搓针泻气最为奇。气至针缠莫就移。浑如搓线悠悠转。急则缠针肉不离。
搓针者凡进退搓捻皆催其气至。以泻邪气也。如觉针下气紧。切勿就移用须以泻法。但微微动转如搓线之状。
若转之太紧。必至肉缠针头。邪气滞涩而不能除矣。
捻针指法不相同。一般在手两般功。内外转移行上下。助正驱邪疾自轻。
凡捻针时。虽一般在手。而指法不同。故功有两般也。如欲治上。则大指向外捻。外捻者。令其气向上也。如
欲治下。则大指向内捻。内捻者。令其气至下也。内捻为之补。外捻为之泻。如经络向下者。转针头逆之。则为迎
也。经络向上者。移针头顺之。则为随也。指法得宜。则正气自复。而邪气自退矣。
留针取气候沉浮出入徐徐必逗留能令荣卫纵横散。巧妙元机在指头。
留针者凡出针至于天部入针至于地部。须在皮肤肌肉间。徐徐容留令荣卫宣散方可出针入针。若出针太急。则
血随针出。反伤荣卫其巧妙元机全在指头之间也。
摇针三部皆六摇根据次推排在指梢孔穴大开无窒碍邪气退除病自消。
摇针者。如出针三部。欲泻之际。每一部摇二三摇多者不过六摇而已。以指捻针如扶人头摇之之状使孔穴开大
无有窒碍。庶邪气退除而病自愈矣。
拔针之时切莫忙。闭门存神要精详。不沉不紧求针尾。此诀须当韫锦囊。
凡针毕。拔针最要精详。不可轻率忙乱也。如欲出针。须待针下气缓不沉不紧。觉轻动滑快。方以右指捻住针
尾以左手大指按其针穴及穴外之皮令针穴门户不开神气内存然后拔针庶不致于出血。此针家要诀。须当韫于锦囊
也。
搓针泻气的方法最为奇妙。当针下得气、感觉针体被肌肉缠绕时，不要急于移动针具。这种感觉就像搓动丝线一样缓缓旋转。如果动作过急，就会导致肌肉紧紧缠绕住针头。
所谓搓针，是指在进针和退针过程中，通过搓捻的手法来催动经气到达病所，以祛除邪气。如果感觉到针下气感紧涩，千万不要直接移动针身，必须使用泻法。此时只需微微转动针具，如同搓线一般轻柔。
如果转动得太紧，必然会导致肌肉缠绕针头，致使邪气滞涩而无法清除。
捻针的指法与搓针不同。虽然都在手上操作，但功效有两种区别。通过内外转移、上下行针，可以扶助正气、驱除邪气，疾病自然减轻。
凡是进行捻针时，虽然手部姿势基本一致，但指法不同，因此功效分为两类。如果想要治疗上部病症，则用大拇指向外捻转；向外捻转，是引导经气向上运行。如果想要治疗下部病症，则用大拇指向内捻转；向内捻转，是引导经气向下运行。向内捻转属于补法，向外捻转属于泻法。如果经络走向是向下的，逆着经络方向转针头，称为“迎”（泻法）；如果经络走向是向上的，顺着经络方向移动针头，称为“随”（补法）。指法运用得当，正气自然恢复，邪气自然消退。
留针需要等待经气沉浮出入的变化，慢慢停留才能使营卫之气纵横散开。其中的巧妙玄机全在于手指的运用。
所谓留针，指出针时退至天部（浅层），进针时深入至地部（深层），使针停留在皮肤与肌肉之间。需徐徐停留，待营卫宣散后方可出针。如果出针太急，血液会随针流出，反而损伤营卫。其奥妙全在于手指的控制。
摇针在三部（天、人、地）各摇六次，根据次序推排于指梢，使孔穴大开无阻碍，邪气退除，疾病自然消除。
所谓摇针，是在出针的三部中，想要施行泻法时，每一部摇动二到三次，最多不超过六次。用手指捻动针具，如同扶着人头摇晃的样子，使穴位孔窍张大，没有阻滞，这样邪气才能退除，疾病自愈。
拔针的时候切忌匆忙。闭门存神需要精细详审。针下感觉不沉不紧，求取针尾的松动感。这个秘诀应当珍藏起来。
凡是针灸完毕，拔针最关键的是精细详审，不可轻率忙乱。如果要出针，必须等到针下气感缓和，既不沉重也不紧涩，感觉轻松、滑动、轻快时，才用右手拇指捏住针尾，用左手大拇指按压针穴及穴外的皮肤，使针穴门户关闭，神气内存，然后拔针。这样才能避免出血。这是针灸家的关键秘诀，应当珍藏于锦囊之中。
The method of rubbing the needle to drain Qi is most wondrous. When Qi arrives and the needle feels entangled, do not move it hastily. It is like slowly rotating a thread while twisting. If done too quickly, the flesh will tightly wrap around the needle head.
Rubbing the needle refers to using rubbing and twisting motions during insertion and withdrawal to urge Qi to arrive at the site, thereby draining pathogenic factors. If one feels tightness under the needle, do not shift the needle immediately; instead, apply the draining method. Gently rotate the needle as if twisting a thread.
If rotated too tightly, the flesh will inevitably wrap around the needle head, causing pathogenic Qi to stagnate and become difficult to eliminate.
The finger technique for twisting the needle differs from rubbing. Although both are performed with the hand, they yield two different effects. By shifting internally and externally, and moving up and down, one can assist healthy Qi and drive away pathogenic factors, causing the disease to lighten naturally.
When twisting the needle, although the general hand position is similar, the finger techniques differ, resulting in two distinct functions. To treat the upper body, twist outward with the thumb; outward twisting directs Qi upward. To treat the lower body, twist inward with the thumb; inward twisting directs Qi downward. Inward twisting constitutes tonification, while outward twisting constitutes drainage. If the meridian flows downward, turning the needle head against the flow is called "Ying" (meeting/draining); if the meridian flows upward, moving the needle head with the flow is called "Sui" (following/tonifying). When the finger technique is appropriate, healthy Qi recovers naturally, and pathogenic factors retreat.
Retaining the needle requires waiting for the floating and sinking, entering and exiting of Qi; lingering slowly allows Ying and Wei Qi to disperse freely. The subtle mechanism lies entirely in the fingers.
Retaining the needle means withdrawing to the Heaven level (superficial) upon extraction and inserting to the Earth level (deep) upon insertion, keeping the needle between the skin and muscle. One must linger slowly until Ying and Wei Qi disperse before extracting. If extraction is too hasty, blood may follow the needle out, damaging Ying and Wei Qi. The subtlety lies entirely in the control of the fingers.
Shaking the needle involves six shakes in each of the three levels (Heaven, Human, Earth), arranged sequentially by the fingertips, opening the acupoint widely without obstruction, so that pathogenic factors retreat and the disease heals itself.
Shaking the needle refers to shaking two to three times in each of the three levels during extraction when applying drainage, with no more than six shakes per level. Using the fingers to twist the needle as if shaking a person's head opens the acupoint widely without blockage, allowing pathogenic factors to retreat and the disease to heal.
Do not rush when extracting the needle. Closing the gate and preserving Shen requires precision and detail. Seek the sensation where the needle is neither heavy nor tight, grasping the needle handle. This secret must be kept in a brocade bag.
After acupuncture is completed, extracting the needle requires precision and care; one must not be rash or hurried. To extract, wait until the sensation under the needle is relaxed, neither heavy nor tight, feeling light, smooth, and quick. Then, use the right thumb to hold the needle handle, and press the acupoint and surrounding skin with the left thumb to close the acupoint gate and preserve internal Shen before extracting. This prevents bleeding. This is the crucial secret of acupuncturists and should be kept in a brocade bag.