问曰∶何为虚按?
答曰∶虚者，多用按搓。按者，有分寸，三十岁人满按，四十岁留二分，五十岁人
或四十、五十岁人虚者，不用按满，满则使邪在内，正气出，令人魂命不在身。男子少按，
按多血出；女子多按，按多补阴也。
问曰∶何为实按?
答曰∶使气已了，方可用按，为实按。又曰∶针紧，用搓、捻、拈、循即松，不按使邪
气不出。针松，用循，多按，多买至气微，加战，方可不逆阴阳也。
问曰∶何为虚弹?
答曰∶虚者，不用弹。实者，要取血用弹。弹则伤血气、五脏、荣卫也。
问曰∶何为实弹?
答曰∶气已至不行，方可用弹，气即行。
问曰∶取血，弹如何?
又答曰∶不敢。气行，补三次、七次，弹七次，按七次，又弹七次，出血有准也。
问曰∶如何虚撞?
答曰∶气血行了，复用，要热，将针伸提三分出，加重搓数次，阳出热微汗自来。虚用
搓，不用刮，不泻不退，可为良医也。
问曰∶何为实撞?
答曰∶在内紧涩痛者，使金针不能动，用搜十次，弹七次，泻三次，刮数十次，其针自松也。
问：什么是“虚按”？
答：“虚”证，多用按压和搓法。所谓“按”，是有分寸的：三十岁的人要按满（即达到规定的留针时间或强度）；四十岁的人留针时间为标准的三分之二；五十岁的人，或者四十、五十岁中属于虚证的人，不需要按满，如果按满了会使邪气留在体内，正气外泄，导致人的魂魄不能安守于身。男子少用按法，因为按多了会导致出血；女子多用按法，因为按多了可以补益阴血。
问：什么是“实按”？
答：待经气运行结束后，才可以使用按压，这叫做“实按”。又说：如果针感紧涩，使用搓、捻、提、循等手法使其放松，如果不按压，会使邪气无法排出。如果针感松弛，使用循法，多按压，多次操作直到气机微弱，出现战栗反应，这样才不会违背阴阳规律。
问：什么是“虚弹”？
答：虚证，不使用弹法。实证，如果要取血，才使用弹法。弹法会损伤血气、五脏以及营卫之气。
问：什么是“实弹”？
答：当经气已至但运行不畅时，才可以采用弹法，使经气得以运行。
问：如果要取血，如何运用弹法？
又答：不敢轻易尝试。在气行之后，补法操作三次或七次，弹法七次，按压七次，再弹法七次，这样出血量就有准度了。
问：如何运用“虚撞”？
答：气血运行通畅后，再次使用，目的是产生热感。将针伸出并提起三分，加重搓动数次，阳气外出，微微出汗自然而来。虚证只用搓法，不用刮法，既不泻也不退，可称为良医。
问：什么是“实撞”？
答：如果在体内感到紧涩疼痛，致使金针无法转动，使用搜法十次，弹法七次，泻法三次，刮数十次，针体自然会松动。
问：什么是“虚捻”？
答：虚证即补法，实证即泻法。循法操作十次，如果经气不来，感觉紧涩，才使用搓法和捻法五到七次。如果经气仍然不来，患者就会死亡而不复生。
Question: What is "Xu An" (Pressing for Deficiency)?
Answer: For deficiency patterns, pressing and rubbing are frequently used. "An" (Pressing) has specific proportions: for a thirty-year-old, press fully; for a forty-year-old, retain for two-thirds of the standard duration; for fifty-year-olds, or those aged forty to fifty with deficiency patterns, do not press fully. Pressing fully causes pathogenic factors to remain inside while healthy Qi escapes, leading to the soul losing its residence in the body. Men should use less pressing, as excessive pressing leads to bleeding; women should use more pressing, as it tonifies Yin blood.
Question: What is "Shi An" (Pressing for Excess)?
Answer: Only after the Qi sensation has completed its course can pressing be applied, which is called "Shi An." It is also said: If the needle feels tight, apply rubbing, twirling, lifting, and stroking to loosen it; without pressing, pathogenic Qi cannot exit. If the needle feels loose, apply stroking, press frequently, and repeat until the Qi sensation becomes faint and tremors occur; this ensures harmony with Yin and Yang.
Question: What is "Xu Tan" (Tapping for Deficiency)?
Answer: For deficiency patterns, tapping is not used. For excess patterns, if bloodletting is required, tapping is used. Tapping damages Blood, Qi, the Zang-Fu organs, and Ying-Wei (Nutritive and Defensive Qi).
Question: What is "Shi Tan" (Tapping for Excess)?
Answer: When Qi has arrived but fails to circulate, tapping may be employed to promote Qi movement.
Question: How is tapping applied for bloodletting?
Answer: One dares not attempt it lightly. After Qi circulation is established, perform tonification three or seven times, tap seven times, press seven times, and tap seven times again; this ensures accurate bloodletting volume.
Question: How is "Xu Zhuang" (Colliding/Thrusting for Deficiency) applied?
Answer: After Qi and Blood have circulated, apply it again to generate heat. Extend and lift the needle by three fen, rub heavily several times. As Yang Qi exits, slight sweating will naturally occur. For deficiency, only rubbing is used, not scraping; neither purging nor retreating is needed, which characterizes a skilled physician.
Question: What is "Shi Zhuang" (Colliding/Thrusting for Excess)?
Answer: If there is tightness,涩 (astringency/stiffness), and pain inside, preventing the gold needle from moving, apply searching ten times, tapping seven times, purging three times, and scraping dozens of times; the needle will naturally become loose.
Question: What is "Xu Nian" (Twirling for Deficiency)?
Answer: Deficiency requires tonification, excess requires purging. Apply stroking ten times; if Qi does not arrive and the area feels tight and stiff, then apply rubbing and twirling five to seven times. If Qi still does not arrive, death is inevitable.
Question: What is "Shi Nian" (Twirling for Excess)?
Answer: Excess patterns do not require twirling. If twirling is applied, Qi becomes too vigorous, damaging Ying-Wei (Nutritive and Defensive Qi).