TE5

Triple Energizer Channel

Outer Gate

外关Wài Guān

Anatomical location

2 cun above the wrist crease, between the radius and the ulna, on the line connecting TE4 (Yangchi) with the elbow.

Main function

Luo-Connecting point, Opening point of the Yang Wei Mai, benefits the ears, relieves pain, releases the exterior.

  • Luo (Connecting) point
  • Opening point of the Yang Wei Mai

Therapeutic indications

  • Headache
  • ear pain
  • deafness
  • toothache
  • arm pain
  • fever
  • common cold
  • stiff neck
  • Cold with fever
  • Temporal headache
  • Migraine
  • Tinnitus
  • Rib-side pain
  • Wrist and forearm pain
  • Hemiplegia
  • Hand tremor
  • Constipation
  • Trigeminal neuralgia
  • Tension headache
  • Rheumatoid arthritis

Name and classical tradition

Waiguan, 外关, is the «outer barrier». 外 is the external, as opposed to 內, the internal; 关 (關), the pass, the barrier. The name is understood in tandem with that of PC6, Neiguan, the «inner barrier», which lies directly opposite, on the inner side of the forearm, at the same level. Both are Luo-Connecting points (絡穴) of coupled channels, the Triple Energizer and the Pericardium, and they connect through the arm.

As a Luo-Connecting point, Waiguan is attributed to the Lingshu (Spiritual Pivot), to the Jing Mai chapter (經脈), the one that lists the collaterals, although the passage has not been verified. It is also one of the Eight Confluent Points (八脈交會穴), the one associated with the Yang Wei Mai. One reading of the name starts from there: the Yang Wei Mai governs the cold and heat symptoms of the exterior of the body, and the point would be the barrier of the exterior. The other is simpler: the point is on the outer side of the forearm, at a place of passage. Both are consistent with its function.

Location of point TE5, Outer Gate
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View point on the 3D modelTE5 on the anatomy
Needling techniquePerpendicular insertion 0.5-1 cun.
Depth0.5-1 cun
MoxibustionApplicable (3-5 cones or 5-10 minutes)

Classical combinations · 1

  • Dai Mai + Yang Wei足临泣 · 外关Zú Lín Qì · Wài GuānOpening point of the Dai Mai, coupled with the Yang Wei Mai; governs the sides of the body.
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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 TE5 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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