keep their eyes on the future with optimism
  • When the door is jammed open, with rages, anger and chaotic actions (sedate), or shut, with no desire and no will (tonify)
Combinations
  • LIV-13 Chapter Gate with LIV-14: one gate after another; open them together
  • LIV-1 Great Esteem with LIV-14: the meridian's two end points, combined for mental stagnation with difficulty seeing life's possibilities
  • LIV-13 Chapter Gate with LIV-14: also when someone keeps making the same mistake, leading to disappointment
  • LIV-1 Great Esteem with LIV-14: to integrate lofty vision (LIV-14) with fundamental vision (LIV-1)
  • LU-1 Middle Palace with LIV-14, Liver to Lung Entry/Exit block: a hard block from Wood to Metal. Wood is stuck, frustrated and clinging to anger and resentment, and giving Metal still does not control Wood. The person feels terrible about themselves, with unresolved anger and an inability to enter the loss behind a chronic frustrating situation or let go of grief, and beneath the frustration a deeper longing or emptiness
Notes
  • Exit point and Alarm (Front Mu) point of the Liver
  • Treating the Liver to Lung block can clear the stagnation of repressed anger and empower the Lung's work of grieving and processing tender feelings, so a lost relationship can be properly mourned; it is often seen after divorce, when tender feelings pushed down meet rising anger and stagnate in the middle and upper burners. An inflated pulse at the diaphragm position may point to stagnant Qi, heat, or both

From Class

  • BL-23 + BL-18 with LV-14 + GB-25 (shu-mu pairs): Perimenopausal insomnia RCT: 10 sessions over 3 weeks at bilateral BL-23, BL-18 with unilateral LV-14, GB-25 (vs sham); shu-mu pairing treats kidney-liver yin deficiency.
  • KI-22 to KI-27 (chest 'shu' points): 12 chest shu points (KI-22–27 bilateral), 2 cun from midline, represent the Kidneys and can switch genetic information; rarely needled because of their sacredness. (Yuen)
  • PC-6 Neiguan (Yin Wei Mai): Helps people move on, not stuck in time; treats PTSD (guan = gate); Yin Wei ends at LV-14 before Ren-22/23 — the liver stores the memory. (Yuen)
  • LV-2, LV-3, LV-14: Always address the liver to decongest it in hormone-excess/endometrial conditions. (Lewis)
  • LV-14 Qimen: Combination LV-14, ST-36, SP-6, ST-25, BL-23 for liver-qi stagnation causing low hematocrit and hemoglobin. (Yuen)
  • LV-14 Qimen / LV-3 Taichong: LV-14 on Yin Wei Mai, 'cycle gate' — every ending a new beginning; stores blood; LV-3 source point moves and builds blood. (Shea)
  • LV-14, GB-24, GB-22 (other chest options): Mentioned as other chest points available, along with Lung, Spleen and Stomach points, when working the chest. (Yuen)
  • Diaphragm entry-exit points: SP-21→HT-1, LV-14→LU-1 (the only one passing qi through the diaphragm), KI-22→PC-1 all pass through the heart region; upper kidney points relate shen and ling (soul).
  • Four Gates (LI-4 + LV-3, or LU-1 + LV-14): Outer or inner four gates nudge the body back into its own rhythm; the lung also directs qi and rhythm. (Lewis)
  • Entry-exit block (liver pounding, lungs weak): Hoarded qi in an entry-exit block shows repression and separation within the self; moving it promotes communication = cessation of repression, freeing jing, qi and shen.
  • Yin Wei & Yang Wei endocrine points (per Li Shizhen): Yin Wei endocrine points: KI-9 Zhubin, SP-13 Fushe (gonads), SP-15 (pancreas), LV-14, Ren-22/23; Yang Wei GB-15 to GB-20 access the hypothalamus–pituitary axis. (Rabinowitz)
  • Yin Wei & Yang Wei for diabetes: For diabetes, Yin Wei points KI-9, SP-13, SP-15, SP-16, LV-14 and opening point PC-6; Yang Wei eye points (GB-16, GB-17) for retinopathy, opening point SJ-5. (Rabinowitz)
  • Celery seed + lavender: Oil that resonates with LV-14 Qimen; apply a drop on the point. (Yuen)
  • Reverse five-element release sequence: Release the elements in reverse: Metal LU-11, Fire HT-9 (or PC-9), Water KI-2, Earth SP-21, Wood LV-14. (Lewis)
  • Ritual treatments month 6: Link KI-12 to KI-15 with Ren-8 around KI-13; anoint with rose and lavender; figure-eight LU-1 and LV-14; Ren Shen with Huang Qin; Sheng Ma lifts; ST-36 with Du-20. (Lewis)
  • Yin Wei Mai psychic treatment — forgiving the past: Resolves deepest internal conflict: PC-6 opens the chest, KI-9 witnesses life as a revered guest, SP-15 centers, SP-16 for unresolved heartbreak, LV-14 unbinds the chest, Ren-22/23 tell a new story. (Lewis)

For educational reference only; not a substitute for care from a qualified practitioner.