神针曰∶气浮皮起多少，不可上，用升阳法。如有浮无滑可提，急弹数次可升阳。气滑
针出多少，可用升阳法。有滑无浮，先按提搓之，战，出针。气涩，捻针。
气来、又不来、又来，针上有粘皮，出针。在上气沉，针皮起有HT 无HT ，此法用搓按。
气紧，补、泻、提、按、刮、搜俱紧，可用升阳法。气细微，气细微中紧边松，可以又用气上、
气下。来气、不来，用一遭补泻。或来，或不来，用弹，弹加搓摄。气两边行，可按。气逆
之，伸提有力。
气上下，用搓数次，按一次，提搓次按一次，提一次，又搓数次，战、按、微补一次，
按定出针，搓搓刮七次，循三次。战、提气行，按、泻得吸呼。海底发火烧天急，天边水火就中
温，轻轻拨动此而个，却似船家把舵执。
人皮老硬属木，沉涩细微属阳，西方金也。
针滑，气不至，属太阴，北方水也。
不紧不慢，气即至，属太阳，南方火也。
气实涩，属少阳，东方木也。
皮硬肉稀，气微不至，金能克木也，水能克火，必是死症也。
肉紧硬，属脾土，乃五行相生也。
但有相克，便定生死，余月日时大凶也。
皮浮肉紧，气即至，重针宝休也。
女人皮肉俱紧，必当双产也，即是男儿也。皮浮肉紧，定当单子也。皮肉俱稀，是女儿
之形也。
神针法指出：如果气感仅在皮肤表面浮起，不可进针过深，应使用升阳法。如果脉象浮而不滑，可以提针，快速弹击针柄数次以激发阳气上升。如果脉象滑而针感明显，出针时可配合使用升阳法。如果只有滑象没有浮象，先按压、上提并搓动针柄，待出现“得气”时的震颤感后，再出针。如果气感涩滞，则捻转针柄。如果气感时来时去，针下有粘滞感，此时出针。如果病位在上部且气感沉陷，针刺至皮下有波动感（HT指代某种特定的针下感应或节奏，此处保留原意）而无其他变化，此情况应用搓法和按法。如果气感紧张，无论是补法、泻法、提法、按法、刮法还是搜法，只要感觉紧，都可以使用升阳法。如果气感细微，在细微之中边紧边松，可以再次运用引导气机上下的方法。如果气感来或不来，使用一次补泻手法。如果气感时有时无，使用弹法，弹法结合搓法和摄法。如果气感向两侧运行，可以进行按压。如果气感逆乱，用力伸展并上提针体。
对于气感上下流动的情况，先搓动数次，按压一次；接着提针、搓针，再按压一次；再提针一次；又搓动数次；出现震颤感后，进行轻微的补法并配合按压；固定按压后出针；随后搓、刮七次，循经导引三次。当气行伴随震颤和提针动作时，按压并施以泻法，需配合患者的呼吸节奏（吸气时操作）。海底穴如火烧天般急迫，天边水火交融于中焦而温和，轻轻拨动这个部位，就像船家把舵一样掌握方向。
人的皮肤老硬属于木性，脉象沉涩细微属于阳，对应西方的金。
针下感觉滑利，但气感未至，属于太阴，对应北方的水。
不紧不慢，气感随即到达，属于太阳，对应南方的火。
气实而涩，属于少阳，对应东方的木。
皮肤坚硬而肌肉稀疏，气感微弱不到，这是金克木的表现；若水克火，必定是死症。
肌肉紧硬，属于脾土，这是五行相生的表现。
只要有相克的现象，就能断定生死，其余年月日时都为大凶之兆。
皮肤浮软而肌肉紧实，气感随即到达，这是重针之宝，应当休止（或指病情好转/治疗得当）。
女性皮肤肌肉都紧实，必定会生双胞胎，即使是男孩也是双生；皮肤浮软肌肉紧实，必定生单胎；皮肤肌肉都稀疏，是女儿的形状。
The Divine Needle states: If the qi sensation floats on the skin surface, do not insert the needle deeply; use the Yang-Raising Method (Sheng Yang Fa). If the pulse is floating but not slippery, lift the needle and rapidly flick the handle several times to raise yang qi. If the pulse is slippery and the needle sensation is prominent, the Yang-Raising Method can be used upon withdrawal. If there is slipperiness without floating, first press, lift, and twirl the needle; when a trembling sensation (De Qi) occurs, withdraw the needle. If the qi sensation is astringent, twirl the needle. If the qi comes and goes, with a sticky sensation under the needle, withdraw it. If the pathology is in the upper body and the qi sensation is sinking, with a fluctuating sensation at the subcutaneous level but no other changes, apply the Twirling (Cuo) and Pressing (An) methods. If the qi sensation is tense, whether using Tonification (Bu), Sedation (Xie), Lifting, Pressing, Scraping, or Searching methods, if the tension persists, the Yang-Raising Method can be employed. If the qi sensation is subtle, alternating between tightness and looseness within its subtlety, one may again employ methods to guide qi up or down. If the qi comes or does not come, perform one cycle of tonification and sedation. If the qi arrival is intermittent, use flicking combined with twirling and grasping. If the qi moves to both sides, apply pressure. If the qi flows counter-currently, extend and lift the needle with force.
For qi moving up and down, twirl several times, then press once; lift and twirl, then press once; lift once again; twirl several more times; upon trembling, apply mild tonification while pressing; fix the pressure and withdraw the needle; then twirl and scrape seven times, and follow the meridian three times. When qi movement accompanies trembling and lifting, press and apply sedation, coordinating with the patient's respiration (inhaling). The fire from the Haidi point burns heavenward urgently, while water and fire blend warmly in the center; gently manipulate this area, much like a boatman holding the rudder.
Human skin that is old and hard belongs to Wood; a pulse that is deep, astringent, and subtle belongs to Yang, corresponding to Metal in the West.
If the needle feels slippery but qi has not arrived, it belongs to Taiyin, corresponding to Water in the North.
If neither tight nor slow, and qi arrives immediately, it belongs to Taiyang, corresponding to Fire in the South.
If qi is excess and astringent, it belongs to Shaoyang, corresponding to Wood in the East.
If the skin is hard and flesh sparse, with qi sensation weak and unarrived, this indicates Metal overcoming Wood; if Water overcomes Fire, it is certainly a fatal case.
If the muscle is tight and hard, it belongs to Spleen Earth, indicating the generation cycle of the Five Elements.
However, if there is overcoming (clashing), life and death are determined; all other months, days, and hours indicate great misfortune.
If the skin is floating/soft and the flesh is tight, and qi arrives immediately, this is the precious state of heavy needling, suggesting rest or resolution.
If a woman's skin and flesh are both tight, she will definitely give birth to twins, even if they are male; if the skin is soft and flesh tight, she will definitely give birth to a single child; if both skin and flesh are sparse, it indicates the form of a daughter.