Points Database

Location Guides:

: Ximen : Xi-Cleft Gate

Pc-4 : Hand Jueyin Pericardium 4

Classifications:
Xi-Cleft point

Location:
On the flexor aspect of the forearm, 5 cun proximal to Daling P-7, on the line connecting Daling P-7 with Quze P-3, between the tendons of palmaris longus and flexor carpii radialis.

Needling:
Perpendicular insertion 0.5 - 1 cun, or oblique proximal insertion 1 - 1.5 cun, or transverse oblique distal insertion up to 5 cun connect all points up to Daling Pc-7 in Lingmeng opposite needling.

TCM Actions:
Invigorates blood and dispels stasis
Cools blood and stops bleeding
Calms the spirit
Moderates acute conditions

TCM Indications:
  • Chest pain, Heart pain with vomiting, vomiting blood, coughing blood, nosebleed, five palms agitated and hot.
  • Agitation, insomnia, melancholy, fear and fright of people, insufficiency of spirit qi, epilepsy.
  • Chronic malaria, chronic haemorrhoids.

    Neuroanatomy:
    Superficial Innervation: Border of lateral and medial cutaneous nerves of the forearm (C5 - C6 and C8 - T1)
    Dermatome Segment: C6, T1 on ventral axial line
    Deeper Structures: Median nerve from C5 - T1

    Notes:
    In Lingmen opposite needling for blood in urine due to Heat in Heart Blood one needle is inserted from Daling Pc-7 to Ximen Pc-4 while another is inserted in the opposite direction from Ximen Pc-4 to Daling Pc-7 (Liu Yan, 2008, Diagrams of Acupuncture Manipulations, p.133).

    In ayurvedic medicine:
    Indravasti marma point
    Size: 1/2 angula (cun)
    Structure: Muscle
    Effect of Injury: Premature death (kalantarprana marma)
    (Harish Johari, 1996, Ayurvedic Massage, Sanatan Society; Anupama Bhattacharya, Marma Shastra)

    In Thai massage:
    Acupressure point (Salguero & Roylance, 2011, Encyclopedia of Thai Massage)



    Reference Notes: (click to display)