气上之法补三次,即提七次在针头,若行气血加循理,麻痛消除不用忧。
气下泻四即按七,针头气下在循行,痛麻自愈同前理,荣卫冲原气自平。
气上不行左转三,循循七次摄急弹,再加提摄专摄上,气自流行病自安。
气下不行右转三,循循七次不摄弹,再加七按摄七次,战战按三气下安。
升阳即便搓数遭,搓加循理数回饶,急提三次须加补,加用伸提阳自交。
升阴即按要加伸,提连搓搓急按之,更使针头频下战,搓摩泻使疾如飞。
虚循十次买不来,三寸七捻又七循,再加三捻循七次,病者难医必丧身。
实循不用要循循,即补三次气在针,一补即紧为邪气,三补七循是为饮。
补七循环气多虚,微微轻手取轻提,轻提一补多按战,再用按战气行施。
即补七次七循环,取为正气要伸提,一补即紧为邪气,搜刮泻弹去其非。
补十循十气不来,按按不摩取气开,三四十人要提按,五十人人针按裁。男人出血按者
少,女人行阴按多循。记得虚按真奇妙,气上升阳一理回。
针紧不按使气邪,不出针松用按多,要得气微微加战,十按不逆阴阳和。
虚人不用虚弹法,若使虚弹阴气松,虚弹诸病皆无取,急按战战气自通。
实人气涩用七弹,刮刮搓摩又急弹,急弹二补买气至,气上气下取调安。
虚人有热不须搓,搓搓多热病不和。冷者多搓数十次,连取急按要搓多。虚人泻多有法
按,冷者搓搓取热摩。多计二法冷热取,气上气下定无讹。
气上之法补三次,即提七次在针头,若行气血加循理,麻痛消除不用忧。
治疗气机上逆的方法:先施补法三次,随即在针尖处提插七次;如果为了推动气血运行,则增加循按的手法,这样麻木和疼痛的症状就会消除,无需担忧。
气下泻四即按七,针头气下在循行,痛麻自愈同前理,荣卫冲原气自平。
治疗气机下陷的方法:先施泻法四次,随即按压七次;通过循按使针下之气下行,疼痛和麻木会自然痊愈,道理与前述相同,营卫之气及冲脉元气自然平和。
气上不行左转三,循循七次摄急弹,再加提摄专摄上,气自流行病自安。
如果气机上逆但未能顺利上行(或指气滞于上不得宣通):向左旋转三圈,接着进行七次循按并配合紧急的弹针动作;再加上提插和摄纳的手法专门引导气机上行,气机自然流通,疾病得以安宁。
气下不行右转三,循循七次不摄弹,再加七按摄七次,战战按三气下安。
如果气机下陷但未能顺利下行(或指气滞于下不得降泄):向右旋转三圈,接着进行七次循按但不配合弹针;再加上七次按压和七次摄纳,以及颤抖式的按压三次,气机自然下行而安定。
升阳即便搓数遭,搓加循理数回饶,急提三次须加补,加用伸提阳自交。
提升阳气时,即使多次使用搓法,也要结合循按手法反复操作;紧急提插三次必须配合补法,加上伸展和提插的动作,阳气自然交会贯通。
升阴即按要加伸,提连搓搓急按之,更使针头频下战,搓摩泻使疾如飞。
提升阴气时,按压的同时要加入伸展动作,提插连着搓法并紧急按压;还要使针头频繁地向下颤抖,通过搓摩和泻法使病情迅速好转。
虚循十次买不来,三寸七捻又七循,再加三捻循七次,病者难医必丧身。
对于虚证患者,单纯循按十次往往难以得气(“买不来”喻指难以获取正气);应在进针三寸后,先捻转七次再循按七次,然后再捻转三次、循按七次,否则病人难以治愈,甚至危及生命。
实循不用要循循,即补三次气在针,一补即紧为邪气,三补七循是为饮。
实证不需要过度循按,但要持续循按;随即施补法三次,使气留于针下;如果一施补法针下即感到紧涩,这是邪气的表现;经过三次补法和七次循按,则是针对痰饮等病理产物的处理。
补七循环气多虚,微微轻手取轻提,轻提一补多按战,再用按战气行施。
补法七次、循环操作后,气多显虚弱;此时应用轻微的手法,轻轻提插;一次轻提配合补法,随后多采用按压和颤抖的手法,以此推动气机运行。
即补七次七循环,取为正气要伸提,一补即紧为邪气,搜刮泻弹去其非。
立即施补法七次并进行七次循环操作,目的是获取正气,这需要伸展和提插的手法;如果一施补法针下即紧,那是邪气,需用刮法、泻法和弹法来去除邪气。
补十循十气不来,按按不摩取气开,三四十人要提按,五十人人针按裁。
补法十次、循按十次后气仍不至,应只按压而不搓摩以开启气机;对于体质较弱(三四十岁或泛指一般人群)的人,需要提插和按压并用;对于年老体弱者(五十岁以上),针刺时要谨慎控制按压的力度。男人出血按者少,女人行阴按多循。记得虚按真奇妙,气上升阳一理回。
男性出血症状者,按压较少而侧重其他;女性调理阴经时,按压较多而侧重循按。记住对于虚证使用按压法确实奇妙,能使上升的气机和阳气回归本位。
针紧不按使气邪,不出针松用按多,要得气微微加战,十按不逆阴阳和。
如果针下感觉紧涩却不按压,会使气机变为邪气;出针前若感觉松弛,应多用按压法;要想得气,需微微加入颤抖手法;经过十次按压而不违背规律,阴阳即可调和。
虚人不用虚弹法,若使虚弹阴气松,虚弹诸病皆无取,急按战战气自通。
虚证患者不宜使用虚性弹法(此处指不当的弹法导致正气耗散),如果使用会导致阴气松懈;虚证使用弹法治疗各种疾病都无效,应紧急按压并配合颤抖手法,气机自然通畅。
实人气涩用七弹,刮刮搓摩又急弹,急弹二补买气至,气上气下取调安。
实证患者气机涩滞时,使用七次弹法,配合刮法、搓摩和紧急弹法;紧急弹法两次配合补法以获取正气,从而调节气机的升降,使其恢复平衡安宁。
虚人有热不须搓,搓搓多热病不和。冷者多搓数十次,连取急按要搓多。虚人泻多有法按,冷者搓搓取热摩。多计二法冷热取,气上气下定无讹。
虚证伴有发热者,不需要搓法,因为搓法会助热导致病情不和;寒证患者应多搓数十次,连续取穴并紧急按压,同时要多用搓法。虚证腹泻有特定的按压方法,寒证患者通过搓摩来获取温热感。综合考量这两种方法以应对冷热病症,调节气机升降定不会有差错。
The method for ascending Qi: Apply tonification three times, then perform seven lifting-and-thrusting movements at the needle tip. If the goal is to promote the circulation of Qi and Blood, add rubbing (Xun) techniques; this will eliminate numbness and pain without worry.
The method for descending Qi: Apply sedation four times, then press seven times. Through rubbing (Xun), the Qi descends; pain and numbness resolve naturally following the same principle as above, allowing Ying-Wei Qi and the Yuan Qi of the Chong vessel to return to peace.
If ascending Qi fails to move upward: Rotate the needle counter-clockwise three times, followed by seven cycles of rubbing (Xun) combined with urgent flicking (Tan). Add lifting and grasping techniques specifically to guide Qi upward; Qi will circulate freely, and the disease will subside.
If descending Qi fails to move downward: Rotate the needle clockwise three times, followed by seven cycles of rubbing (Xun) without flicking. Add seven presses and seven grasping motions, along with trembling presses three times; Qi will descend and stabilize.
To raise Yang Qi: Even if rubbing (Cuo) is performed multiple times, it must be combined with rubbing (Xun) techniques repeatedly. Urgent lifting three times requires tonification; adding extension and lifting allows Yang Qi to intersect and flow.
To raise Yin Qi: Pressing must be combined with extension. Lifting connected with rubbing and urgent pressing should be used. Additionally, make the needle tip tremble frequently downwards; rubbing and sedation will cause the illness to flee rapidly.
For deficiency patterns, ten cycles of rubbing (Xun) may fail to elicit Qi ("buy" implies obtaining/eliciting). After inserting the needle three cun, twist seven times and rub seven times; then twist three times and rub seven times. Otherwise, the patient is difficult to treat and may perish.
For excess patterns, excessive rubbing is not needed, but continuous rubbing is required. Immediately apply tonification three times so Qi remains at the needle. If tightness occurs immediately upon tonification, it indicates pathogenic Qi; three tonifications and seven rubs address fluid retention (Yin).
After seven tonifications and circular operations, Qi often appears deficient. Use very light hands to take a light lift. One light lift with tonification, followed by frequent pressing and trembling, promotes Qi movement.
Immediately tonify seven times and perform seven circular operations. To obtain Correct Qi (Zheng Qi), extension and lifting are required. If tightness occurs immediately upon tonification, it is pathogenic Qi; use scraping, sedation, and flicking to remove it.
If after ten tonifications and ten rubs Qi still does not arrive, press without rubbing to open the Qi mechanism. For people aged thirty to forty, lifting and pressing are necessary; for those over fifty, needle manipulation must be carefully controlled regarding pressing. Men with bleeding symptoms require less pressing; women regulating Yin channels require more pressing and rubbing. Remember that pressing for deficiency is truly miraculous, returning ascending Qi and Yang to their proper state.
If the needle feels tight but no pressing is applied, Qi becomes pathogenic. If the needle feels loose before withdrawal, apply more pressing. To elicit Qi, add slight trembling. Ten presses without contradiction harmonize Yin and Yang.
Deficient patients should not use deficient flicking methods. If deficient flicking is used, Yin Qi becomes loose. Flicking is ineffective for various diseases in deficiency patterns; urgent pressing and trembling allow Qi to flow freely.
In excess patterns with stagnant Qi, use seven flicks. Combine scraping, rubbing, and urgent flicking. Two urgent flicks with tonification elicit Qi, adjusting the ascent and descent of Qi to restore balance.
Deficient patients with heat do not need rubbing; excessive rubbing increases heat and disharmony. Cold patients should rub dozens of times, connecting extraction with urgent pressing and extensive rubbing. Deficient patients with diarrhea have specific pressing methods; cold patients use rubbing to generate warmth. Considering these two methods for cold and heat conditions ensures correct regulation of Qi ascent and descent.