New chest pain or fainting needs urgent care; in pregnancy, ask first.
郄門 Ximen
“Cleft Gate” · PC4
Hand Jueyin · 4 of 9 · xi-cleft
Where. On the palm side of the forearm, about seven finger-widths above the wrist crease, between the two tendons.
For. Palpitations; hiccups.
Press. Light fingertip pressure, about a minute each arm.
Caution. New chest pain or fainting needs urgent care; in pregnancy, ask first.
郄門二穴,去腕五寸,手厥陰郄按 · Press with me
Six slow breaths
About a minute. Press as you breathe out, ease as you breathe in.
鄰 · Neighbouring leaves
Where Ximen Sits on the Forearm
Turn your palm to face you and the neighborhood comes into view. The dataset places Ximen on the palmar aspect of the forearm, on the line connecting Quze (PC3) with Daling (PC7), five cun above the crease at the wrist, between the tendons of palmaris longus and flexor carpi radialis. A cun is the traditional proportional unit of Chinese point-location, taken from the body being measured rather than from any ruler: the width of the person’s own thumb counts as roughly one cun. By the classical proportional scheme, the palmar stretch from wrist crease to elbow crease measures twelve cun, so five cun above the wrist lands a little below the forearm’s midpoint — low enough to stay clearly in the lower half, high enough that the wrist tendons have begun to soften into muscle.
The terrain itself is friendly to beginners. Under the skin of this stretch lie the muscles and tendons that curl the wrist and fingers, layered and cushioned, doing their ordinary work; the groove between the two tendons is the corridor the pericardium channel follows down the limb. Nothing delicate sits directly beneath the surface here, and gentle fingertip pressure reaches muscle without approaching anything fragile. One honest note: a nerve travels deeper within this same corridor, and a searching finger occasionally brushes it, producing a brief fizzing or buzzing flicker. That flicker is information, not achievement — it means slide aside half a width or simply rest, never press harder.
It helps to draw the line in the mind’s eye before hunting for the point. Quze anchors the upper end, at the elbow crease on the little-finger side of the biceps tendon; Daling anchors the lower end, at the very center of the palmar wrist crease, held between those same two tendons. The pericardium channel traces almost a straight rule between them, and Ximen stands on it at the five-cun mark. Its younger siblings — Jianshi (PC5) and Neiguan (PC6) — occupy the same corridor nearer the wrist, stepping down in order, which is why a searcher who finds one pericardium point on the forearm has, in effect, found the street address for all of them.
A Self-Palpation Walkthrough
Set yourself up before you search. Sit comfortably, rest the left forearm palm-up on a cushion or the table edge, and let the shoulders go heavy. First raise the landmarks: make a loose fist and bend the wrist slightly toward the palm, and watch two slender cords stand up at the lower forearm. The thicker cord lying toward the little-finger side is palmaris longus; the cord toward the thumb side is flexor carpi radialis; the shallow valley between them is the corridor you want. A few people are born without a palmaris longus altogether — if only one cord rises, treat the thumb-side cord as your rail and search the soft ground immediately beside it on the little-finger side.
Measure with your own hand. Lay the four fingers of the opposite hand together, edges touching; their combined width counts as about three cun by the traditional reckoning. Place the bottom edge of that span at the wrist crease and note where the top edge falls, then stack two thumb-widths above it — three cun plus two makes the recorded five, and your fingertip should now rest in the tendon groove, a little below halfway up the palmar forearm. Press lightly as you arrive: many people feel a faint, dull awareness at the true spot and little a finger-width away, and comparing the two forearms side by side sharpens the picture further.
Three slips account for most misses. The first is measuring from the wrong face — starting from the back of the forearm puts the entire search on the wrong side of the limb. The second is letting the fingers wander out of the tendon groove while climbing; the corridor is narrow, and an inch to either side is different country. The third is counting downward from the elbow instead of upward from the wrist, which scrambles the arithmetic. When in doubt, reset: fist loosely made, cords raised, hand flattened, four fingers plus two thumbs, slowly and once. Patience finds this point more reliably than precision does; the search itself teaches you the lay of your own forearm.
Reading the Name: Cleft Gate
The two characters tell the story in miniature. Xi 郄 carries the sense of a cleft, a crevice, a narrow gap — the space where bone meets flesh or tissue folds against tissue, and the same character that lends its name to the xi-cleft category of points itself. Men 門 means gate or door. Read together, Ximen is the cleft gate: a door standing in a seam, opening onto somewhere deeper than the surface. Commentators across the centuries have connected the name directly with the point’s recorded office — it is the place where the pericardium channel’s qi gathers and plunges deep — so the name doubles as a small cross-section drawing of what the tradition believes happens here.
Pinyin renders the name Xìmén: a falling fourth tone on xi, short and decisive, and a rising second tone on men that lifts at the end. The two characters 郄門 are compact and visually distinct, easy to memorise at a glance. Like so many points named for architecture — gates, courtyards, valleys, storehouses — the metaphor does genuine work rather than decorating. A gate implies traffic passing between outside and inside, shallows and depths, and that is precisely the role the tradition assigns the xi points: stations where surface flow connects with deep stores.
Why should a gate stand in a cleft? The classical imagination pictures the xi points as places where channel qi gathers suddenly and sinks — water running smoothly until it reaches a narrow gorge and turns abruptly deep. Because the gathering is sudden, the gate matters: whatever moves between levels moves quickly here. This is why old practice reached for xi points in abrupt, acute moments rather than slow, chronic grumbles, and why the image of a door — something that opens, closes, and controls passage — attaches so naturally to the category. The name, read slowly, hands you the whole doctrine.
A Xi-Cleft Point: Where Qi Gathers Deep
Classical teaching assigns each of the twelve principal channels exactly one xi-cleft point, and describes these as the spots where that channel’s qi gathers most deeply. Where a luo point dispatches a branch outward and a source point holds a reservoir steady, the xi point is imagined as depth itself: the stream narrowing, the current dropping below sight. Generations of practitioners therefore turned to xi points when a situation felt sudden and sharp rather than gradual — the classical literature consistently pairs this category with abrupt presentations, and the pairing shaped how individual xi points were taught and remembered.
A much-repeated piece of traditional commentary sorts the family further: xi points on yin channels were classically associated with matters of the blood, while those on yang channels were associated with pain. The pericardium channel is a yin channel of the arm — the hand jueyin — and it is worth noticing that the dataset’s recorded actions for Ximen include coughing blood and vomiting blood alongside the cardiac complaints. Commentators found that fit deeply satisfying: the yin-channel xi point, gathered deep at a seam, speaking for the blood. None of this is offered as mechanism; it is the internal logic of the tradition, showing how one classification explains one list.
And why should a forearm point speak for the heart at all? The answer lies in the map. Classical texts describe the pericardium as the membrane and palace wall wrapped around the heart, taking disturbances upon itself so the sovereign organ is shielded; its channel sets out in the chest, runs down the inner arm, and ends at the tip of the middle finger. Cardiac pain, palpitations, and chest distress therefore belong, in the classical frame, to the pericardium channel’s territory, and its points — Ximen chief among them by virtue of its deep-gathering office — became the natural addresses for such discussions. The framework is traditional; the reasoning is the framework’s own; it is recorded here for understanding, not promised as outcome.
Traditional Indications, Explained
The licensed record lists eight actions for Ximen: cardiac pain, palpitations, chest pain, coughing blood, vomiting blood, boils and carbuncles, epilepsy, and hiccups. Read as tradition rather than promise, the list sorts into clusters. The first cluster stands nearest the point’s own master: cardiac pain, palpitations, and chest pain, the classic triad of pericardium-channel territory. Classical writers treated the pericardium as the heart’s outer guard, and discussions of tightness and ache across the chest accordingly reached for this channel’s points again and again — with the deep-gathering xi point among the first named.
The second cluster gathers the blood and heat items: coughing blood, vomiting blood, and boils and carbuncles. These sit squarely inside the yin-channel xi-point teaching described above, and commentators added that a point holding heat gathered deep might, in the tradition’s terms, help vent it — hence old discussions linking Ximen to inflamed skin eruptions as well. One sentence must be carved in bold, though: coughing blood and vomiting blood are urgent warning signs in the modern world. Anyone experiencing either needs emergency medical assessment promptly, full stop; the historical record explains why ancients listed them, and modern triage governs what to do today.
The final pair — epilepsy and hiccups — shows the breadth the deep-gathering idea could claim. Convulsive disorders appear throughout the classical literature as territory where suddenness ruled, and xi points were natural candidates in that frame; in the present day, epilepsy belongs entirely with qualified clinicians, and the historical listing is context, not counsel. Hiccups sat at the humbler end of the register, and gentle self-care around them is ordinary life — though hiccups that refuse to settle after a couple of days deserve a clinician’s look too.
And the standing honesty clause applies here as everywhere on this site. These indications are transcribed from a licensed dataset and classical literature for cultural and historical understanding; they are not claims that pressing this point treats disease. Where modern research has touched self-applied pressure at all, reviews suggest effects are modest and heavily context-dependent, and evidence tied to any single point remains thin. Hold the tradition as a lens, not a prescription — and let anything persistent or frightening be examined by a qualified clinician.
Self-Care Acupressure at Home
Locate the point by the walkthrough above, then settle in: seated, left forearm palm-up on a cushion, shoulders released. Bring the pads of the index and middle fingers — never the tips, never a knuckle — onto the groove and begin with plain contact, letting the hand learn the texture beneath. After a few slow breaths, add small circles, letting the skin glide over the tissue rather than dragging against it. Aim for a sensation of pleasant dullness or mild spreading warmth, never sharpness. A common home rhythm is one to three minutes per side, once or twice daily, matched loosely to the exhale so each circle rides the breath out; then swap arms and repeat, keeping the two sessions symmetrical.
Quality outranks duration in this practice, as throughout the wellness register this page keeps. Light, patient, regularly repeated contact is the entire art; harder pressing adds risk and teaches the tissue nothing new. Warm your hands first if they run cold, because chilled muscle guards under touch. Choose a quiet corner rather than a screen, and let the session double as a pause: inhale through the nose, notice the forearm beneath still fingers, lean the smallest degree of pressure into the long exhale. People who keep such routines usually anchor them to existing habits — morning washing, an afternoon stretch — because regularity, not intensity, is what self-care traditions actually request.
Keep expectations sized to the practice. Self-acupressure is a ritual of attention with a comfortable, modest scope: perhaps the forearm feels looser afterward, perhaps the pause itself is the benefit, perhaps nothing measurable happens at all. Every one of those outcomes is honest. What falls outside the scope is escalation — pressing harder, longer, or more often to force a result — and any hope of the point substituting for care from a qualified practitioner. When curiosity pulls toward escalation, return to gentleness, or close the day’s session early.
Cautions and Safe Practice
Begin with what the record says — and with what it does not. The licensed dataset records no specific cautions for Ximen, and the geography supports that calm: the palmar forearm offers muscle and tendon to the fingertip, with no delicate structure sitting close beneath the surface. An empty caution field, though, describes the dataset’s silence rather than an exemption from care; the universal rules that govern every point on this site apply here in full, and the guidance below leans deliberately conservative.
Practical rules, then. Keep contact superficial: finger pads only, light pressure, no tools or devices, nothing through pain. Skip the point over broken, irritated, or recently injured skin, and during any feverish or acute illness. Anyone pregnant, or living with heart-rhythm problems, heart disease, or medicines that affect clotting, should ask a qualified practitioner before adding new point work. Sharp, electric, or radiating sensation under the fingers — including the fizzy flicker of brushing the deeper nerve in this corridor — means stopping immediately and leaving the point alone for the day. None of these rules is unique to Ximen; together they form simply the floor beneath every self-care practice on this site.
Finally, the referral lines, drawn firmly. New or worsening chest pain, chest pressure, pain spreading to the jaw or arm, or breathlessness are emergency signals — call for urgent medical care rather than reaching for a pressure routine. Palpitations accompanied by dizziness, blackout, or fainting deserve prompt professional assessment, as does any unexplained coughing or vomiting of blood. Skin eruptions that spread rapidly, or that arrive with fever, belong with a clinician; so does the entire ongoing management of epilepsy. Acupressure can sit alongside proper care as a comfort practice; it cannot precede or replace it. Persistent symptoms belong with a licensed practitioner, and this page is educational only.
Ximen, the Cleft Gate, stands partway up the palmar forearm where the pericardium channel runs from chest toward fingertip. Classical teaching names it the deep gathering place of that system, and old records reached for it amid cardiac pain, palpitations, and chest distress. This guide walks through finding it by touch and pressing it gently.
Self-care limits
Frequently asked
- How do I find Ximen without knowing anything about cun?
- Use the tendons and proportions instead of numbers you cannot see. Make a loose fist to raise the two cords at the lower forearm, find the valley between them, and remember that the palmar forearm from wrist crease to elbow crease spans twelve cun by tradition — so five cun, the recorded distance, sits just short of halfway up. Four fingers plus two thumb-widths climbs that far. The spot in the groove that answers with a faint, dull awareness is the one the dataset describes.
- Is pressing Ximen myself actually safe?
- For healthy adults, gentle fingertip pressure on this stretch of forearm is generally regarded as reasonable self-care: the area holds muscle and tendon close beneath the skin, the licensed dataset records no specific cautions, and home acupressure stays far above anything fragile. Reasonable is not careless-proof, though — keep the touch light, honour the stop signals, and treat any sharp or electric sensation, including the fizz of brushing the deeper nerve, as the end of the day’s session.
- What did classical practice use Ximen for?
- The traditional record lists cardiac pain, palpitations, chest pain, coughing blood, vomiting blood, boils and carbuncles, epilepsy, and hiccups. Classical texts describe Ximen as the xi-cleft point where pericardium qi gathers deeply, and traditional commentary paired yin-channel xi points with matters of the blood — a fit commentators found neat. These are documented traditional frameworks, offered for context and understanding — not evidence-backed treatment claims.
- Why does a point connected to the heart live on the forearm?
- Because of the route the map draws. Classical teaching wraps the heart in the pericardium, a protective membrane that takes disturbances on itself, and sends the pericardium channel from the chest down the inner arm to the tip of the middle finger. The groove between the two forearm tendons is that channel’s corridor, and the principle that a pathway governs what lies along it let classical writers address chest and heart complaints at forearm addresses — Ximen among them, by virtue of its deep-gathering office.
- When should I skip Ximen altogether and seek care instead?
- Immediately, for anything on the emergency list: new or worsening chest pain or pressure, pain radiating to jaw or arm, breathlessness, palpitations with fainting, or any unexplained coughing or vomiting of blood. Skip the point whenever the forearm skin is broken, rashy, or recently injured, and during feverish illness. Pregnant readers and anyone managing heart conditions or taking clotting-affecting medicines should consult a qualified practitioner before beginning. Pressing follows medicine; it never leads it.
Sources
- 01WHO Standard Acupuncture Point Locations in the Western Pacific Region (2008), World Health Organization — nomenclature conventions.
- 02A Manual of Acupuncture, Peter Deadman, Mazin Al-Khafaji and Kevin Baker — xi-cleft point theory, point-name tradition, and channel context.
- 03aijiu-mpvue (MIT License) licensed dataset, entry for PC4 Ximen — location, point class, actions, and caution record.
Last reviewed
牌記This leaf, for machines
Old books ended with a colophon saying who printed them. Every leaf here carries the same facts as structured data for agents and search, with no layout in the way.
- GET /en/points/pc4/leaf.json
- GET /zh-hant/points/pc4/leaf.json
- GET /zh-cn/points/pc4/leaf.json
- /llms.txt — the index of every leaf
- JSON-LD in the page: MedicalWebPage, MedicalEntity and FAQPage
{
"id": "PC4",
"name": {
"en": "Ximen",
"gloss": "Cleft Gate",
"zh-Hant": "郄門",
"zh-Hans": "郄门"
},
"channel": {
"id": "PC",
"order": 4,
"of": 9
},
"location": {
"text": "On the palm side of the forearm, about seven finger-widths above the wrist crease, between the two tendons."
},
"for": [
"palpitations",
"hiccups"
],
"press": {
"text": "Light fingertip pressure, about a minute each arm.",
"seconds": 60,
"sides": "both"
},
"cautions": [
"New chest pain or fainting needs urgent care; in pregnancy, ask first."
],
"source": "Tongren Shuxue Zhenjiu Tujing, book 5",
"url": "https://acupoints.com/en/points/pc4",
"lastReviewed": "2026-08-24"
}