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.)

PC-4 Ximen - Gate of Qi Reserve

More Spirit Names: Cleft Door, Cleft Gate, Crevice Gate, Gate of the Crevice

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

Location

  • 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.

Needling

  • 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.

Command Functions

  • Xi-Cleft point
  • Alternative Source point

Actions

  • 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

Indications

  • 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
  • Arrhythmia

Combinations

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

Contraindications

Notes

  • 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.
  • PC-4 vs HT-6: both are Xi-Cleft points, but PC-4 is used to stop chest pain while HT-6 nourishes Heart Yin.

Five Elements Spirit Perspective

Spirit of the Point

Among the most powerful mental points for bringing serenity and peace to a troubled heart, mind and soul. It fortifies, stabilizes, nourishes and calms; it is a reserve for people who have had enough. It strengthens the mind and gives courage to it, and when spirit Qi falls short, this point brings back your smile. It works on the spirit of the Heart itself. The gate may be too wide open, letting Qi scatter, or closed too tight, so the person cannot receive the flow of Qi. It brings energy to the struggle, steadying and warming the mind and then returning that warmth to the Heart. As the 'Accumulation Gate', it is a small crack that gives access to the vitality of the meridian's Qi, a cave of beneficial influences. It supports the energy of the elite guards who protect the king with their special training and way of life; a deficiency here can lead to breakdown. It calls up reinforcements, like the Three Musketeers.

Worsley

A huge reservoir of energy, the Gate of Chi Reserve strategically opens the way to the unconditional love that is always present within us. Through it we can love and be loved, forgive others and ourselves, and speak with compassion and heartfelt understanding.

Location: On the front of the forearm, 5 ACI above PC-7, between the flexor carpi radialis and palmaris longus tendons.
Needle depth: 4 fen
Moxa: 5 cones

When to Consider
  • For the person whose Fire is running low and who is having trouble finding reserves
  • For people who say 'I have no reserve left'
  • If the person is quite jolly and joyful, it makes the joy come from a deeper, more centered place, with less emptiness, so they are less vulnerable
  • When the mind is troubled and they are expressing that in any way
  • When spirit Qi falls short, for a Fire Causative Factor (CF)
  • For imbalances of the psyche: joy, fear, depression
  • When a lack of mental energy is leading to breakdown
  • For fear of people
  • For the effects of shock, recent or long term
  • When there are no reserves left on any level, mental, spiritual or physical: nothing left, and the person just cannot take one more step
  • When a person feels insubstantial, without enough energy, and the Official needs protection
  • To prevent a nervous breakdown, or after one
  • When fear of surroundings and people has incapacitated the patient
  • When the person is depleted, cold, inert and joyless; it is tremendously replenishing
  • When past betrayal is blocking the Heart Protector's gate from opening and closing naturally
Combinations
  • PC-6 Inner Frontier Gate with PC-4: can be used together, with PC-4 working at a deeper level
Notes
  • Accumulation (Xi Cleft) point: stores energy for the meridian and is used for acute situations
  • Very useful in cases of acute illness
  • An alternative source point, for when energy and reserve are gone
  • It gets superficial joy more grounded, coming from a deeper place inside, like comparing the superficial joy of the Riddler in Batman with the deep joy of Santa Claus
  • A chief point for harmonizing the diaphragm and clearing its stagnation

From Class

  • PC-3 Quze: Water point; pulls heat up and out; warm-disease master point for clearing heat from all levels and heat-driven bleeding; mentioned re long COVID. (Gioioso)
  • PC-4 Ximen: With PC-3 cools the blood to stop bleeding where blood is pushed upward (coughing/vomiting blood, nosebleeds; e.g. nosebleeds with menses). (Gioioso)
  • PC-4 Ximen: Xi-cleft; severe chest pain. (Lewis)
  • PC-4 Ximen / PC-2 Tianquan: PC-4 (xi-cleft) for stagnation impeding circulation; PC-2 'celestial spring' invigorates blood; combine with LU-4, SP-10. (Gioioso)
  • PC-4 to PC-8 quiet the shen: PC-4, PC-5 chief; PC-6 only gained this attribute in Ming writings (Yin Wei opening point); PC-7 more sensory. (Yuen)
  • Blood points: ST-36/9/30 regulate; SP-10/BL-17 invigorate; BL-11, ST-37, ST-39 move; PC-4 dissipate: Ling Shu ch.33 sea of blood points only move blood; tight/wiry pulse = move qi to move blood; choppy pulse = invigorate. (Yuen)
  • Xi-cleft points for acute pain at end of life: Start locally with ashi points, find the channel, then use its xi-cleft point for acute pain; non-acupuncturists can anoint these points with the essential oils. (Lewis)

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