先循五次、七次，针不动，如龙尾，气血不虚不实，可用三次升阳、三次升阴，可用大盘二
次，下摄数遭，可与伸提三次，四方皆摄四次，可取下顺摇三次，横摇四次，连下摄七次、
弹七次，泻三次、四次，出针。午间针，未时下。下不止，可用安胃散三帖。摇摇气逆，摇
若用气上、气下，将针摇逆，摇向外旁，摄多刮，逆阴逆阳，可循环取下法，顺摇三次
，横摇四次，连下摄下沉沉，弹七次，三、四次，泻七次。午间下针，未时下。下不止，安胃散治之。
不是神仙真妙手，多刮多搓用调匀。
问曰∶何为虚循买气不来，循七次，再循七次，不来，何也?
答曰∶又复循七次，气不来者，病乃不治，死也。
问曰∶用实不用循，何为实?
答曰∶补三次即紧，是为实。一补即紧，是为邪气。令病患口闭气，医人即将金针向左
右搜至十次，搓数次，松者亦可使气上、使气下。
问曰∶何为虚提?合提不提，何也?
答曰∶补三次，循三次。不虚不实，方可伸提。
问曰∶气血相停，何为半提?
答曰∶补七次，循十次，病患血气虚，方可用半提，轻轻不伤荣卫。若用金针伸提，令
人病者昏运，不可针，伤荣卫也。
问曰∶实提不动，气不上下行，何也?
答曰∶邪气流于经络，皮肉涩滞，令人带痛矣。
问曰∶邪气然，何得出?
答曰∶搜者，上搜、下搜数十次，微泻三分，邪气出，正气归于经络也。用气上、气下
先进行五次或七次的循法操作，若针下感觉不动，如同龙尾般沉滞，说明气血既不虚也不实，此时可以使用三次升阳手法、三次升阴手法，或者使用大盘手法两次，向下摄提数次，可以进行三次伸提手法，向四方各摄提四次，可以向下顺摇三次，横向摇动四次，连续向下摄提七次、弹法七次，泻法三次或四次，然后出针。若在午时进针，应在未时出针。若出血不止，可以使用安胃散三帖。若摇针导致气逆，摇针时要顺应气的上行或下行方向，将针逆向摇动，向外旁侧摇动，多进行摄提和刮法，逆阴逆阳，可以采用循环向下的方法，顺摇三次，横摇四次，连续向下摄提使气下沉，弹法七次，泻法三次或四次，泻法七次。若在午时进针，应在未时出针。若出血不止，用安胃散治疗。若不是神仙般的妙手，就要多刮多搓以调和均匀。
问：什么是虚证循法？如果买气（候气）不来，循行七次，再循行七次，气仍不来，是什么原因？
答：如果再重复循行七次，气仍不来的，病情无法治愈，会死亡。
问：实证不用循法，什么是实证？
答：补法三次后针下紧涩，这就是实证。一次补法就紧涩，这是邪气。让病人闭口屏气，医生即将金针向左右搜剔至十次，搓捻数次，针感松的也可以引导气上行或下行。
问：什么是虚提？合提和不提是什么意思？
答：补法三次，循法三次。气血不虚不实的情况下，才可以进行伸提手法。
问：气血平衡，什么是半提？
答：补法七次，循法十次，病人血气虚弱，才可以使用半提手法，轻轻操作以免损伤营卫。如果使用金针进行伸提，会导致病人昏晕，不可针刺，否则会损伤营卫。
问：实证提针不动，气不上不下行，是什么原因？
答：邪气流注于经络，皮肉涩滞，使人带有疼痛。
问：邪气既然存在，如何排出？
答：搜法，向上搜剔、向下搜剔数十次，轻微泻去三分，邪气排出，正气回归经络。使用气上行、气下行
First, perform the Xun method (circular rubbing along the meridian) five or seven times. If the needle feels immobile, like the tail of a dragon, indicating that Qi and Blood are neither deficient nor excess, one may use the Sheng Yang method (raising Yang) three times and the Sheng Yin method (raising Yin) three times, or use the Da Pan method (large plate manipulation) twice, downward She Ti (pulling up while pressing down) several times, perform Shen Ti (extending and lifting) three times, She Ti four times in each of the four directions, Xia Shun Yao (downward clockwise shaking) three times, Heng Yao (lateral shaking) four times, continuous downward She Ti seven times, Tan Fa (plucking/flicking) seven times, Xie Fa (draining method) three or four times, then withdraw the needle. If needling is performed at Wu hour (11:00-13:00), withdraw the needle at Wei hour (13:00-15:00). If bleeding does not stop, administer An Wei San (Stomach-Anning Powder) for three doses. If shaking causes Qi rebellion, shake the needle to follow the upward or downward flow of Qi, reverse the shaking direction, shake outward laterally, perform more She Ti and Gua Fa (scraping), counteracting Yin and Yang, and can use the circular downward method: Shun Yao three times, Heng Yao four times, continuous downward She Ti to sink Qi, Tan Fa seven times, Xie Fa three or four times, Xie Fa seven times. If needling is performed at Wu hour, withdraw the needle at Wei hour. If bleeding does not stop, treat with An Wei San. Unless one possesses the miraculous skills of an immortal, one must use frequent scraping and rubbing to harmonize evenly.
Question: What is the Xu (deficiency) Xun method? If Hou Qi (waiting for Qi arrival) fails, after performing Xun seven times and then another seven times, if Qi still does not arrive, what is the reason?
Answer: If repeating Xun seven times again results in no Qi arrival, the disease is incurable and will lead to death.
Question: For Shi (excess) patterns, the Xun method is not used. What constitutes a Shi pattern?
Answer: After three applications of Bu (tonifying) methods, the needle feels tight; this is a Shi pattern. If it becomes tight after just one application of Bu, it indicates Evil Qi. Instruct the patient to close their mouth and hold their breath. The practitioner should then search with the golden needle left and right ten times, rub/twist several times. If the sensation is loose, one can guide Qi upward or downward.
Question: What is Xu Ti (deficient lifting)? What do He Ti (combined lifting) and Bu Ti (not lifting) mean?
Answer: Perform Bu three times, then Xun three times. Only when Qi and Blood are neither deficient nor excess can Shen Ti (extending and lifting) be performed.
Question: When Qi and Blood are balanced, what is Ban Ti (half lifting)?
Answer: Perform Bu seven times, then Xun ten times. Only when the patient's Qi and Blood are deficient can Ban Ti be used, operating gently to avoid damaging Ying Wei (Nutritive and Defensive Qi). If Jin Zhen (golden needle) Shen Ti is used excessively, it may cause the patient to feel dizzy; needling should be avoided as it damages Ying Wei.
Question: Why does Shi Ti (excess lifting) fail to move, and why does Qi not flow up or down?
Answer: Evil Qi flows into the meridians, causing the skin and flesh to become rough and stagnant, leading to pain.
Question: Since Evil Qi is present, how can it be expelled?
Answer: Use Sou Fa (searching method): search upward and downward dozens of times, slightly drain three parts. Once Evil Qi is expelled, Zheng Qi (Upright Qi) returns to the meridians. Use Qi upward, Qi downward