EXT-28 - Four Seams
四缝 - Sì Fèng
Point Region: Hand/Fingers
EXT-28, or 'Sifeng' (meaning 'Four Seams'), is a set of four extra points located on the palms of the hands. Its name refers to its ability to address issues related to the 'fingers' and 'hands,' as well as a sense of 'stiffness' or 'pain' in the hands.
As a local point, Sifeng is primarily used for issues related to the hands and fingers, such as a stiff finger, a sore hand, and a sense of 'weakness' in the hands. It is a go-to point for 'clearing heat' and 'regulating' the flow of energy in the hands and fingers. By stimulating this point, you can help to restore a sense of balance and harmony to the entire body.
Sifeng acts as a vital access point to the core of the body, providing a direct and effective way to address blockages and restore a sense of comfort and vitality to the hands and fingers. It's a reminder of the power of local points to provide targeted relief and restore a sense of comfort and vitality to the entire body.
Location & How to Find
Anatomical Location: Palmar aspect of fingers 2-5, at the PIP joint crease.
How to Locate:
- Look at the palm side of fingers 2, 3, 4, and 5 (not the thumb)
- Find the middle joint crease on each finger
- Locate the center point of each crease on the palm side
- These four crease points are EXT-28

Primary Functions
Digestive System
- Treats childhood digestive disorders
- Improves appetite and digestion
- Relieves abdominal distension
- Treats intestinal parasites
Immune & Energy System
- Boosts children's immunity
- Strengthens constitutional health
Nervous System
- Calms restless children
- Improves sleep patterns
Clinical Applications
Primary Indications
- Diarrhea
- Poor digestion
- Childhood malnutrition
- Whooping cough
- Indigestion
- Abdominal distention
- Poor appetite
- Digestive weakness
Related Health Concerns
Common Conditions:
Related Acupoints
Select a point to learn about its location, primary functions, clinical applications, and protocols.
EXT-28 Protocols
Child Digestion & Finger Flexibility (3 minutes)
- Sit with hand relaxed
- Locate 四缝 (EXT-28) — on the palmar surface, in the creases of the 2nd to 5th fingers
- Apply gentle pressure to each crease for 30 seconds
- Massage in small circles to support digestion and finger mobility
- Repeat pressure while breathing slowly