The Outer Gate pressure point (TW 5) is located along the Triple Warmer meridian and is traditionally used in acupressure and acupuncture to support immunity, reduce inflammation, and relieve pain. It lies on the dorsal aspect of the forearm, between the radius and ulna bones, and is widely recognized in Traditional Chinese Medicine (TCM) for its ability to regulate defensive energy (Wei Qi), calm inflammation, and support musculoskeletal recovery. Common clinical applications include managing wrist and arm pain, rheumatism, and enhancing immune response.
Summary Table
| Attribute | Details |
|---|---|
| Pressure Point Name | TW 5 – Outer Gate |
| Body Area | Forearm |
| Exact Location | 2.5 finger widths above outer wrist crease between forearm bones |
| Common Uses | Relieves wrist pain, rheumatism, strengthens immunity |
| Stimulation Technique | Press with knuckles or thumb for 1 min |
| Contraindications | Avoid if skin is broken, inflamed, or in presence of acute trauma or infection |
Clinical Significance & Associated Conditions
The Outer Gate pressure point is clinically applied in cases involving:
- Chronic wrist, elbow, or shoulder pain
- Inflammatory conditions such as arthritis and rheumatism
- Fatigue, lowered immune function, or frequent colds
- Motor impairment or stiffness of the forearm and hand
It is frequently chosen in TCM protocols to “expel wind,” alleviate pain along the lateral upper body, and strengthen Wei Qi. It is also associated with the Yang Wei Mai (Yang Linking Vessel), which connects the exterior with the interior, making it relevant for conditions affecting multiple layers of the body.
Location
TW 5 is located on the dorsal (back) side of the forearm, about 2.5 finger widths above the wrist crease, between the radius and ulna bones.
To find it:
- Place your opposite hand on your outer forearm
- Measure approximately 2.5 finger widths up from the outer (posterior) wrist crease
- Press gently between the bones; you will feel a natural groove or depression
This point is commonly marked in anatomical charts of the Triple Warmer meridian.
How to Stimulate It
For optimal activation of the Outer Gate pressure point:
- Technique: Use the thumb or a knuckle for deeper, controlled pressure
- Direction: Press straight down into the groove between the forearm bones
- Intensity: Apply firm but tolerable pressure
- Duration: Hold for 1 minute, then release slowly
- Frequency: Stimulate once or twice daily, especially during immune challenges or joint discomfort
- Body Position: The arm should be relaxed and supported, palm down
TW 5 may be used independently or combined with other meridian points for a broader immune or musculoskeletal protocol.
Benefits and Common Uses
TW 5 is traditionally and clinically used for:
- Wrist and forearm pain due to strain, inflammation, or overuse
- Rheumatic symptoms, particularly stiffness or heat in the joints
- Cold or flu prevention by supporting immune energy (Wei Qi)
- Harmonizing exterior and interior imbalances, including fever with chills or tension across the head and shoulders
In TCM, it is believed to clear heat, release the exterior, and open the Yang Linking Vessel, allowing greater communication between the limbs and core.
Physiological Functions & Mechanisms
Anatomically, TW 5 lies near the posterior interosseous nerve and accompanying vessels. Stimulation may:
- Modulate nerve activity to relieve pain in the wrist and hand
- Improve blood flow and lymphatic circulation in the forearm
- Support immune surveillance via neuroendocrine interactions affecting inflammation and stress response
Its location between major tendinous and neural structures allows it to influence both motor and sensory pathways.
Practitioner Insight
In my experience, this point has consistently helped with wrist stiffness from extended computer use or repetitive movements. The relief often extends beyond the joint, creating a feeling of spaciousness in the entire arm.
Safety & Contraindications
Do not stimulate TW 5 in the following cases:
- Recent fractures or trauma in the forearm
- Severe inflammation, swelling, or bruising at the site
- Peripheral nerve conditions requiring medical oversight
Use controlled pressure to avoid compressing sensitive structures. Always adjust based on individual tolerance.
For comprehensive precautions, visit our acupressure safety guide.
As always, listen to your body and stop if discomfort arises.
Related Points & Techniques
This point is often combined with:
- LI 4 – Joining the Valley for systemic immune support
- GB 20 – Wind Pool to relieve headaches and wind invasion symptoms
- ST 36 – Three Mile Point for strengthening vitality and resilience
Complementary methods include:
- Moxibustion for warming the meridian in chronic joint pain
- Breathwork during stimulation to enhance immune modulation
- Tapping or percussion techniques to awaken surrounding tissues
Scientific Perspective
Emerging research indicates that pressure applied to the TW 5 region may influence regional nerve function and reduce inflammatory signaling. Studies using transcutaneous electrical stimulation near this point have reported measurable improvements in wrist range of motion, pain thresholds, and immune biomarkers such as interleukin levels. NIH Study