The Inner Gate pressure point (P 6), also known as Nei Guan, is a widely studied and clinically significant acupressure point on the Pericardium meridian. Located on the inner forearm, it is used to alleviate symptoms such as nausea, anxiety, palpitations, and motion sickness. Traditionally, it is known for harmonizing the Heart and calming the spirit, making it relevant for both physical and emotional conditions.
Summary Table
| Attribute | Details |
|---|---|
| Pressure Point Name | P 6 – Inner Gate |
| Body Area | Wrist |
| Exact Location | 2.5 finger widths above inner wrist crease between forearm bones |
| Common Uses | Relieves nausea, anxiety, palpitations |
| Stimulation Technique | Press with thumb/index finger for 30–60 sec |
| Contraindications | Avoid in cases of skin infection, open wounds, or fresh surgical sites |
Clinical Significance & Associated Conditions
The Inner Gate pressure point is frequently used in clinical and self-care settings to address:
- Nausea and vomiting, including motion sickness, postoperative nausea, and morning sickness
- Anxiety and emotional restlessness, often associated with stress or overthinking
- Heart palpitations and irregular heartbeat patterns
- Chest tightness and mild discomfort from emotional or energetic tension
- Insomnia, especially when linked to an overactive mind or worry
P 6 modulates activity in both the cardiovascular and nervous systems, offering symptom relief through both direct and reflexive pathways.
Location
P 6 is located on the inner forearm, approximately 2.5 finger widths above the wrist crease, in the space between the two tendons of the flexor carpi radialis and palmaris longus muscles.
To locate:
- Turn the palm face-up
- Place three fingers of the opposite hand horizontally at the base of the wrist
- The point lies directly between the tendons, just above the top finger
It is commonly marked in wrist-based acupressure charts and is used in motion sickness bands due to its accessibility and effectiveness.
How to Stimulate It
To stimulate the Inner Gate pressure point:
- Technique: Use your thumb or index finger to apply pressure
- Direction: Press directly downward into the groove between the tendons
- Duration: Hold for 30 to 60 seconds, maintaining steady pressure
- Frequency: Use 1–3 times daily or during onset of symptoms (e.g., before travel or during emotional stress)
- Posture: Best performed seated with the forearm resting comfortably
This point may also be stimulated with acupressure wristbands that apply consistent pressure over time.
Benefits and Common Uses
P 6 is traditionally and clinically used to:
- Reduce nausea and vomiting, particularly during motion sickness or pregnancy
- Calm the mind and alleviate symptoms of anxiety or restlessness
- Support cardiovascular balance, easing palpitations and chest sensations
- Assist with sleep onset in anxiety-induced insomnia
- Balance emotional energy, especially when related to Heart and Pericardium imbalances in TCM
In Traditional Chinese Medicine, this point is known to open the chest, regulate the Heart, and harmonize the Stomach, reflecting its broad application across organ systems.
Physiological Functions & Mechanisms
P 6 is located near:
- The median nerve
- The radial and ulnar arteries
- The flexor carpi radialis and palmaris longus tendons
Stimulation of P 6 may:
- Modulate vagal tone, leading to reduced heart rate and improved autonomic balance
- Decrease gastric dysrhythmias, helping reduce nausea
- Influence brainstem areas involved in cardiovascular regulation and emotional processing
- Enhance local circulatory flow and neuromuscular relaxation
Clinical studies have validated its use in both acute and preventive care, especially for nausea and anxiety reduction (PubMed).
Practitioner Insight
In my experience, this point is especially helpful when anxiety manifests physically—tight chest, fluttering heart, or queasiness. It often brings a subtle shift that helps restore calm quickly and efficiently.
Safety & Contraindications
Avoid stimulation of P 6 in these cases:
- Skin infections, wounds, or inflammation over the wrist
- Recent wrist surgery or trauma
- Use with caution in individuals with severe carpal tunnel syndrome or compromised nerve function
Apply only moderate pressure and monitor for discomfort. See our acupressure safety guide for more details.
As always, listen to your body and stop if discomfort arises.
Related Points & Techniques
P 6 pairs well with:
- HT 7 – Spirit Gate to calm the mind and support restful sleep
- CV 17 – Chest Center to relieve chest tension and emotional tightness
- ST 36 – Three Mile Point for systemic nausea and immune support
Complementary techniques include:
- Breath regulation, especially box breathing or paced exhalation
- Wrist movement and gentle stretching post-stimulation
- Aromatherapy (e.g., ginger or peppermint) alongside acupressure for nausea
Scientific Perspective
P 6 is one of the most widely studied acupressure points. Research supports its effectiveness in:
- Reducing nausea in postoperative and chemotherapy settings
- Lowering anxiety and heart rate via vagal stimulation
- Improving sleep quality and emotional resilience
These effects are believed to arise from activation of central and peripheral pathways governing autonomic, cardiovascular, and gastrointestinal function.