PC04 Qiemen (Cleft Gate)

郄門qiè ménQiemen

Pericardium Meridian

Location of acupuncture point PC04 Qiemen (Cleft Gate)
22
Indications
36
Protocols
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Location

5 thumb widths above the transverse crease of the wrist on the line connecting PC03 and PC07 between tendons of the palmaris longus and flexor carpi radialis.

No specific contraindications.

Indications

Conditions for which PC04 is listed as indicated. An indication list is a reference index, not a prescription – see the protocols below for sourced treatments.

AgitationAgitation Five PalmsAnthropophobia Fear Of PeopleAnxietyBleedingCalm Spirit ShenCoughing BloodSpirit Qi DeficiencyDepression MelancholyAcute DisorderEpilepsyHaemorrhoids ChronicHeat BloodInsomniaMalaria ChronicNosebleedChest PainHeart PainBlood StagnationTemperature HighVomitingVomiting Blood

Protocols using PC04

  • Postoperative Pain, Post-Operative Nausea, Post-Operative Vomiting, Surgery Cardiac Valve Replacement, Myocardial Ischemia-reperfusion Injury, Cognitive Dysfunction PostoperativePC04, PC06, GV20, GV24 (doi:10.1155/2017/6243630)
  • Carpal Tunnel Syndrome, Wrist Pain, Hand Weakness, Hand Numbness, Tingling FingersLU09, LI11, HT02, HT07, HT08, PC04, PC06, PC07, PC08 (doi:10.1155/2017/7420648)
  • Coronary Heart Disease, Autonomic Dysfunction, Cardiac Risk PerioperativePC04, PC06 (doi:10.2147/CIA.S210751)
  • Chest Pain, Angina Stable, Coronary Artery Disease ModeratePC04, PC06 (doi:10.1155/2021/6634404)
  • Fatigue, Chest Pain, Shortness Of Breath, Angina StableLU07, LI04, ST36, ST40, SP03, HT07, KD06, PC04, PC06, LV03, LV14, CV17 (doi:10.1177/09645284211055754)
  • Hypertension, Blood Pressure ElevatedLI04, LI11, ST36, PC04, PC06, LV03 (doi:10.1097/MD.0000000000033946)
  • Stroke, Paralysis Upper-limb, Stroke Sequela, Grip Weakness, Motor Dysfunction Post-stroke, Paralysis Hand, Motor-impairment Finger, Hemiplegia Post-strokeLU10, LI04, LI10, PC04, PC06, TB05 (doi:10.1097/MD.0000000000035755)
  • Post-Operative Nausea, Post-Operative Vomiting, Surgery Laparoscopic, Anesthesia GeneralHT07, PC04 (doi:10.1097/MD.0000000000035730)
  • Neuropathic Pain, Allodynia, Post-stroke Pain, Thalamic PainSP10, HT06, KD06, PC04 (doi:10.1097/MD.0000000000022611)
  • Diabetes Type 2, Oxidative StressPC04, PC06 (doi:10.13189/ujph.2025.130308)
  • Paralysis Hemiplegia, Stroke SequelaLI10, ST36, ST37, BL55, BL57, PC04, PC06, TB05, MS06 (doi:10.27127/d.cnki.ghlzu.2025.000611)
  • HiccupLU09, LU10, LU11, ST36, PC04, PC07, PC08, LV01, LV14, CV04, CV12, CV17 (doi:10.13359/j.cnki.gzxbtcm.2025.08.024)
  • Motor Dysfunction, Hemiplegia Post-strokeLI10, ST36, ST37, BL55, BL57, PC04, PC06, TB05 (doi:10.27127/d.cnki.ghlzu.2025.000611)
  • Paralysis Post-stroke Motor Dysfunction, Motor Impairment Upper Limb, Motor Impairment Lower LimbLI10, ST36, ST37, BL55, BL57, PC04, PC06, TB05, MS06 (doi:10.27127/d.cnki.ghlzu.2025.000525)
  • HiccupLU10, PC04, PC07 (doi:10.13359/j.cnki.gzxbtcm.2025.08.024)
  • Palpitations, Arrhythmia, Atrial FibrillationST36, SP06, SP10, HT07, BL15, PC04, PC06, CV17 (doi:10.3889/oamjms.2019.036)
  • Anxiety, Chest Pain, Myocardial Infarction Acute, Infarction Myocardial Acute, Flow Coronary SlowPC04, PC06 (doi:10.3389/fcvm.2026.1756414)
  • Angina Pectoris, Chest PainST36, HT05, HT07, BL15, BL17, BL18, BL20, BL23, PC03, PC04, PC05, PC06, PC07, CV06, CV17 (doi:10.3727/036012913x13831831849457)
  • Lumbar Pain, Sacroiliac Pain, Gluteal Pain, Osteitis Condensans IliiBL57, PC04 (doi:10.13703/j.0255-2930.20240630-0002)
  • Exercise Intolerance, Recovery Postoperative, Coronary Artery Disease, Cardiac Rehabilitation Postoperative, Recovery Coronary Artery Bypass GraftHT07, PC04, PC06, GB20 (doi:10.1177/09645284241298011)
  • Angina Pectoris, Coronary Artery DiseasePC04, PC06 (doi:10.1016/j.explore.2026.103469)
  • Angina Pectoris, Angina StableLU07, LI04, ST36, ST40, SP03, HT07, KD06, PC04, PC06, LV03, LV14, CV17 (doi:10.1177/09645284211055754)
  • Anesthesia Requirement Reduction, Post-Operative Nausea, Post-Operative Vomiting, Sedation AdjunctHT07, PC04 (doi:10.1097/MD.0000000000035730)
  • Carpal Tunnel SyndromeLU09, LU10, LI04, LI10, LI11, HT02, HT03, HT07, PC04, PC06, PC07, PC08 (doi:10.1089/photob.2024.0106)
  • Chest Pain, Chest PainLI04, BL13, BL14, BL15, BL16, BL17, PC04, PC06, CV17, XB02C3, XB02C4, XB02C5, XB02C6, XB02C7, XB02T1, XB02T2, XB02T3, XB02T4, XB02T5, XB02T6, XB02T7, XB02T8, XB02T9 (Deadman, Al-Khafaji & Baker, A Manual of Acupuncture – point group actions)
  • PalpitationsHT07, BL14, BL15, PC04, PC06, CV17, XB02T2, XB02T3, XB02T4, XB02T5, XB02T6 (Deadman, Al-Khafaji & Baker, A Manual of Acupuncture – point group actions)
  • Palpitation, Ventricular Premature Beat, Obstruction Of Qi ChestST36, SP06, HT07, BL14, BL15, KD03, PC04, PC06, PC07, LV03, CV17, GV20 (Han Baojie & Wang Feng. Acupuncture Treatment for 98 Cases of Ventricular Premature Beat. Journal of Traditional Chinese Medicine, 2008, 28(2): 86-89)
  • Cerebrovascular Ischemic, Limbs Problems, Limbs Numbness, Lips Dark Purple, Gum Dark Purple, Tongue Dark, Ecchymosis, Vein Varicose Sublingual, Pulse UnevenST36, ST40, HT06, BL65, PC04, PC06, GB20 (Zhang Feng-hua. Effects of Acupuncture at 7-9 am and 3-5 pm on Plasma Thromboxane and Prostaglandin in Patients with Ischemic Cerebrovascular Disease. Journal of Traditional Chinese Medicine, 2010, 30(1): 9-12)
  • Coronary Heart Disease, Angina PectorisHT07, BL14, BL15, PC04, PC06, CV14, CV17 (程施瑞邵欣梁繁荣曾芳. 针灸治疗冠心病心绞痛的临床用穴规律分析. 时珍国医国药 ., 2014 [CNKI])
  • Mental DisorderKD06, PC04, PC05, PC06, GB04, GB05, GB06, GB07, GB08, GB09, GB10, GB11, GB40 (Zheng Lingling et al.. [Experience of professor LI Zhidao in the treatment of mental disorders by "regulating the heart and smoothing the liver"].. Zhongguo zhen jiu = Chinese acupuncture & moxibustion, 2016)
  • BoilLI04, BL40, PC04, GV10, GV12 (sacredlotus.com)
  • Boil Face, Boil FaceLI01, LI04, LI11, BL40, PC04, GV10, GV12 (sacredlotus.com)
  • Boil Finger Tip, Boil Finger TipLI04, LI11, LI20, BL40, PC04, GV10, GV12 (sacredlotus.com)
  • Boil Temple, Boil TempleLI04, BL40, PC04, GB34, GB44, GV10, GV12 (sacredlotus.com)
  • Boil Toe, Boil ToeLI04, BL40, PC04, GB02, GB34, GV10, GV12 (sacredlotus.com)
  • Qi Stagnation, Chest Fullness, Irregular Periods, Antehypophysis Problems, Ovarian Problems, Period Late, Qi Stagnation, Chest Fullness, Irregular Periods, Antehypophysis Problems, Ovarian Problems, Period LateST08, ST25, KD13, PC04, LV03 (sacredlotus.com)

Most often selected alongside PC04

How many sourced protocols in the index pair each point with PC04. Corpus frequency, not a combination to use.

  • PC06Inner Gate24 protocols
  • HT07Spirit Gate12 protocols
  • LI04Junction Valley11 protocols
  • ST36Leg Three Miles11 protocols
  • CV17Chest Centre9 protocols
  • BL15Heart Shu Point6 protocols
  • PC07Great Mound6 protocols
  • BL40Middle Of The Crease5 protocols
  • GV10Spirit Tower5 protocols
  • GV12Body Pillar5 protocols
  • LI10Arm Three Miles5 protocols
  • LI11Pond At The Bend5 protocols

Other points on the Pericardium Meridian