（十二字分次第手法及歌）
一爪切者∶凡下针，用左手大指爪甲，重切其针之穴，令气血宣散，然后下针，不伤于
荣卫也。
取穴先将爪切深，须教毋外慕其心，致令荣卫无伤碍，医者方堪入妙针。
二指持者∶凡下针，以右手持针，于穴上着力旋插，直至腠理，吸气三口，提于天部，
根据前口气，徐徐而用。正谓持针者手如握虎，势若擒龙，心无他慕，若待贵人之说也。
持针之士要心雄，势如握虎与擒龙，欲识机关三部奥，须将此理再推穷。
三口温者∶凡下针，入口中必须温热，方可与刺，使血气调和，冷热不相争斗也。
温针一理最为良，口内调和纳穴场，毋令冷热相争搏，荣卫宣通始得祥。
四进针者∶凡下针，要病患神气定，息数匀，医者亦如之，切不可太忙。又须审穴在何
部分，如在阳部，必取筋骨之间陷下为真；如在阴分， 之内，动脉相应，以爪重切
经络，少待方可下手。
进针理法取关机，失经失穴岂堪施，阳经取陷阴经脉，三思已定再思之。
五指循者∶凡下针，若气不至，用指于所属部分经络之路，上下左右循之，使气血往来
，上下均匀，针下自然气至沉紧，得气即泻之故也。
循其部分理何明，只为针头不紧沉，推则行之引则止，调和血气两来临。
六爪摄者∶凡下针，如针下邪气滞涩不行者，随经络上下，用大指爪甲切之，其气自通
摄法应知气滞经，须令爪切勿交轻，上下通行随经络，故教学人要穷精。
七针退者∶凡退针，必在六阴之数，分明三部之用，斟酌不可不诚心着意，混乱差讹，
以泻为补，以补为泻，欲退之际，一部一部以针缓缓而退也。
退针手法理谁知，三才诀内总玄机，一部六阴三气吸，须臾疾病愈如飞。
八指搓者∶凡转针如搓线之状，勿转太紧，随其气而用之。若转太紧，令人肉缠针，则
有大痛之患。若气滞涩，即以第六摄法切之，方可施也。
搓针泄气最为奇，气至针缠莫急移，浑如搓线攸攸转，急转缠针肉不离。
九指捻者∶凡下针之际，治上大指向外捻，治下大指向内捻。外捻者，令气向上而治病
；内捻者，令气至下而治病。如出至人部，内捻者为之补，转针头向病所，令取真气以至病
所。如出至人部，外捻者为之泻，转针头向病所，令侠邪气退至针下出也。此乃针中之秘旨
捻针指法不相同，一般在手两般穷，内外转移行上下，邪气逢之疾岂容。
十指留者∶如出针至于天部之际，须在皮肤之间留一豆许，少时方出针也。
留针取气候沉浮，出容一豆入容侔，致令荣卫纵横散，巧妙玄机在指头。
十一针摇者∶凡出针三部，欲泻之际，每一部摇一次，计六摇而已。以指捻针，如扶人
头摇之状，庶使孔穴开大也。
摇针三部六摇之，根据次推排指上施，孔穴大开无窒碍，致令邪气出如飞。
十二指拔者∶凡持针欲出之时，待针下气缓不沉紧，便觉轻滑，用指捻针，如拔虎尾之
拔针一法最为良，浮沉涩滑任推详，势犹取虎身中尾，此诀谁知蕴锦囊。
总歌曰∶针法玄机口诀多，手法虽多亦不过，切穴持针温口内，进针循摄退针搓，指捻
泻气针留豆，摇令穴大拔如梭，医师穴法叮咛说，记此便为十二歌。
口诀 烧山火，能除寒，三进一退热涌涌，鼻吸气一口，呵五口。
烧山之火能除寒，一退三飞病自安，始是五分终一寸，三番出入慢提看。
凡用针之时，须拈运入五分之中，行九阳之数，其一寸者，即先浅后深也。若得气，便
行运针之道。运者男左女右，渐渐运入一寸之内，三出三入，慢提紧按，若觉针头沉紧，其
针插之时，热气复生，冷气自除；未效，根据前再施也。
四肢似水最难禁，憎寒不住便来临，医师运起烧山火，患人时下得安宁。
口诀 透天凉，能除热，三退一进冷冰冰，口吸气一口，鼻出五口。
凡用针时，进一寸内，行六阴之数，其五分者，即先深后浅也。若得气，便退而伸之，
退至五分之中，三入三出，紧提慢按，觉针头沉紧，徐徐举之，则凉气自生，热病自除；
如不效，根据前法再施。
一身浑似火来烧，不住之时热上潮，若能加入清凉法，须臾热毒自然消。
口诀 阳中隐阴，能治先寒后热，浅而深。
阳中隐个阴，先寒后热人，五分阳九数，一寸六阴行。
凡用针之时，先运入五分，乃行九阳之数，如觉微热，便运一寸之内，却行六阴之数，
以得气，此乃阳中隐阴，可治先寒后热之症，先补后泻也。
先寒后热身如疟，医师不晓实和弱，叮咛针要阴阳刺，祛除寒热免灾恶。
口诀 阴中隐阳，能治先热后寒，深而浅。
凡用针之时，先运一寸，乃行六阴之数，如觉病微凉，即退至五分之中，却行九阳之数
，以得气，此乃阴中隐阳，可治先热后寒之症，先泻后补也。
先热后寒如疟疾，先阴后阳号通天，针师运起云雨泽，荣卫调和病自痊。
补者直须热至，泻者直待寒侵，犹如搓线，慢慢转针，法在浅则当浅，法在深则当深，
二者不可兼而紊乱也。
口诀 留气法，能破气，伸九提六。
留气运针先七分，纯阳得气十分深，伸时用九提时六， 瘕消溶气块匀。
凡用针之时，先运入七分之中，行纯阳之数，若得气，便深刺一寸中，微伸提之，却退
至原处；若未得气，根据前法再行，可治 瘕气块之疾。
癖 瘕疾宜休，却在医师志意求，指头手法为留气，身除疾痛再无忧。
口诀 运气法，能泻，先直后卧。
运气用纯阴，气来便倒针，令人吸五口，疼痛病除根。
凡用针之时，先行纯阴之数，若觉针下气满，便倒其针，令患人吸气五口，使针力至病
所，此乃运气之法，可治疼痛之病。
运气行针好用工，遍身疼痛忽无踪，此法密传堪济世，论金宜值万千钟。
口诀 提气法，提气从阴微拈提，冷麻之症一时除。
凡用针之时，先从阴数，以觉气至，微拈轻提其针，使针下经络气聚，可治冷麻之症。
提气从阴六数同，堪除顽痹有奇功，欲知奥妙先师诀，取次机关一掌中。
口诀 中气法，能除积，先直后卧，泻之。
凡用针之时，先行运气之法，或阳或阴，便卧其针，向外至痛疼，立起其针，不与内气
中气须知运气同，一般造化两般功，手中运气叮咛使，妙理玄机起疲癃。
若关节阻涩，气不通者，以龙虎大段之法，通经接气，驱而运之，仍以循摄切摩，无
不应矣。又按扪摩屈伸，导引之法而行。
口诀 苍龙摆尾手法，补。
苍龙摆尾行关节，回拨将针慢慢扶，一似江中舡上舵，周身遍体气流普。
或用补法而就得气，则纯补；补法而未得气，则用泻，此亦人之活变也。
凡欲下针之时，飞气至关节去处，便使回拨者，将针慢慢扶之，如舡之舵，左右随其气
而拨之，其气自然交感，左右慢慢拨动，周身遍体，夺流不失其所矣。
苍龙摆尾气交流，气血夺来遍体周，任君体有千般症，一插须教疾病休。
口诀 赤凤摇头手法，泻。
凡下针得气，如要使之上，须关其下，要下须关其上，连连进针，从辰至巳，退针，
从巳至午，拨左而左点，拨右而右点，其实只在左右动，似手摇铃，退方进圆，兼之左右摇
针似舡中之橹，犹如赤凤摇头，辨别迎随逆顺，不可违理胡求。
口诀 龙虎交战手法，三部俱一补一泻。
龙虎交争战，虎龙左右施，阴阳互相隐，九六住疼时。
凡用针时，先行左龙则左拈，凡得九数，阳奇零也。却行右虎则右拈，凡得六数，阴偶
对也。乃先龙后虎而战之，以得气补之，故阳中隐阴，阴中隐阳，左捻九而右捻六，是亦住
痛之针，乃得返复之道，号曰龙虎交战，以得邪尽，方知其所，此乃进退阴阳也。
青龙左转九阳宫，白虎右旋六阴通，返复玄机随法取，消息阴阳九六中。
口诀 龙虎升降手法。
凡用针之法，先以右手大指向前拈之，入穴后，以左手大指向前捻，经络得气行，转其
针向左向右，引起阳气，按而提之，其气自行，如气未满，更根据前法再施。
龙虎升腾捻妙法，气行上下合交迁，根据师口诀分明说，目下教君疾病痊。
口诀 五脏交经。
五脏交经须气溢，候他气血散宣时，苍龙摆尾东西拨，定穴五行君记之。
凡下针之时，气行至溢，须要候气血宣散，乃施苍龙左右拨之可也。
五行定穴分经络，如船解缆自通亨，必在针头分造化，须交气血自纵横。
口诀 通关交经。通关交经、苍龙摆尾、赤凤摇头，补泻得理。
先用苍龙摆尾，后用赤
凤摇头，运入关节之中，后以补则用补中手法，泻则用泻中手法，使气于其经便交。
先用苍龙来摆尾，后用赤凤以摇头，再行上下八指法，关节宣通气自流。
口诀 膈角交经。膈角交经，相克相生。
凡用针之时，欲得气相生相克者，或先补后泻，或先泻后补，随其疾之虚实，病之寒热
，其邪气自泻除，真气自补生。
膈角要相生，水火在君能，有症直任取，无病手中行，仰卧须停稳，法得气调均，飞经
疗入角，便是一提金。
口诀 关节交经。关节交经，气至关节，立起针来，施中气法。
凡下针之时，走气至关节去处，立起针，与施中气法纳之可也。
关节交经莫大功，必令气走纳经中，手法运之三五度，须知其气自然通。
口诀 子午补泻总歌。
补则须弹针，爪甲切宜轻，泻时甚切忌，休交疾再侵。
凡用针者，若刺针时，先用口温针，次用左手压穴，其下针之处，弹而努之，爪而下之
，扪而循之，通而取之，却令病患咳嗽一声，右手持针而刺之，春夏二十四息，秋冬三十六
息，徐出徐入，气来如动脉之状，针下微紧，留待气至后，宜用补泻之法若前也。
动与摇一例，其中不一般，动为补之气，摇为泻即安。
口诀 子午捣臼法，水蛊膈气。
子午捣臼，上下针行，九入六出，左右不停。
且如下针之时，调气得均，以针行上下，九入六出，左右转之不已，必按阴阳之道，其
子午捣臼是神机，九入六出会者稀，万病自然合大数，要教患者笑嘻嘻。
口诀 子午前后交经换气歌。
子后要知寒与热，左转为补右为泻，提针为热插针寒，女人反此要分别；午后要知寒与
热，右转为补左为泻，顺则为左逆为右，此是神仙真妙诀。
口诀 子午补泻歌。
每日午前皮上揭，有似滚汤煎冷雪，若要寒时皮内寻，不枉教君皮破裂。阴阳返复怎生
知？虚实辨别临时诀，针头如弩似发机，等闲休与非人说。
口诀 子午倾针。
子午倾针，要识脉经，病在何脏，补泻法行。
凡欲下针之时，先取六指之诀，须知经络，病在何脏，用针根据前补泻，出入内外，如有
不应者何也？答曰∶一日之内，有阴有阳，有阳中隐阴，有阴中隐阳，有日为阳，夜为阴，
子一刻一阳生，午一刻一阴生，从子至午，故曰∶子午之法也。
左转为男补之气，右转却为泻之记，女人反此不为真，此是阴阳补泻义。热病不瘥泻之
须，冷病缠身补是奇，哮吼气来为补泻，气不至时莫急施。
补∶随其经脉纳而按之，左手闭针穴，徐出针而疾按之。泻∶迎其经脉动而伸之，左
手开针穴，疾出针而徐入之。经曰∶随而济之，是为之补。迎而夺之，是为之泻。《素问》
云∶刺实须其虚者，留针待阴气至，乃去针也。刺虚须其实者，留针待阳气备，乃去针也。
口诀
十二经络之病，欲针之时，实则泻之，虚则补之，热则疾之，寒则留之，陷则灸之
，不虚不实，以经取之。经云∶虚则补其母而不足，实则泻其子而有余，当先补而后泻。假
令人气在足太阳膀胱经，虚则补其阳，所出为井，属金，下针得气，随而济之，右手取针，
徐出而疾扪之，是谓补也。实则泻其阳所注为俞，属木，下针得气，迎而夺之，左手开针穴
，疾出针而徐扪之，是谓之泻也。
脏腑阴阳，呼吸内外，捻针补泻手法。
外拈随呼补脏虚，吸来里转泻实肥，六腑病加颠倒用，但根据呼吸病还除。女人补虚呵内
转，吸来外转泻实肥，根据经三度调病气，但令呼吸莫令疏。
男子补虚呵外转\r图\pG-G106.bmp\r，吸来内转泻
实肥\r图\pG-G105.bmp\r，女人补虚呵内转\r图\pG-G105.bmp\r，吸来外转泻实肥\r图\pG-G106.bmp\r。
进火∶补。初进针一分，呼气一口，退三退，进三进，令病患鼻中吸气，口中呼气三次
，把针摇动，自然热矣。如不应，根据前导引。
进水∶泻。初进针一分，吸气一口，进三进，退三退，令病患鼻中出气，口中吸气三次
，把针摇动，自然冷矣。如不应，根据前导引之；再不应，根据生成息数，按所病脏腑之数，自
下手八法口诀
揣∶揣而寻之。凡点穴，以手揣摸其处，在阳部筋骨之侧，陷者为真。在阴部
之间，动脉相应。其肉浓薄，或伸或屈，或平或直，以法取之，按而正之，以大指爪切掐其
（十二字分次第手法及歌）
一、爪切：凡下针时，用左手大拇指的指甲，用力按压针刺的穴位，使气血宣散，然后再下针，以免损伤营卫。
取穴时先将指甲深按，必须教导患者心无旁骛，致使营卫不受伤害，医者才能施展精妙的针法。
二、指持：凡下针时，用右手持针，在穴位上着力旋转插入，直至腠理，吸气三口，将针提至天部，根据之前的口气，徐徐施用。正所谓持针的手如同握住猛虎，气势如同擒拿蛟龙，心中没有杂念，就像等待贵人一样庄重。
持针的人要心胸雄壮，气势如握虎与擒龙，想要了解机关三部（天、人、地）的奥妙，必须将此理再次推究穷尽。
三、口温：凡下针时，必须将针放入口中温热，才可以进行刺入，使血气调和，冷热不相争斗。
温针的道理最为良善，口中调和后纳入穴位，不要让冷热相互争搏，营卫宣通顺畅才得吉祥。
四、进针：凡下针时，要使病患神气安定，呼吸均匀，医者也要如此，切不可太匆忙。又须审察穴位在何部分，如在阳部，必取筋骨之间凹陷处为真；如在阴分，[此处原文缺失“肌肉”或类似字样，依文意补全理解]之内，动脉相应，用指甲重切经络，稍待片刻方可下手。
进针的理法在于把握关键，失经失穴岂能施治，阳经取陷落处，阴经脉需细思，三思已定再深思。
五、指循：凡下针时，如果气不至，用手指在所属部分的经络路径上，上下左右循按，使气血往来，上下均匀，针下自然感到气至沉紧，这是得气后即泻的缘故。
循按其部分道理为何明了？只因为针头不紧沉，推则行之引则止，调和血气两者来临。
六、爪摄：凡下针时，如果针下邪气滞涩不行，随经络上下，用大拇指指甲切按，其气自然通畅。
摄法应当知道气滞于经，必须令指甲切按不要过轻，上下通行随经络，所以教学者要穷究精微。
七、针退：凡退针时，必须在六阴之数，分明三部（天、人、地）的作用，斟酌不可不诚心着意，混乱差讹，以泻为补，以补为泻。欲退之际，一部一部将针缓缓退出。
退针的手法道理谁知晓，三才诀内总含玄机，一部六阴三气吸，片刻疾病痊愈如飞。
八、指搓：凡转针如同搓线之状，勿转得太紧，随其气而用之。若转得太紧，令人肉缠绕针，则有大痛之患。若气滞涩，即以第六种“摄”法切按，方可施行。
搓针泄气最为奇妙，气至针缠莫急移，浑如搓线悠悠转，急转缠针肉不离。
九、指捻：凡下针之际，治上部病证大指向外捻，治下部病证大指向内捻。外捻者，令气向上而行治病；内捻者，令气至下而行治病。如出至人部，内捻者为补，转针头向病所，令取真气以至病所。如出至人部，外捻者为泻，转针头向病所，令挟持邪气退至针下出也。此乃针中的秘旨。
捻针指法不相同，一般在手两般穷，内外转移行上下，邪气逢之疾岂容。
十、指留：如出针至于天部之际，须在皮肤之间留一豆许大小，稍待片刻方出针。
留针取气候沉浮，出容一豆入容侔，致使营卫纵横散，巧妙玄机在指头。
十一、针摇：凡出针三部，欲泻之际，每一部摇一次，计六摇而已。以指捻针，如同扶人头摇之状，庶使孔穴开大。
摇针三部六摇之，根据次推排指上施，孔穴大开无窒碍，致使邪气出如飞。
十二、指拔：凡持针欲出之时，待针下气缓不沉紧，便觉轻滑，用指捻针，如同拔虎尾之势。
拔针一法最为良善，浮沉涩滑任推详，势犹取虎身中尾，此诀谁知蕴锦囊。
总歌曰：针法玄机口诀多，手法虽多亦不过，切穴持针温口内，进针循摄退针搓，指捻泻气针留豆，摇令穴大拔如梭，医师穴法叮咛说，记此便为十二歌。
口诀 烧山火，能除寒，三进一退热涌涌，鼻吸气一口，呵五口。
烧山之火能除寒，一退三飞病自安，始是五分终一寸，三番出入慢提看。
凡用针之时，须拈运入五分之中，行九阳之数，其一寸者，即先浅后深也。若得气，便行运针之道。运者男左女右，渐渐运入一寸之内，三出三入，慢提紧按，若觉针头沉紧，其针插之时，热气复生，冷气自除；未效，根据前再施也。
四肢似水最难禁，憎寒不住便来临，医师运起烧山火，患人时下得安宁。
口诀 透天凉，能除热，三退一进冷冰冰，口吸气一口，鼻出五口。
凡用针时，进一寸内，行六阴之数，其五分者，即先深后浅也。若得气，便退而伸之，退至五分之中，三入三出，紧提慢按，觉针头沉紧，徐徐举之，则凉气自生，热病自除；如不效，根据前法再施。
一身浑似火来烧，不住之时热上潮，若能加入清凉法，须臾热毒自然消。
口诀 阳中隐阴，能治先寒后热，浅而深。
阳中隐个阴，先寒后热人，五分阳九数，一寸六阴行。
凡用针之时，先运入五分，乃行九阳之数，如觉微热，便运一寸之内，却行六阴之数，以得气，此乃阳中隐阴，可治先寒后热之症，先补后泻也。
先寒后热身如疟，医师不晓实和弱，叮咛针要阴阳刺，祛除寒热免灾恶。
口诀 阴中隐阳，能治先热后寒，深而浅。
凡用针之时，先运一寸，乃行六阴之数，如觉病微凉，即退至五分之中，却行九阳之数，以得气，此乃阴中隐阳，可治先热后寒之症，先泻后补也。
先热后寒如疟疾，先阴后阳号通天，针师运起云雨泽，荣卫调和病自痊。
补者直须热至，泻者直待寒侵，犹如搓线，慢慢转针，法在浅则当浅，法在深则当深，二者不可兼而紊乱也。
口诀 留气法，能破气，伸九提六。
留气运针先七分，纯阳得气十分深，伸时用九提时六，瘕消溶气块匀。
凡用针之时，先运入七分之中，行纯阳之数，若得气，便深刺一寸中，微伸提之，却退至原处；若未得气，根据前法再行，可治瘕气块之疾。
癖瘕疾宜休，却在医师志意求，指头手法为留气，身除疾痛再无忧。
口诀 运气法，能泻，先直后卧。
运气用纯阴，气来便倒针，令人吸五口，疼痛病除根。
凡用针之时，先行纯阴之数，若觉针下气满，便倒其针，令患人吸气五口，使针力至病所，此乃运气之法，可治疼痛之病。
运气行针好用工，遍身疼痛忽无踪，此法密传堪济世，论金宜值万千钟。
口诀 提气法，提气从阴微拈提，冷麻之症一时除。
凡用针之时，先从阴数，以觉气至，微拈轻提其针，使针下经络气聚，可治冷麻之症。
提气从阴六数同，堪除顽痹有奇功，欲知奥妙先师诀，取次机关一掌中。
口诀 中气法，能除积，先直后卧，泻之。
凡用针之时，先行运气之法，或阳或阴，便卧其针，向外至痛疼，立起其针，不与内气
中气须知运气同，一般造化两般功，手中运气叮咛使，妙理玄机起疲癃。
若关节阻涩，气不通者，以龙虎大段之法，通经接气，驱而运之，仍以循摄切摩，无不应矣。又按扪摩屈伸，导引之法而行。
口诀 苍龙摆尾手法，补。
苍龙摆尾行关节，回拨将针慢慢扶，一似江中舡上舵，周身遍体气流普。
或用补法而就得气，则纯补；补法而未得气，则用泻，此亦人之活变也。
凡欲下针之时，飞气至关节去处，便使回拨者，将针慢慢扶之，如舡之舵，左右随其气而拨之，其气自然交感，左右慢慢拨动，周身遍体，夺流不失其所矣。
苍龙摆尾气交流，气血夺来遍体周，任君体有千般症，一插须教疾病休。
口诀 赤凤摇头手法，泻。
凡下针得气，如要使之上，须关其下，要下须关其上，连连进针，从辰至巳，退针，从巳至午，拨左而左点，拨右而右点，其实只在左右动，似手摇铃，退方进圆，兼之左右摇针似舡中之橹，犹如赤凤摇头，辨别迎随逆顺，不可违理胡求。
口诀 龙虎交战手法，三部俱一补一泻。
龙虎交争战，虎龙左右施，阴阳互相隐，九六住疼时。
凡用针时，先行左龙则左拈，凡得九数，阳奇零也。却行右虎则右拈，凡得六数，阴偶对也。乃先龙后虎而战之，以得气补之，故阳中隐阴，阴中隐阳，左捻九而右捻六，是亦住痛之针，乃得返复之道，号曰龙虎交战，以得邪尽，方知其所，此乃进退阴阳也。
青龙左转九阳宫，白虎右旋六阴通，返复玄机随法取，消息阴阳九六中。
口诀 龙虎升降手法。
凡用针之法，先以右手大指向前拈之，入穴后，以左手大指向前捻，经络得气行，转其针向左向右，引起阳气，按而提之，其气自行，如气未满，更根据前法再施。
龙虎升腾捻妙法，气行上下合交迁，根据师口诀分明说，目下教君疾病痊。
口诀 五脏交经。
五脏交经须气溢，候他气血散宣时，苍龙摆尾东西拨，定穴五行君记之。
凡下针之时，气行至溢，须要候气血宣散，乃施苍龙左右拨之可也。
五行定穴分经络，如船解缆自通亨，必在针头分造化，须交气血自纵横。
口诀 通关交经。通关交经、苍龙摆尾、赤凤摇头，补泻得理。
先用苍龙摆尾，后用赤凤摇头，运入关节之中，后以补则用补中手法，泻则用泻中手法，使气于其经便交。
先用苍龙来摆尾，后用赤凤以摇头，再行上下八指法，关节宣通气自流。
口诀 膈角交经。膈角交经，相克相生。
凡用针之时，欲得气相生相克者，或先补后泻，或先泻后补，随其疾之虚实，病之寒热，其邪气自泻除，真气自补生。
膈角要相生，水火在君能，有症直任取，无病手中行，仰卧须停稳，法得气调均，飞经疗入角，便是一提金。
口诀 关节交经。关节交经，气至关节，立起针来，施中气法。
凡下针之时，走气至关节去处，立起针，与施中气法纳之可也。
关节交经莫大功，必令气走纳经中，手法运之三五度，须知其气自然通。
口诀 子午补泻总歌。
补则须弹针，爪甲切宜轻，泻时甚切忌，休交疾再侵。
凡用针者，若刺针时，先用口温针，次用左手压穴，其下针之处，弹而努之，爪而下之，扪而循之，通而取之，却令病患咳嗽一声，右手持针而刺之，春夏二十四息，秋冬三十六息，徐出徐入，气来如动脉之状，针下微紧，留待气至后，宜用补泻之法若前也。
动与摇一例，其中不一般，动为补之气，摇为泻即安。
口诀 子午捣臼法，水蛊膈气。
子午捣臼，上下针行，九入六出，左右不停。
且如下针之时，调气得均，以针行上下，九入六出，左右转之不已，必按阴阳之道，其子午捣臼是神机，九入六出会者稀，万病自然合大数，要教患者笑嘻嘻。
口诀 子午前后交经换气歌。
子后要知寒与热，左转为补右为泻，提针为热插针寒，女人反此要分别；午后要知寒与热，右转为补左为泻，顺则为左逆为右，此是神仙真妙诀。
口诀 子午补泻歌。
每日午前皮上揭，有似滚汤煎冷雪，若要寒时皮内寻，不枉教君皮破裂。阴阳返复怎生知？虚实辨别临时诀，针头如弩似发机，等闲休与非人说。
口诀 子午倾针。
子午倾针，要识脉经，病在何脏，补泻法行。
凡欲下针之时，先取六指之诀，须知经络，病在何脏，用针根据前补泻，出入内外，如有不应者何也？答曰∶一日之内，有阴有阳，有阳中隐阴，有阴中隐阳，有日为阳，夜为阴，子一刻一阳生，午一刻一阴生，从子至午，故曰∶子午之法也。
左转为男补之气，右转却为泻之记，女人反此不为真，此是阴阳补泻义。热病不瘥泻之须，冷病缠身补是奇，哮吼气来为补泻，气不至时莫急施。
补∶随其经脉纳而按之，左手闭针穴，徐出针而疾按之。泻∶迎其经脉动而伸之，左手开针穴，疾出针而徐入之。经曰∶随而济之，是为之补。迎而夺之，是为之泻。《素问》云∶刺实须其虚者，留针待阴气至，乃去针也。刺虚须其实者，留针待阳气备，乃去针也。
口诀
十二经络之病，欲针之时，实则泻之，虚则补之，热则疾之，寒则留之，陷则灸之，不虚不实，以经取之。经云∶虚则补其母而不足，实则泻其子而有余，当先补而后泻。假令人气在足太阳膀胱经，虚则补其阳，所出为井，属金，下针得气，随而济之，右手取针，徐出而疾扪之，是谓补也。实则泻其阳所注为俞，属木，下针得气，迎而夺之，左手开针穴，疾出针而徐扪之，是谓之泻也。
脏腑阴阳，呼吸内外，捻针补泻手法。
外拈随呼补脏虚，吸来里转泻实肥，六腑病加颠倒用，但根据呼吸病还除。女人补虚呵内转，吸来外转泻实肥，根据经三度调病气，但令呼吸莫令疏。
男子补虚呵外转，吸来内转泻实肥，女人补虚呵内转，吸来外转泻实肥。
进火∶补。初进针一分，呼气一口，退三退，进三进，令病患鼻中吸气，口中呼气三次，把针摇动，自然热矣。如不应，根据前导引。
进水∶泻。初进针一分，吸气一口，进三进，退三退，令病患鼻中出气，口中吸气三次，把针摇动，自然冷矣。如不应，根据前导引之；再不应，根据生成息数，按所病脏腑之数，自下手
八法口诀
揣∶揣而寻之。凡点穴，以手揣摸其处，在阳部筋骨之侧，陷者为真。在阴部之间，动脉相应。其肉浓薄，或伸或屈，或平或直，以法取之，按而正之，以大指爪切掐其
(Hand Techniques in Twelve Steps and Song)
1. Nail Press: When inserting the needle, use the nail of the left thumb to press firmly on the acupuncture point, dispersing the Qi and Blood, then insert the needle to avoid damaging Ying (Nutritive) Wei (Defensive).
When selecting the point, press deeply with the nail; instruct the patient to keep their mind focused so that Ying and Wei are not harmed, allowing the practitioner to perform exquisite needling.
2. Finger Hold: When inserting the needle, hold it with the right hand, applying force to rotate and insert into the point until reaching the interstices (Cou Li). Take three breaths, lift the needle to the Heaven level, and proceed slowly based on the previous breath. As stated, holding the needle should be like grasping a tiger or capturing a dragon, with a focused mind, as if awaiting a noble person.
The holder must have a bold spirit, with momentum like grasping a tiger and capturing a dragon. To understand the mysteries of the three levels (Heaven, Man, Earth), one must thoroughly investigate this principle.
3. Mouth Warming: When inserting the needle, it must be warmed in the mouth before insertion to harmonize Qi and Blood, preventing conflict between cold and heat.
The principle of warming the needle is excellent; harmonize it in the mouth before inserting into the point. Do not allow cold and heat to contend; only when Ying and Wei flow freely is auspiciousness achieved.
4. Needle Advancement: When inserting the needle, ensure the patient’s Shen (Spirit) is calm and breathing is even; the practitioner must also remain calm and not rush. Examine which part the point belongs to: if in Yang parts, select the depression between sinews and bones; if in Yin parts, [text missing, implied muscle/flesh], where arterial pulse corresponds. Press the meridians heavily with the nail and wait a moment before proceeding.
The method of advancement lies in grasping the key mechanism; treating points off the meridian is futile. For Yang meridians, select depressions; for Yin meridians, think carefully and reconsider.
5. Finger Circling: If Qi does not arrive upon insertion, use fingers to circle along the meridian path of the relevant area, up and down, left and right, to circulate Qi and Blood evenly. The needle will naturally feel heavy and tight as Qi arrives; this is the reason for draining after obtaining De Qi.
Why is circling effective? Because the needle head is not yet heavy or tight. Pushing moves it, pulling stops it; harmonizing Blood and Qi brings them together.
6. Nail Pinching: If evil Qi stagnates and the needle feels obstructed, pinch along the meridian up and down with the thumb nail to unblock the Qi.
One must know that pinching addresses meridian stagnation; do not press too lightly with the nail. Follow the meridian up and down to ensure free flow; thus, students must pursue precision.
7. Needle Withdrawal: When withdrawing the needle, count in even numbers (Yin), clearly distinguishing the functions of the three levels. Be sincere and careful to avoid confusion between tonification and drainage. Withdraw the needle slowly, section by section.
Who knows the logic of withdrawal techniques? The Three Powers formula contains the mystery: six Yin counts per section, three inhalations; diseases can heal swiftly.
8. Finger Rubbing: Rotate the needle as if rubbing a thread, but not too tightly; follow the Qi. If rotated too tightly, flesh may wrap around the needle, causing severe pain. If Qi is stagnant, apply the sixth technique (Nail Pinching) first.
Rubbing the needle to drain Qi is miraculous; do not move quickly if the needle is wrapped by flesh. Rotate gently like rubbing a thread; rapid rotation causes flesh adherence.
9. Finger Twisting: When inserting, twist outward with the left thumb for upper body conditions, and inward for lower body conditions. Outward twisting directs Qi upward to treat disease; inward twisting directs Qi downward. If withdrawn to the Man level, inward twisting is tonification, directing the needle head toward the pathology to draw true Qi there. At the Man level, outward twisting is drainage, directing the needle head toward the pathology to expel evil Qi. This is a secret principle of needling.
Twisting techniques differ; though performed with the same hand, internal and external twists move Qi up and down, leaving no room for evil pathogens.
10. Finger Retention: When withdrawing to the Heaven level, leave the needle tip slightly under the skin (the size of a bean) for a moment before complete removal.
Retention allows monitoring of Qi floating and sinking; exit leaves space for a bean, entry matches it, causing Ying and Wei to scatter纵横 (crisscross); the subtle mystery lies in the fingertips.
11. Needle Shaking: When withdrawing through the three levels for drainage, shake once per level, totaling six shakes. Twist the needle with fingers as if shaking a person's head, to open the acupoint widely.
Shake the needle through three levels, six times total, applied sequentially via fingers. The acupoint opens wide without obstruction, allowing evil Qi to exit rapidly.
12. Finger Pulling: When preparing to withdraw, wait until the sensation under the needle becomes light and slippery rather than heavy and tight. Use fingers to twist and pull the needle as if pulling a tiger's tail.
Pulling is an excellent method; observe floating, sinking, rough, and smooth sensations. The momentum resembles pulling a tiger's tail; who knows this secret hidden in the brocade bag?
General Song: Many secrets and formulas exist in needling; despite many techniques, they boil down to these: pressing points, holding needles, warming in mouth, advancing, circling, pinching, withdrawing, rubbing, twisting, retaining, shaking to open points, and pulling like a shuttle. Physicians must emphasize these methods; memorize these twelve songs.
Formula: Burning Mountain Fire removes cold; three advances, one retreat, heat surges. Inhale once through nose, exhale five times ("He" sound).
Burning Mountain Fire dispels cold; one retreat, three flights bring peace. Start at five fen, end at one cun; three entries and exits, slow lifting.
When using the needle, manipulate into the five-fen depth, performing nine Yang counts. One cun implies shallow to deep. If De Qi is obtained, proceed with manipulation. For men, rotate left; for women, right. Gradually move to one cun, three exits and three entries, slow lift, firm press. If the needle feels heavy and tight, heat generates, cold dissipates. If ineffective, repeat.
Limbs are hard to control like water; aversion to cold comes constantly. Physician activates Burning Mountain Fire, patient finds peace immediately.
Formula: Penetrating Heaven Coolness removes heat; three retreats, one advance, ice-cold cool. Inhale once through mouth, exhale five times through nose.
When needling, advance to one cun, perform six Yin counts. Five fen implies deep to shallow. If De Qi is obtained, retreat and extend. Retreat to five fen, three entries and three exits, firm lift, slow press. If needle feels heavy and tight, slowly lift to generate coolness, removing heat. If ineffective, repeat.
Body burns like fire; heat rises uncontrollably. Add cooling method, and heat toxins vanish instantly.
Formula: Yang Hiding Yin treats initial chills followed by fever; shallow to deep.
Yang hides Yin; patient has initial chills then fever. Five fen uses nine Yang counts; one cun uses six Yin counts.
When needling, first manipulate to five fen, perform nine Yang counts. If slight heat is felt, move to one cun, perform six Yin counts to obtain De Qi. This is Yang Hiding Yin, treating initial chills then fever, tonifying first then draining.
Initial chills then fever resemble malaria; physicians must distinguish excess and deficiency. Heed the advice to use Yin-Yang needling to remove cold and heat disasters.
Formula: Yin Hiding Yang treats initial fever followed by chills; deep to shallow.
When needling, first manipulate to one cun, perform six Yin counts. If slight coolness is felt, retreat to five fen, perform nine Yang counts to obtain De Qi. This is Yin Hiding Yang, treating initial fever then chills, draining first then tonifying.
Initial fever then chills resemble malaria; Yin then Yang is called "Through Heaven." Physician activates cloud and rain methods, harmonizing Ying and Wei for recovery.
Tonification requires heat arrival; drainage requires cold invasion. Like rubbing thread, turn needle slowly. Method depends on shallow or deep; do not mix them.
Formula: Retaining Qi Method breaks Qi stagnation; extend nine, lift six.
Retain Qi by manipulating to seven fen, pure Yang obtains Qi at ten fen depth. Extend using nine, lift using six; masses and Qi lumps dissolve.
When needling, manipulate to seven fen, perform pure Yang counts. If De Qi is obtained, deepen to one cun, slightly extend and lift, then return to original position. If no De Qi, repeat. Treats abdominal masses.
Abdominal masses should cease; rely on physician's intent. Fingertip technique is Retaining Qi; body is relieved of pain.
Formula: Moving Qi Method drains; initially straight then horizontal.
Moving Qi uses pure Yin; when Qi arrives, invert the needle. Patient inhales five times; pain root is removed.
When needling, perform pure Yin counts first. If fullness under needle is felt, invert the needle. Patient inhales five times to drive needle force to pathology. This is Moving Qi method, treating pain.
Moving Qi needling is skillful; widespread pain vanishes suddenly. This secret method saves lives, worth thousands of gold.
Formula: Lifting Qi Method lifts Qi from Yin with slight lifting; eliminates cold and numbness instantly.
When needling, start with Yin counts. When Qi arrives, slightly lift the needle to gather Qi in meridians under the needle. Treats cold and numbness.
Lifting Qi follows Yin six counts; effective for stubborn bi syndrome. Know the master's secret; mechanisms are in your palm.
Formula: Middle Qi Method removes accumulation; initially straight then horizontal, draining.
When needling, first use Moving Qi method, either Yang or Yin, then lay the needle horizontally. If pain occurs, raise the needle vertically, not engaging internal Qi.
Middle Qi shares logic with Moving Qi; same creation, different function. Carefully use qi movement in hand; subtle principles revive fatigue and edema.
If joints are blocked and Qi does not flow, use Dragon and Tiger major methods to connect meridians and drive Qi. Also use circling, pinching, rubbing, and massage; all respond. Perform pressing, palpating, rubbing, flexing, extending, and guiding.
Formula: Green Dragon Wagging Tail Technique, Tonification.
Green Dragon wags tail at joints; gently guide the needle back and forth. Like a rudder on a boat in the river, Qi flows universally throughout the body.
If tonification yields De Qi, purely tonify; if not, use drainage. This is flexibility.
When inserting, fly Qi to joints. Guide the needle back and forth like a rudder, following Qi left and right. Qi interacts naturally; moving slowly left and right distributes Qi throughout the body without loss.
Green Dragon wagging circulates Qi; Blood and Qi spread throughout. No matter how many symptoms, one insertion cures the disease.
Formula: Red Phoenix Nodding Head Technique, Drainage.
After obtaining De Qi, if directing Qi upward, block below; if downward, block above. Advance continuously from Chen to Si hours, withdraw from Si to Wu hours. Point left by tilting left, point right by tilting right. It is merely left-right movement, like shaking a bell. Withdraw square, advance round. Combined with left-right shaking like an oar, resembling Red Phoenix nodding head. Distinguish welcoming, following, opposing, and conforming; do not act against principles.
Formula: Dragon and Tiger Fighting Technique, one tonification and one drainage in each of the three levels.
Dragon and Tiger fight; apply left and right. Yin and Yang hide mutually; nine and six stop pain.
When needling, first perform Left Dragon (left twist) nine times (odd/Yang number). Then perform Right Tiger (right twist) six times (even/Yin number). Fight Dragon then Tiger to obtain De Qi and tonify. Thus, Yang hides Yin, Yin hides Yang. Left twist nine, right twist six; this stops pain, following the way of repetition. Called Dragon and Tiger Fighting, exhausting evil to find its source; this is advancing and retreating Yin and Yang.
Blue Dragon turns left in Nine Yang Palace; White Tiger rotates right through Six Yin. Repetitive mystery follows method; manage Yin and Yang within Nine and Six.
Formula: Dragon and Tiger Rising and Falling Technique.
Needling method: First, right thumb presses forward. After entering, left thumb twists forward. When meridian Qi moves, rotate needle left and right to raise Yang Qi, press and lift. Qi moves on its own. If Qi is insufficient, repeat.
Dragon and Tiger rising twisting is wonderful; Qi moves up and down combining. Following master's clear instructions, cure diseases now.
Formula: Five Zang Meridian Crossing.
Five Zang crossing requires Qi overflow. Wait for Qi and Blood to disperse and circulate. Apply Green Dragon Wagging Tail east and west; remember Five Elements fixed points.
When inserting, when Qi overflows, wait for dispersion, then apply Green Dragon left-right waving.
Five Elements fixed points divide meridians; like untangling a ship's cable, it flows smoothly. Creation divides at the needle head; Qi and Blood must cross and crisscross.
Formula: Pass-Opening Meridian Crossing. Pass-opening, Green Dragon Wagging Tail, Red Phoenix Nodding Head; tonification and drainage are logical.
First use Green Dragon Wagging Tail, then Red Phoenix Nodding Head. Manipulate into joints. Then use tonification techniques for tonification, drainage techniques for drainage, allowing Qi to cross in its meridian.
First Green Dragon wags tail, then Red Phoenix nods head. Again apply eight finger techniques up and down; joints open, Qi flows freely.
Formula: Diaphragm-Horn Meridian Crossing. Diaphragm-Horn crossing involves mutual generation and restriction.
When needling, to achieve mutual generation/restriction of Qi, or tonify then drain, or drain then tonify, follow the deficiency/excess of disease and cold/heat. Evil Qi drains away, true Qi generates.
Diaphragm-Horn requires generation; Water and Fire depend on you. Take points directly for symptoms; practice hands when healthy. Lie supine steadily; method ensures balanced Qi. Flying meridians enter horns; one lift is worth gold.
Formula: Joint Meridian Crossing. Joint crossing: when Qi reaches joint, raise needle and apply Middle Qi method.
When needling, if Qi travels to joints, raise the needle and apply Middle Qi method to store it.
Joint crossing is great merit; ensure Qi enters meridians. Manipulate techniques three to five times; Qi naturally flows.
Formula: Zi-Wu Tonification and Drainage General Song.
Tonification requires tapping needle; nail press should be light. Drainage is strictly forbidden; do not let disease invade again.
When needling, warm needle in mouth first. Press point with left hand. Tap and distend at insertion site, press with nail, palpate and circle, open and take. Ask patient to cough once. Insert with right hand. Spring/Summer: 24 breaths; Autumn/Winter: 36 breaths. Slow exit, slow entry. Qi arrives like arterial pulse, needle slightly tight. Wait for Qi arrival, then use tonification/drainage as before.
Movement and shaking seem similar but differ; movement is Qi for tonification, shaking is for drainage peace.
Formula: Zi-Wu Pestle Method, Water Distension and Diaphragmatic Qi.
Zi-Wu Pestle: needle moves up and down; nine entries, six exits, left and right non-stop.
When inserting, balance Qi. Move needle up and down, nine entries, six exits, rotating left and right endlessly. Follow Yin-Yang principles. Zi-Wu Pestle is divine mechanism; few know nine entries and six exits. Ten thousand diseases fit the great number; make patient smile.
Formula: Zi-Wu Front-Back Meridian Crossing and Qi Exchange Song.
After Zi hour, know cold and heat: left turn is tonification, right is drainage; lifting needle brings heat, inserting brings cold. Women reverse this. After Wu hour, know cold and heat: right turn is tonification, left is drainage; clockwise is left, counter-clockwise is right. This is immortal secret.
Formula: Zi-Wu Tonification and Drainage Song.
Peel skin before noon like boiling soup melting snow. To seek cold, look inside skin; don't hurt skin in vain. How to know Yin-Yang reversal? Differentiate deficiency/excess temporarily. Needle head like crossbow trigger; do not share casually.
Formula: Zi-Wu Inclining Needle.
Zi-Wu Inclining Needle: know Pulse Classic, which Zang organ is diseased, apply tonification/drainage.
When inserting, take six-finger rules, know meridians, identify diseased Zang. Use previous tonification/drainage, enter/exit inside/outside. Why might it fail? Answer: Within a day, there is Yin and Yang, Yang hiding Yin, Yin hiding Yang. Day is Yang, Night is Yin. One quarter past Zi, one Yang is born; one quarter past Wu, one Yin is born. From Zi to Wu, hence Zi-Wu method.
Left turn is male tonification Qi; right turn is female drainage record. Women reversing this is not true; this is Yin-Yang tonification/drainage meaning. Heat disease not cured requires drainage; cold disease纏身 (entangling body) benefits from tonification. Asthma/wheezing Qi determines tonification/drainage; do not rush if Qi does not arrive.
Tonification: Follow meridian, insert and press. Close point with left hand, exit slowly, press quickly. Drainage: Oppose meridian movement, extend. Open point with left hand, exit quickly, enter slowly. Classics say: Following and assisting is tonification. Opposing and seizing is drainage. Su Wen says: For excess, retain needle until Yin Qi arrives to empty it. For deficiency, retain needle until Yang Qi prepares to fill it.
Formula
For diseases of twelve meridians, when needling: excess drain, deficiency tonify, heat hasten, cold retain, sinking moxa, neither excess nor deficiency treat via meridian. Classics say: Tonify mother for deficiency, drain son for excess. Tonify first, then drain. Example: Lung Qi in Foot Taiyang Bladder Meridian. Deficiency tonifies Yang; emerging Jing point belongs to Metal. Obtain De Qi, follow and assist. Right hand takes needle, exit slowly, press quickly; this is tonification. Excess drains Yang; flowing Shu point belongs to Wood. Obtain De Qi, oppose and seize. Left hand opens point, exit quickly, enter slowly; this is drainage.
Zang-Fu Yin-Yang, Respiration Inside-Out, Twisting Needle Tonification/Drainage Techniques.
External twist following exhalation tonifies Zang deficiency; internal turning during inhalation drains excess fat. Six Fu diseases reverse usage; just follow respiration to cure. Women tonify deficiency by "He" sound internal turn; inhalation external turn drains excess. Follow meridian three times to adjust Qi; do not neglect respiration.
Men tonify deficiency by "He" sound external turn; inhalation internal turn drains excess. Women tonify deficiency by "He" sound internal turn; inhalation external turn drains excess.
Fire Advancement: Tonification. Initial advance one fen, exhale once. Retreat three, advance three. Patient inhales nose, exhales mouth three times. Shake needle; naturally hot. If ineffective, follow previous guidance.
Water Advancement: Drainage. Initial advance one fen, inhale once. Advance three, retreat three. Patient exhales nose, inhales mouth three times. Shake needle; naturally cold. If ineffective, follow previous guidance; if still ineffective, follow generating/resting breath counts, according to diseased Zang-Fu numbers, starting from hand techniques.
Eight Methods Formula
Palpation: Palpate to seek. When marking points, palpate with hand. In Yang parts beside sinews/bones, depression is true. In Yin parts, corresponding arterial pulse. Flesh thickness, extension/flexion, flat/straight, select by method, press and correct, cut with thumb nail.