温针之理最为良。口内温和审穴方。毋令冷热相争抟。荣卫宣通始安详。
凡下针必先将所用之针入于口中。使针尖温热。审定穴所。方可刺下。勿令冷热相争。庶血气调和。而得安详
也。
进针理法取关机。失经失穴最不宜。阳经取陷阴经脉三思已定针自愈。
凡下针要病患神气定息数匀。医者亦如之关机。最切忌太忙。须细审经络穴所在何部分。不可轻施其针。失于
经络穴所也。如在阳部。必取筋骨间陷下之处。则不伤于筋骨。如在阴分 之内动脉相应间。则以爪重切经少待
片时。方可进针。而不伤于荣卫。又必三思已定。然后下针。病可愈矣。
部分经络要指循。只为针头不紧沉。推则行之引则止。调和血气使来临。
凡下针若气不至。用指于所属部分经络之路上下左右推而行之。引而止之往来循之。使血气上下均匀。针下自
然气至沉紧。得气即泻之意也。
摄法原因气滞经。大指爪中切莫轻以指持针待气至邪气流行针自轻。
凡摄针者。因针下邪气滞涩不行也随经络上下。用大指爪甲重切之。使正气流行。则邪气不能滞涩。而针下自
觉活动矣。
退针手法理须知。三才诀内总元机。一部六数三吸气。须臾病痛自然除。
凡退针全在手法三才之内。皆有要诀元机。不可不识。如欲退针。必须缓缓而出自地部。退至人部。再渐退至
天部。俱用少阴之六数泻之。每一部六数。须要少停。三部共行三六一十八数。令病患吸气三口。随吸随提。徐徐
退至天部。疾病自然愈矣。
温针的原理最为优良。口中含针使其温和，仔细审定穴位后方可施针。不要让冷热之气相互争斗搏结，只有营卫之气宣通流畅，患者才能安详舒适。
凡是下针，必须先将所用的针放入口中，使针尖变得温热。仔细审定穴位所在，才可以刺入。不要令冷热之气相争，这样能使血气调和，从而获得安详的效果。
进针的理法关键在于把握“关机”（指经气运行的关键时机或部位）。如果失于经络或穴位，是最不适宜的。阳经取穴应在筋骨间的凹陷处，阴经脉则需深思熟虑后定针，病即可自愈。
凡是下针，要求患者神气安定、呼吸均匀，医者也要保持同样的状态。“关机”最关键的是切忌匆忙。必须仔细审视经络和穴位所在的部位，不可轻率施针，以免失于经络穴所。如果在阳部，必须选取筋骨间凹陷的地方，这样就不会损伤筋骨。如果在阴分之内，在动脉相应之处，先用指甲重切按压经络，稍待片刻，然后方可进针，这样就不会损伤营卫。又必须经过深思熟虑并确定方案后，再下针，疾病就可以痊愈了。
部分经络需要用手指循按。这是因为针头如果不紧沉（未得气），可以通过推引手法来调节。推之可引导气行，引之可使气止，通过往来循按，调和血气，使气血上下均匀，针下自然会感到气至且沉紧。这是得气后即行泻法的意旨。
摄针的原因是因为邪气阻滞经络。在大拇指指甲中重切，切勿轻易以手指持针等待气至。当邪气流行时，针感自然变轻。
凡是摄针，是因为针下邪气滞涩不行，随经络上下流动。用大拇指指甲重切按压，使正气流行，那么邪气就不能滞涩，针下自然觉得活动灵活。
退针的手法道理必须知晓。三才诀中总括了其中的玄机。每一部行六数，配合三次吸气，须臾之间病痛自然消除。
凡是退针全在于手法，在三才（天、人、地三部）之中，都有要诀和玄机，不可不认识。如欲退针，必须缓缓地从地部退出，退至人部，再逐渐退至天部。每一部都用少阴之六数进行泻法操作。每一部行六数，都需要稍微停顿。三部共行三六一十八数，令患者吸气三口，随着吸气同时提针，徐徐退至天部，疾病自然痊愈。
The principle of warm needle therapy is excellent. The needle should be warmed in the mouth, and acupoints must be carefully examined before needling. One must prevent the conflict between cold and heat; only when Ying (Nutritive) and Wei (Defensive) Qi are freely circulating can the patient feel peaceful and comfortable.
When inserting needles, one must first place the used needle in the mouth to warm its tip. After carefully determining the acupoint location, insertion may proceed. Avoid letting cold and heat clash, so that Blood and Qi remain harmonious, resulting in a state of tranquility.
The rationale for needle insertion lies in grasping the "Guanji" (the critical mechanism or timing of Qi movement). Deviating from the meridians or acupoints is highly inadvisable. For Yang meridians, select points in the depressions between sinews and bones; for Yin meridians, after careful deliberation, the needle stabilizes the condition, leading to recovery.
During needling, the patient’s Shen (Spirit) must be calm and respiration even; the practitioner must maintain the same composure. Regarding "Guanji," haste must be strictly avoided. One must meticulously examine the location of meridians and acupoints and avoid reckless needling that misses these targets. In Yang regions, select depressions between sinews and bones to avoid injury to them. In Yin regions, where arteries correspond, use the fingernail to press firmly on the meridian line, wait briefly, then insert the needle to avoid damaging Ying and Wei Qi. Furthermore, only after thorough consideration and confirmation should the needle be inserted, ensuring the disease heals.
Meridians in specific areas require finger palpation and guiding. If the needle lacks a heavy or tight sensation (Deqi), one can guide the Qi by pushing or drawing along the meridian path. Pushing promotes flow, while drawing halts it. By moving back and forth, Blood and Qi are harmonized and balanced, causing the needle to naturally feel heavy and tight upon arrival of Qi. This implies the intention of reducing (Xie) immediately after obtaining Deqi.
The reason for manipulating ("She") the needle is due to stagnation of pathogenic Qi in the meridians. Firmly press with the thumbnail of the thumb; do not merely hold the needle waiting passively. As pathogenic Qi moves, the resistance at the needle site will naturally lessen.
Manipulating the needle addresses cases where pathogenic Qi is stagnant and sluggish within the meridians. Press firmly with the thumbnail of the thumb to promote the circulation of Zheng (Upright) Qi, preventing pathogenic Qi from stagnating, thereby making the needle feel free and active under the fingers.
The principles of needle withdrawal must be understood. The "Sancai Jue" (Three Realms Formula) contains the essential mechanisms. Perform six counts per section, coordinated with three inhalations, and the illness will naturally dissipate shortly.
Needle withdrawal relies entirely on technique within the Sancai (Heaven, Human, Earth layers). Each layer has specific keys and mechanisms that must be known. To withdraw, slowly extract from the Earth layer to the Human layer, then gradually to the Heaven layer. Apply the reduction method using the number six associated with Shaoyin (Lesser Yin) for each layer. Pause slightly after every six counts. Across all three layers, perform a total of eighteen counts (3 x 6). Instruct the patient to take three deep breaths, lifting the needle slightly with each inhalation. Withdraw slowly to the Heaven layer, and the disease will naturally heal.