凡用补泻正法。必先明晰人身偕行营卫（一）左右阴阳内外上下经脉营运之道路。
（一）男子午前 左手阴经降。从胸走手。左手阳经升。从手走头。右手阳经降。从头走
手。右手阴经升。从手走胸。右足阴经降。从胸走足。右足阳经升。从足走头。左
足阳经降。从头走足。左足阴经升。从足走胸。
（二）男子午后 右手阴经降。从胸走手。右手阳经升。从手走头。左手阳经降。从头走
手。左手阴经升。从手走胸。左足阴经降。从胸走足。左足阳经升。从足走头。右
足阳经降。从头走足。右足阴经升。从足走胸。
（三）午前泻针手法男女不同。
针男子左手足。针向内转（二）。令病患用口鼻吸气（针手用鼻吸气。针足用
口吸气）。阳日用奇数（三七九数分病轻重用之）。阴日用偶数（二六八数分病轻
重用之）。
针女子右手足。针向外转（二）。令病患用口鼻呼气（针手用鼻呼气。针足用
口呼气）。阳用奇。阴用偶（三）。
何谓阳日。甲丙戊庚壬。何谓阴日。乙丁己辛癸。
（四）午前补针手法男女不同。
针男子左手足。针向外转。令病患用口鼻呼气（针手用鼻。针足用口）。阳偶。阴奇（三）。
针女子右手足。针向内转。令病患用口鼻吸气（针手用鼻。针足用口）。阳偶。阴奇。
（五）午后泻针手法男女不同。
针男子左手足。用针女子午前泻针手法。左右虽不同。而手法针外转呼气则同。
针女子右手足。用针男子午前泻针手法。左右虽不同。而手法针内转吸气则同。
（六）午后补针手法男女不同。
针男子左手足。用针女子午前补针手法。左右虽不同。而针内转吸气则同。
针女子右手足。用针男子午前补针手法。左右虽不同。而针外转呼气则同。
（七）以上所言。乃男女子后午前午后子前之正例。即灵枢经所谓男内女外坚拒勿出谨守
勿内之正义。又云。迎而夺之者泻也。随而继之者补也。迎之随之。以意合之。针道毕矣。
（八）总其大要。男子午前。针内转吸气为泻。针外转呼气为补。男子午前。与午后相
反。女子午后。与男子午前相同。女子午前。与男子午前相反。不可不辨。
凡使用补泻的正法，必须先明晰人体营卫（运行于脉中为营，行于脉外为卫的气血）左右阴阳内外上下经脉运行的道路。
（一）男子午前：左手阴经下降，从胸走向手；左手阳经上升，从手走向头；右手阳经下降，从头走向手；右手阴经上升，从手走向胸；右足阴经下降，从胸走向足；右足阳经上升，从足走向头；左足阳经下降，从头走向足；左足阴经上升，从足走向胸。
（二）男子午后：右手阴经下降，从胸走向手；右手阳经上升，从手走向头；左手阳经下降，从头走向手；左手阴经上升，从手走向胸；左足阴经下降，从胸走向足；左足阳经上升，从足走向头；右足阳经下降，从头走向足；右足阴经上升，从足走向胸。
（三）午前泻针手法男女不同。
针刺男子左手足，针向内转（二）。令患者用口鼻吸气（刺手用鼻吸气，刺足用口吸气）。阳日用奇数（三、七、九数，根据病情轻重选用）。阴日用偶数（二、六、八数，根据病情轻重选用）。
针刺女子右手足，针向外转（二）。令患者用口鼻呼气（刺手用鼻呼气，刺足用口呼气）。阳日用奇数，阴日用偶数（三）。
何谓阳日？甲、丙、戊、庚、壬。何谓阴日？乙、丁、己、辛、癸。
（四）午前补针手法男女不同。
针刺男子左手足，针向外转。令患者用口鼻呼气（刺手用鼻，刺足用口）。阳日偶数，阴日奇数（三）。
针刺女子右手足，针向内转。令患者用口鼻吸气（刺手用鼻，刺足用口）。阳日偶数，阴日奇数。
（五）午后泻针手法男女不同。
针刺男子左手足，采用女子午前泻针的手法。虽然左右不同，但手法均为针外转呼气则相同。
针刺女子右手足，采用男子午前泻针的手法。虽然左右不同，但手法均为针内转吸气则相同。
（六）午后补针手法男女不同。
针刺男子左手足，采用女子午前补针的手法。虽然左右不同，但针内转吸气则相同。
针刺女子右手足，采用男子午前补针的手法。虽然左右不同，但针外转呼气则相同。
（七）以上所言，乃男女子时后、午前、午后、子时前的正例。即《灵枢经》所谓“男内女外，坚拒勿出，谨守勿内”的正义。又说：“迎而夺之者泻也，随而继之者补也。”迎之随之，以意合之，针道毕矣。
（八）总其大要：男子午前，针内转吸气为泻，针外转呼气为补。男子午前与午后相反。女子午后与男子午前相同。女子午前与男子午前相反。不可不辨。
The correct methods of tonification and sedation must first clearly understand the pathways of Ying and Wei (nutritive and defensive qi) circulating through the meridians of the left, right, yin, yang, interior, exterior, upper, and lower parts of the human body.
(I) For men before noon: The Yin meridians of the left hand descend, moving from the chest to the hand; the Yang meridians of the left hand ascend, moving from the hand to the head; the Yang meridians of the right hand descend, moving from the head to the hand; the Yin meridians of the right hand ascend, moving from the hand to the chest; the Yin meridians of the right foot descend, moving from the chest to the foot; the Yang meridians of the right foot ascend, moving from the foot to the head; the Yang meridians of the left foot descend, moving from the head to the foot; the Yin meridians of the left foot ascend, moving from the foot to the chest.
(II) For men after noon: The Yin meridians of the right hand descend, moving from the chest to the hand; the Yang meridians of the right hand ascend, moving from the hand to the head; the Yang meridians of the left hand descend, moving from the head to the hand; the Yin meridians of the left hand ascend, moving from the hand to the chest; the Yin meridians of the left foot descend, moving from the chest to the foot; the Yang meridians of the left foot ascend, moving from the foot to the head; the Yang meridians of the right foot descend, moving from the head to the foot; the Yin meridians of the right foot ascend, moving from the foot to the chest.
(III) The method of sedation needling before noon differs between men and women.
For men's left hand and foot, rotate the needle inward. Instruct the patient to inhale through the mouth or nose (inhale through the nose for hand needling, through the mouth for foot needling). On Yang days, use odd numbers (3, 7, 9, selected based on disease severity). On Yin days, use even numbers (2, 6, 8, selected based on disease severity).
For women's right hand and foot, rotate the needle outward. Instruct the patient to exhale through the mouth or nose (exhale through the nose for hand needling, through the mouth for foot needling). Use odd numbers on Yang days and even numbers on Yin days.
What are Yang days? Jia, Bing, Wu, Geng, Ren. What are Yin days? Yi, Ding, Ji, Xin, Gui.
(IV) The method of tonification needling before noon differs between men and women.
For men's left hand and foot, rotate the needle outward. Instruct the patient to exhale through the mouth or nose (exhale through the nose for hand, through the mouth for foot). Use even numbers on Yang days and odd numbers on Yin days.
For women's right hand and foot, rotate the needle inward. Instruct the patient to inhale through the mouth or nose (inhale through the nose for hand, through the mouth for foot). Use even numbers on Yang days and odd numbers on Yin days.
(V) The method of sedation needling after noon differs between men and women.
For men's left hand and foot, use the method of sedation needling for women before noon. Although the sides differ, the method of rotating the needle outward while exhaling is the same.
For women's right hand and foot, use the method of sedation needling for men before noon. Although the sides differ, the method of rotating the needle inward while inhaling is the same.
(VI) The method of tonification needling after noon differs between men and women.
For men's left hand and foot, use the method of tonification needling for women before noon. Although the sides differ, the method of rotating the needle inward while inhaling is the same.
For women's right hand and foot, use the method of tonification needling for men before noon. Although the sides differ, the method of rotating the needle outward while exhaling is the same.
(VII) The above describes the standard cases for men and women during the periods after Zi hour, before noon, after noon, and before Zi hour. This corresponds to the principle in the *Ling Shu* (Spiritual Pivot): "For men, inward; for women, outward. Firmly resist against exit, carefully guard against entry." It also states: "To meet and deprive is sedation; to follow and continue is tonification." Meeting and following, harmonized by intention, completes the art of needling.
(VIII) Summarizing the essentials: For men before noon, rotating the needle inward while inhaling constitutes sedation, and rotating outward while exhaling constitutes tonification. Men's before-noon method is opposite to their after-noon method. Women's after-noon method is identical to men's before-noon method. Women's before-noon method is opposite to men's before-noon method. This distinction must not be overlooked.