宏纲陈氏曰∶取穴既正，左手大指掐其穴，右手置针于穴上，令患人咳嗽一声，随咳内
针至分寸，候数穴针毕，停少时，用右手大指及食指持针，细细动摇，进退搓捻其针，如手
颤之状，谓之催气。约行五六次，觉针下气紧，却用泻法如针左边，用右手大指、食指持针
，以大指向前，食指向后，以针头轻提往左转。如有数针，俱根据此法。俱转毕，仍用右手大
指、食指持针，却用食指连搓三下（谓之飞）。仍轻提往左转，略退针半分许，谓之三飞一退
。根据此法行至五六次，觉针下沉紧，是气至极矣。再轻提往左转一二次，如针右边，以左手
大指、食指持针，以大指向前，食指向后，根据前法连搓三下，轻提针头向右转，是针右边泻
法。欲出针时，令病患咳嗽一声，随咳出针，此之谓泻法也。
凡人有疾，皆邪气所凑，虽病患瘦弱，不可专行补法。经曰∶邪之所凑，其气必虚。如
患赤目等疾，明见其为邪热所致，可专行泻法。其余诸疾，只宜平补平泻，须先泻后补，谓
之先泻邪气，后补真气，此乃先师不传之秘诀也。如人有疾，根据前用手法催气取气，泻之既
毕，却行补法，令病患吸气一口，随吸转针。如针左边，捻针头转向右边，以我之右手大指
、食指持针，以食指向前，大指向后，仍捻针深入一二分，使真气深入肌肉之分。如针右
边
分。如有数穴，根据此法行之。既毕，停少时，却用手指于针头上，轻弹三下，如此三次，仍用
我左手大指、食指持针，以大指连搓三下（谓之飞）。将针深进一二分，以针头向左边，
谓之一进三飞。根据此法行至五六次，觉针下沉紧，或针下气热，
是气至足矣。令病患吸气一口，随吸出针，急以手按其穴，此谓之补法也。
凡针背腹两边穴，分阴阳经补泻。针男子背上中行，左转为补，右转为泻。腹上中行，
右转为补，左转为泻。女人背中行，右转为补，左转为泻。腹中行，左转为补，右转为泻。
盖男子背阳腹阴，女子背阴腹阳，故也。
宏纲陈氏说：选取穴位既已准确，用左手大拇指掐按在穴位上，右手将针置于穴位之上，让患者咳嗽一声，随着咳嗽的声音进针至规定的深度。等候几个穴位都针刺完毕后，暂停片刻，用右手的大拇指和食指持针，细细地摇动、进退、搓捻针体，就像手颤抖的样子，这叫做“催气”。大约操作五六次后，感觉到针下气感紧束，接着使用泻法。例如针刺左侧时，用右手大拇指和食指持针，大拇指向前推，食指向后拉，将针头轻轻提起并向左转。如果有多个穴位，都依据这个方法操作。全部旋转完毕后，仍用右手大拇指和食指持针，再用食指连续搓动三下（这叫做“飞”）。然后轻轻提起针头向左转，略微退针约半分许，这叫做“三飞一退”。依据此法操作五六次后，感觉针下沉紧，这是气机达到极盛的表现。再轻轻提起针头向左转一两次。如果是针刺右侧，则用左手大拇指和食指持针，大拇指向前，食指向后，依据前面的方法连续搓动三下，轻轻提起针头向右转，这就是针刺右侧的泻法。准备出针时，让患者咳嗽一声，随着咳嗽声出针，这就叫做泻法。
大凡人有疾病，都是邪气聚集所致，虽然病人身体瘦弱，也不能专门施行补法。医经说：“邪气所聚集的地方，正气必然虚弱。”如果患赤眼等疾病，明确看见是由邪热引起的，可以专门施行泻法。其余各种疾病，只适宜平补平泻，必须先泻后补，这叫做先泻除邪气，后补益真气，这是先师不轻易传授的秘诀。如果人有疾病，依据前面所述的手法来催气、取气，泻法完成后，接着施行补法。让患者吸一口气，随着吸气转动针体。如针刺左侧，将针头转向右边，用我的右手大拇指、食指持针，食指向前，大拇指向后，继续捻针深入一二分，使真气深入肌肉之间。如针刺右侧……（原文此处有缺漏或排版错误，根据上下文逻辑推断为类似操作）如有多个穴位，依据此法操作。操作完毕后，暂停片刻，然后用手指在针头上轻弹三下，如此重复三次，仍用我左手大拇指、食指持针，大拇指连续搓动三下（这叫做“飞”）。将针深进一二分，针头向左边，这叫做“一进三飞”。依据此法操作五六次后，感觉针下沉紧，或者针下感觉气热，这是气至充足的表现。让患者吸一口气，随着吸气出针，迅速用手按压穴位，这叫做补法。
凡是针刺背部和腹部两侧的穴位，要区分阴阳经的补泻。针刺男子背部中线，左转为补，右转为泻。腹部中线，右转为补，左转为泻。女子背部中线，右转为补，左转为泻。腹部中线，左转为补，右转为泻。这是因为男子背为阳腹为阴，女子背为阴腹为阳的缘故。
Master Honggang Chen said: Once the acupoints are selected accurately, use the thumb of the left hand to press on the point. Place the needle on the acupoint with the right hand. Ask the patient to cough once; upon the sound of the cough, insert the needle to the specified depth. After all designated points have been needled, pause for a moment. Hold the needle with the thumb and index finger of the right hand, gently shaking, advancing, retreating, and twirling the needle, resembling the trembling of a hand. This is called "Cui Qi" (Urging the Arrival of Qi). Perform this approximately five or six times until a tight sensation of Qi is felt under the needle. Then apply the reducing method. For example, when needling the left side, hold the needle with the thumb and index finger of the right hand, push the thumb forward and pull the index finger backward, gently lifting the needle head and turning it to the left. If multiple points are involved, follow this method for all. After rotation is complete, still holding the needle with the thumb and index finger of the right hand, use the index finger to rub the needle handle three consecutive times (this is called "Fei" or Flying). Then gently lift the needle head and turn it to the left, slightly withdrawing the needle by about half a cun, which is called "San Fei Yi Tui" (Three Flies and One Withdrawal). Following this method for five or six times, if a heavy and tight sensation is felt under the needle, it indicates that Qi has reached its peak. Gently lift the needle head and turn it to the left one or two more times. When needling the right side, hold the needle with the thumb and index finger of the left hand, push the thumb forward and pull the index finger backward. Follow the previous method: rub three times consecutively, then gently lift the needle head and turn it to the right. This constitutes the reducing method for the right side. To withdraw the needle, ask the patient to cough once; withdraw the needle simultaneously with the cough. This is defined as the reducing method.
Generally, human diseases are caused by the gathering of pathogenic factors. Even if the patient is emaciated and weak, one should not exclusively apply tonifying methods. The Classics state: "Where pathogenic factors gather, Qi must be deficient." If suffering from conditions such as red eyes, where it is clearly evident that they are caused by pathogenic heat, one may exclusively apply the reducing method. For other diseases, only balanced tonification and reduction are suitable. One must reduce first and then tonify, meaning first eliminating pathogenic factors and then supplementing true Qi. This is the secret technique passed down by the ancient masters but not easily revealed. If a person is ill, after using the aforementioned manual techniques to urge and obtain Qi, and completing the reducing method, proceed with the tonifying method. Ask the patient to take a deep breath in; rotate the needle during inhalation. When needling the left side, turn the needle head to the right. Hold the needle with the thumb and index finger of the right hand, index finger forward, thumb backward. Continue twirling the needle to deepen insertion by one or two fen, allowing True Qi to penetrate deeply into the muscle layers. [Text gap in original source] If multiple points are needled, follow this method. Upon completion, pause briefly. Then, lightly tap the needle head three times with a finger, repeating this three times. Still holding the needle with the thumb and index finger of the left hand, rub the needle handle three consecutive times with the thumb (called "Fei"). Advance the needle deeper by one or two fen, directing the needle head to the left. This is called "Yi Jin San Fei" (One Advance and Three Flies). Following this method for five or six times, if a heavy, tight sensation or warmth under the needle is felt, it indicates that Qi arrival is sufficient. Ask the patient to inhale, and withdraw the needle during inhalation. Immediately press the acupoint with the hand. This is defined as the tonifying method.
When needling acupoints on both sides of the back and abdomen, distinguish between Yin and Yang meridians for tonification and reduction. For men, needling the midline of the back: left rotation is tonification, right rotation is reduction. On the midline of the abdomen: right rotation is tonification, left rotation is reduction. For women, needling the midline of the back: right rotation is tonification, left rotation is reduction. On the midline of the abdomen: left rotation is tonification, right rotation is reduction. This is because, for men, the back is Yang and the abdomen is Yin, whereas for women, the back is Yin and the abdomen is Yang.