PC04 Ximen (Cleft Gate)

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.

Categories

• Xi-Cleft point of the Pericardium meridian

The classical groups this point belongs to, from Deadman, Al-Khafaji & Baker, A Manual of Acupuncture.

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.

TCM actions

What classical sources say PC04 does in the terms of Chinese medicine theory. These describe the point, not a condition.

Protocols using PC04

• Palpitation, Ventricular Premature Beat, Obstruction Of Qi Chest – ST36, SP06, HT07, BL14, BL15, KD03, PC04, PC06, PC07, LV03, CV17, GV20 (doi:10.1016/s0254-6272(08)60021-7 ↗)
• Cerebrovascular Ischemic, Limbs Problems, Limbs Numbness, Lips Dark Purple, Gum Dark Purple, Tongue Dark, Ecchymosis, Vein Varicose Sublingual, Pulse Uneven – ST36, ST40, HT06, BL65, PC04, PC06, GB20 (doi:10.1016/s0254-6272(10)60002-7 ↗)
• Postoperative Pain, Post-Operative Nausea, Post-Operative Vomiting, Surgery Cardiac Valve Replacement, Myocardial Ischemia-reperfusion Injury, Cognitive Dysfunction Postoperative, Recovery Postoperative – PC04, PC06, GV20, GV24 (doi:10.1155/2017/6243630 ↗)
• Carpal Tunnel Syndrome, Wrist Pain, Hand Weakness, Hand Numbness, Tingling Fingers – LU09, LI11, HT02, HT07, HT08, PC04, PC06, PC07, PC08 (doi:10.1155/2017/7420648 ↗)
• Coronary Heart Disease, Autonomic Dysfunction, Cardiac Risk Perioperative – PC04, PC06 (doi:10.2147/CIA.S210751 ↗)
• Fatigue, Chest Pain, Shortness Of Breath, Angina Stable – LU07, LI04, ST36, ST40, SP03, HT07, KD06, PC04, PC06, LV03, LV14, CV17 (doi:10.1177/09645284211055754 ↗)
• Hypertension, Blood Pressure Elevated – LI04, 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-stroke – LU10, LI04, LI10, PC04, PC06, TB05 (doi:10.1097/MD.0000000000035755 ↗)
• Post-Operative Nausea, Post-Operative Vomiting, Surgery Laparoscopic, Anesthesia General – HT07, PC04 (doi:10.1097/MD.0000000000035730 ↗)
• Neuropathic Pain, Allodynia, Post-stroke Pain, Thalamic Pain – SP10, HT06, KD06, PC04 (doi:10.1097/MD.0000000000022611 ↗)
• Diabetes Type 2, Oxidative Stress – PC04, PC06 (doi:10.13189/ujph.2025.130308 ↗)
• Paralysis Hemiplegia, Stroke Sequela – LI10, ST36, ST37, BL55, BL57, PC04, PC06, TB05, MS06 (doi:10.27127/d.cnki.ghlzu.2025.000611 ↗)
• Hiccup – LU09, LU10, LU11, ST36, PC04, PC07, PC08, LV01, LV14, CV04, CV12, CV17 (doi:10.13359/j.cnki.gzxbtcm.2025.08.024 ↗)
• Motor Dysfunction, Hemiplegia Post-stroke – LI10, 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 Limb – LI10, ST36, ST37, BL55, BL57, PC04, PC06, TB05, MS06 (doi:10.27127/d.cnki.ghlzu.2025.000525 ↗)
• Hiccup – LU10, PC04, PC07 (doi:10.13359/j.cnki.gzxbtcm.2025.08.024 ↗)
• Palpitations, Arrhythmia, Atrial Fibrillation – ST36, SP06, SP10, HT07, BL15, PC04, PC06, CV17 (doi:10.3889/oamjms.2019.036 ↗)
• Anxiety, Chest Pain, Myocardial Infarction Acute, Infarction Myocardial Acute, Flow Coronary Slow – PC04, PC06 (doi:10.3389/fcvm.2026.1756414 ↗)
• Angina Pectoris, Chest Pain – ST36, 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 Ilii – BL57, PC04 (doi:10.13703/j.0255-2930.20240630-0002 ↗)
• Exercise Intolerance, Recovery Postoperative, Coronary Artery Disease, Cardiac Rehabilitation Postoperative, Recovery Coronary Artery Bypass Graft – HT07, PC04, PC06, GB20 (doi:10.1177/09645284241298011 ↗)
• Angina Pectoris, Coronary Artery Disease – PC04, PC06 (doi:10.1016/j.explore.2026.103469 ↗)
• Angina Pectoris, Angina Stable – LU07, 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 Adjunct – HT07, PC04 (doi:10.1097/MD.0000000000035730 ↗)
• Carpal Tunnel Syndrome – LU09, LU10, LI04, LI10, LI11, HT02, HT03, HT07, PC04, PC06, PC07, PC08 (doi:10.1089/photob.2024.0106 ↗)
• Coronary Heart Disease – PC04, PC06 (doi:10.2147/CIA.S210751 ↗)
• Motor Dysfunction Post-stroke – LI10, ST36, ST37, BL55, BL57, PC04, PC06, TB05 (doi:10.1016/j.arrct.2025.100574 ↗)
• Carpal Tunnel Syndrome – LU10, LI04, LI10, LI11, HT03, HT07, PC04, PC06, PC07, PC08 (doi:10.1089/acu.2023.0107 ↗)
• Atrial Fibrillation – HT07, PC04, PC06 (pubmed.ncbi.nlm.nih.gov ↗)
• Postoperative Complications, Anesthesia Requirement Reduction – LU01, LU05, PC04 (pubmed.ncbi.nlm.nih.gov ↗)
• Postoperative Pain – PC04, PC06 (doi:10.1007/s11596-014-1317-x ↗)
• Coronary Artery Disease – PC04, PC06 (doi:10.1016/j.ijcard.2015.05.043 ↗)
• Angina Pectoris – SP10, BL14, BL15, BL17, PC04, PC06, CV17 (doi:10.13703/j.0255-2930.2016.12.001 ↗)
• Coronary Heart Disease, Endothelial Dysfunction – PC04, PC06 (doi:10.13702/j.1000-0607.200784 ↗)
• Coronary Heart Disease – PC04, PC06 (doi:10.1016/j.amjcard.2023.08.062 ↗)
• Chest Pain, Chest Pain – LI04, 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)
• Palpitations – HT07, BL14, BL15, PC04, PC06, CV17, XB02T2, XB02T3, XB02T4, XB02T5, XB02T6 (Deadman, Al-Khafaji & Baker, A Manual of Acupuncture – point group actions)
• Coronary Heart Disease, Angina Pectoris – HT07, 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 Disorder – KD06, 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)
• Retraction Penis – PC04, PC09, LV01, CV04, CV06, GV20, XH03 (Zhang Dengbu. Acupuncture Cases from China: A Digest of Difficult and Complicated Case Histories. Edinburgh: Churchill Livingstone, 1994)
• Palpitations, Arthritis, Joint Pain – LI04, HT07, KD03, PC04, TB03, GB20, LV03 (Zhu Bing, Wang Hongcai (eds). Case Studies from the Medical Records of Leading Chinese Acupuncture Experts. London: Singing Dragon, 2011)
• Arthritis, Joint Pain – PC04, GB04, GB20, LV03 (Zhu Bing, Wang Hongcai (eds). Case Studies from the Medical Records of Leading Chinese Acupuncture Experts. London: Singing Dragon, 2011)
• Boil – LI04, BL40, PC04, GV10, GV12 (sacredlotus.com ↗)
• Boil Face, Boil Face – LI01, LI04, LI11, BL40, PC04, GV10, GV12 (sacredlotus.com ↗)
• Boil Finger Tip, Boil Finger Tip – LI04, LI11, LI20, BL40, PC04, GV10, GV12 (sacredlotus.com ↗)
• Boil Temple, Boil Temple – LI04, BL40, PC04, GB34, GB44, GV10, GV12 (sacredlotus.com ↗)
• Boil Toe, Boil Toe – LI04, BL40, PC04, GB02, GB34, GV10, GV12 (sacredlotus.com ↗)
• Qi Stagnation, Chest Fullness, Irregular Menstruation, Antehypophysis Problems, Ovarian Problems, Period Late, Qi Stagnation, Chest Fullness, Irregular Periods, Antehypophysis Problems, Ovarian Problems, Period Late – ST08, 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 Gate32 protocols
• HT07Spirit Gate15 protocols
• LI04Junction Valley13 protocols
• ST36Leg Three Miles12 protocols
• CV17Chest Centre10 protocols
• BL15Heart Shu Point7 protocols
• LI10Arm Three Miles7 protocols
• LV03Great Surge7 protocols
• PC07Great Mound7 protocols
• LI11Pond At The Bend6 protocols
• BL14Absolute Yin Shu Point5 protocols
• BL40Middle Of The Crease5 protocols

Other points on the Pericardium Meridian