PC5

Pericardium Channel

Intermediate

间使Jiān Shǐ

Anatomical location

3 cun above the wrist crease, between the palmaris longus and flexor carpi radialis tendons.

Main function

Regulates Heart Qi, calms the Shen, harmonizes the Stomach.

  • Jing-River point (Metal)

Therapeutic indications

  • Palpitations
  • chest pain
  • epilepsy
  • anxiety
  • Mania
  • Malaria
  • Vomiting
  • Epigastric fullness
  • Amenorrhea
  • Stiff tongue
  • Aphonia
  • Schizophrenia (Dian Kuang)

Name and classical tradition

Jianshi, 間使, is the “emissary of the interval.” 間 means an in-between space, an interstice, and the Lingshu (Spiritual Pivot) itself places the point «兩筋之間», between the two tendons. 使 is the envoy, the emissary. To explain this second character, the soundest reading points to the Suwen (Basic Questions), chapter Ling Lan Mi Dian Lun (靈蘭秘典論), which describes the organs as officials of a court: «膻中者,臣使之官,喜樂出焉». The Danzhong region, associated with the Pericardium, is the minister-emissary, from whom joy and pleasure emerge. The point would then be the emissary of that minister channel. The quotation is genuine; applying it to the name of the point is a later association.

In the Ben Shu chapter (本輸), the Lingshu gives it a singular description: «行於間使,間使之道,兩筋之間,三寸之中也,有過則至,無過則止,為經». Qi travels through Jianshi, in the passage between the two tendons, at three cun; when something is wrong, it arrives; when nothing is wrong, it stops. It is the Jing-River point (經穴), which in the Yin channels corresponds to Metal. The phrase «有過則至,無過則止» is one of the few functional glosses that the Ben Shu includes within the text itself, not a later addition.

There is another, modern reading that interprets 間使 as “to make something act indirectly,” with an explanation about the water of Qi cooling down. It has no classical source.

Location of point PC5, Intermediate
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View point on the 3D modelPC5 on the anatomy
Needling techniquePerpendicular insertion 0.5-1 cun.
Depth0.5-1 cun
MoxibustionApplicable (3-5 minutes, indirect moxa)
PrecautionsAvoid deep needling so as not to damage the median nerve.

Basic formulas from the vademecum · 2

View the vademecum

Named functional sets from the school: here the point does not act on its own, but through the role it plays within the maneuver.

  • Tonify General YinPregnancyKidney Yin as the root, plus the two group Luo points of the Yin channels: SP6 gathers the three Yin channels of the foot and PC5 the three Yin channels of the hand. With two points, the Yin of all six channels is reached.
  • Group LuoPregnancyThe four points that each govern three channels: SP6 the three Yin channels of the foot, PC5 the three Yin channels of the hand, TE8 the three Yang channels of the hand, and GB39 the three Yang channels of the foot. Twelve channels with four needles.
Cover of the guide “Protocols for the 20 most common patterns”

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Protocols for the 20 patterns you see most in practice

Each pattern with its tongue, its pulse, the treatment principle and the points to tonify and disperse. Made for the treatment table, not the bookshelf.

Do you use PC5 with your patients?

In the Clinic you record it in the patient's file, next to the tongue, the pulse and the measurements, so at the next session you know exactly what you used. The Atlas is built in.

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