diff --git a/MANUAL.txt b/MANUAL.txt
index 4be33ae..478d36b 100644
--- a/MANUAL.txt
+++ b/MANUAL.txt
@@ -629,6 +629,8 @@ things to make it work properly:
 --
 ** use the *-include* compiler option to include the precompiled header
    (i.e., don't use *#include* in the source code to include the header); or
+** (Clang compiler) use the *-include-pch* compiler option to include
+   the PCH file generated from the precompiled header; or
 ** add the *-fpch-preprocess* compiler option when compiling.
 
 If you don't do this, either the non-precompiled version of the header file
diff --git a/ccache.c b/ccache.c
index 8b50c36..12b62a4 100644
--- a/ccache.c
+++ b/ccache.c
@@ -167,7 +167,7 @@ static bool profile_use = false;
 static bool profile_generate = false;
 
 /*
- * Whether we are using a precompiled header (either via -include or #include).
+ * Whether we are using a precompiled header (either via -include, #include or clang's -include-pch).
  */
 static bool using_precompiled_header = false;
 
@@ -1355,7 +1355,7 @@ find_compiler(char** argv)
 bool
 is_precompiled_header(const char *path)
 {
-	return str_eq(get_extension(path), ".gch");
+	return str_eq(get_extension(path), ".gch") || str_eq(get_extension(path), ".pch");
 }
 
 /*
@@ -1680,7 +1680,6 @@ cc_process_args(struct args *orig_args, struct args **preprocessor_args,
 		 */
 		if (compopt_takes_path(argv[i])) {
 			char *relpath;
-			char *pchpath;
 			if (i == argc-1) {
 				cc_log("Missing argument to %s", argv[i]);
 				stats_update(STATS_ARGS);
@@ -1693,13 +1692,27 @@ cc_process_args(struct args *orig_args, struct args **preprocessor_args,
 			args_add(stripped_args, relpath);
 
 			/* Try to be smart about detecting precompiled headers */
-			pchpath = format("%s.gch", argv[i+1]);
-			if (stat(pchpath, &st) == 0) {
-				cc_log("Detected use of precompiled header: %s", pchpath);
-				found_pch = true;
+			if (str_eq(argv[i], "-include-pch")) {
+				if (stat(argv[i+1], &st) == 0) {
+					cc_log("Detected use of precompiled header: %s", argv[i+1]);
+					found_pch = true;
+				}
+			} else {
+				char* gchpath = format("%s.gch", argv[i+1]);
+				if (stat(gchpath, &st) == 0) {
+					cc_log("Detected use of precompiled header: %s", gchpath);
+					found_pch = true;
+				} else {
+					char* pchpath = format("%s.pch", argv[i+1]);
+					if (stat(pchpath, &st) == 0) {
+						cc_log("Detected use of precompiled header: %s", pchpath);
+						found_pch = true;
+					}
+					free(pchpath);
+				}
+				free(gchpath);
 			}
 
-			free(pchpath);
 			free(relpath);
 			i++;
 			continue;
diff --git a/compopt.c b/compopt.c
index 77b57f5..908302e 100644
--- a/compopt.c
+++ b/compopt.c
@@ -61,6 +61,7 @@ static const struct compopt compopts[] = {
 	{"-imacros",        AFFECTS_CPP | TAKES_ARG | TAKES_PATH},
 	{"-imultilib",      AFFECTS_CPP | TAKES_ARG | TAKES_PATH},
 	{"-include",        AFFECTS_CPP | TAKES_ARG | TAKES_PATH},
+	{"-include-pch",    AFFECTS_CPP | TAKES_ARG | TAKES_PATH},
 	{"-install_name",   TAKES_ARG}, /* Darwin linker option */
 	{"-iprefix",        AFFECTS_CPP | TAKES_ARG | TAKES_PATH},
 	{"-iquote",         AFFECTS_CPP | TAKES_ARG | TAKES_PATH},