SJ-5 Waiguan - Outer Frontier Gate
More Spirit Names: Outer Gate, Outer Pass
| English: | Outer Pass |
| Also Known As: | Outer Frontier Gate External Gate Outer Gate Outer Barrier Outer Border Gate |
Location
- 2 cun above the transverse crease of the dorsal surface of the wrist, between the ulna and the radius.
- 2 cun proximal to SJ-4 Yangchi, between the radius and ulna.
- 2 cun proximal to the dorsal crease of the wrist on the line connecting SJ-4 Yangchi and the tip of the olecranon, between the radius and ulna.
- 2 cun proximal to SJ-4 Yangchi, in the depression between the radius and the ulna, on the radial side of the extensor digitorum communis tendons, close to the border of the radius.
Needling
- Straight insertion, 1 to 1.5 cun or join through the arm to PC-6 Neiguan. Sensation: local distention and soreness, sometimes extending to the fingertips.
- Slanted insertion with the needle pointed up the arm 1.5 to 2 cun, for diseases of the trunk. Sensation: distention and soreness extending up the arm.
- Puncture perpendicularly 0.5 to 1 cun.
- Moxibustion is applicable.
- Slightly oblique insertion towards the ulnar side or oblique proximal or distal towards the elbow or the wrist respectively, 0.5 to 1.5 cun.
- Joined by through-needling to PC-6 Neiguan.
- Caution: moving the patient's hand or arm after insertion can result in a bent needle.
Command Functions
- Connecting point
- Master point of the Yangwei channel
- Coupled point of the Dai channel
Actions
- Expels Wind
- Releases the Exterior
- Clears Heat
- Facilitate circulation of Qi
- Removes obstruction from the channel
- Benefits the head and ears
- Subdues Liver Yang
- Opens the Yang Wei channel
- Activates the channel
- Alleviates pain
- Invigorates the Luo Mai
- Relaxes the tendons
Indications
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Combinations
| GB-2 Or SJ-7 | ||
Lumbar pain | Common cold | Impaired hearing and deafness |
SI-3 | SJ-3 | SI-16 |
Head and eye pain | Deafness | Deafness and tinnitus |
PC-7 | ||
Abdominal pain | Abdominal pain and constipation | Pain of the lateral costal region |
Inability to bend the elbow and fingers | Atrophy disorder Numbness of the arm | Saber lumps of the axilla |
- SJ-5 + GB-41: regulates the Shao Yang, comparable to the herb pair Chai Hu and Huang Qin
Contraindications
Notes
- This is the most important distal point of the San Jiao channel.
- This point normalizes Excess gonadoptropin.
- This point controls a tremendous lack of warmth, both physical and emotional warmth.
- This is a key point for shoulder problems.
- This is a major point to release Wind-Heat and must nearly always be used when there are symptoms of fever, sore throat, slight sweating, aversion to Cold and a Superficial and rapid pulse.
- It is a main point to regulate the Shao Yang.
- Some sources say that this point can expel all six pathogenic factors, Wind, Heat, Cold, Dampness, Dryness and Fire.
- It is a general point for Wind predominant Bi.
- San Jiao Luo vessel: Branches off the SJ primary channel at SJ-5. Runs up the posterior arm and over the shoulder, meeting the PC channel in the chest. Symptoms of the San Jiao Luo: Spastic or flaccid cubital (elbow) joints.
Five Elements Spirit Perspective
| Spirit of the Point | The Outer Frontier Gate shows how much harmony matters between our inner and outer environments. It opens the gate that lies between them and balances the two, letting energy in from outside and letting energy out into the world. Think of the Three Heater as a social ambassador, going out and reaching toward the world, broadening our point of view and harmonizing how we see the world. Outer is about us and the outside: the ability to communicate with the outside and let the outside in. It lets love in; sometimes it gets stuck and the person cannot receive the love all around them. It lets the Emperor's love be shared, balancing the two worlds, and relieves constraint in Wood through opening and sharing, so warmth can flow out to the world outside. It supports having a purpose bigger than oneself and sharing without selfishness. The face we show the world should be fitting and truthful, reflecting the God within, rather than a role out of tune with who we really are, our true nature that follows where the Heart leads. If we want love, we have to give it: we reap what we sow. |
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| Worsley | Lets us fully experience the sacred, essential unity of every part of ourselves, and inspires us to reach out with love, joy and enthusiasm to the world around us.
Location: On the back of the forearm, 2 ACI above the wrist crease, between radius and ulna. |
| When to Consider |
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| Combinations |
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| Notes |
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From Class
- LI-11, SJ-5, ST-40 to clear heat: Clears heat in Yangming and Shaoyang via the primary channels. (Rabinowitz)
- SI-7, SJ-5, SJ-6, ST-40, Ren-15, BL-58, LI-6, GB-37, LV-5, Du-1 (luo complements): Luo complements: SI-7 endocarditis heat; SJ-6 toxic heat; SJ-5 wind-damp bi; BL-58 heart-attack prodrome; LI-6 edema; ST-40/Ren-15 phlegm; GB-37; LV-5, Du-1 rectification. (Gioioso)
- PC-6 / SJ-5 (inner and outer frontier gates): Open the area from Ren-14 to Ren-17.
- 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)
- SJ-5 Waiguan & PC-6 Neiguan (Wei opening points): SJ-5, Yang Wei opening point, treats intermittent fevers; PC-6, Yin Wei opening point, treats heart pain. (Rabinowitz)
- SJ-5 Waiguan (Yang Wei Mai): Yang Wei opening point; with PC-6 both named 'guan' — gate where the ghost enters the fifth hell; Yang Wei moves out, Yin Wei moves in. (Yuen)
- GB-13 to GB-20 & SJ-5 (Yang Wei treatment): Yang Wei treatment points; Ying–Wei imbalance means interior (emotional) contents leaking outward. (Rabinowitz)
- Fire luo points (SJ-5, LI-6, SI-7): Any luo point associated with fire clears heat through the blood via the luo mechanism. (Gioioso)
- Wind strategies with Gallbladder/San Jiao points: Scatter wind: GB-14, GB-12, SJ-17, SJ-2; course wind: GB-20, GB-8, SJ-18, SJ-5, SJ-6; pacify wind: GB-13 with SJ-10; SJ-2, SJ-5 'bathe the nerves'. (Gioioso)
- Ren, Du, Wei summary (review): Ren: bonding/imprinting, Ren-21–23 for thyroid; Du: individuation, brain, Du-16–17 HPA axis; Wei: global linking, profound depression/loss of purpose (SJ-5, PC-6). (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)
- Yin Wei vs Yang Wei for memory: Yin Wei Mai (PC-6) for repetitive trauma memories; Yang Wei Mai (SJ-5) for amnesia/memory gaps; Yang Wei starts at BL-63 Jinmen, then GB-35, LI-14. (Yuen)
