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
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Combinations
| LIV-1 | ||
Intercostal neuralgia | Hepatitis | Hard nodules and pain in the flanks |
ST-19 | UB-13 | |
Pain of the Heart with shortness of breath | Stabbing pain of the Heart | Chest pain |
ST-12 | PC-7 | |
Heat in the chest | Chest pain due to injury by Cold | Dyspnea with inability to walk |
REN-14 | ||
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 | REN-4 | LI-7 |
Postpartum belching | Running piglet Qi in women | Stiffness of the nape of the neck due to injury by Cold |
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. |
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| Worsley | Location: On the paramedian nipple line, at the rib cage's lower border, at a height midway between REN-11 and REN-12. |
| When to Consider |
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| Combinations |
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| Notes |
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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)
