凡下针得气，针头、针尖不动者，用搓、循、盘、按、推、战、搜、摩、摄、提、横、
顺、逆、摇。气上下，看虚实。要上行，闭其气下行；要下行，闭其气上行。若要进针，从辰时
至巳时；退针，从巳时至辰时。进则左捻针，退则右捻针，左右动也。
凡下针，飞至关，针头不动，针尖动，左右用搓、循、盘、按、推、战、搜、摩、横、
顺、逆、摇、气上、气下。恶处回拨者，将针散慢服之，如舡中把舵，左右随其气轻轻而拨，其
气自交。或周身遍体，夺流不出，其所法。如气不行，将舒伸、提而已。
凡下针寒热者，以为搓之。或内，或外，如搓线之貌，勿使大转大紧，令人肉紧。已针
，准以进退。左转则热，热则天气入，鼻吸口呼出也；右转则寒，口中吸气，地气入，鼻中出气
，天气出。亦有出入之理。慢说之，再用脏腑生成之数足，自有在前。
人之一身具二五，血气周流类天地，奈何失养有不调， 瘥是生仰医济。至哉琼瑶真人
心，能为医理穷究深，大经小络分造化，妙推十法施金针。
循则气来弗停歇，弹后手扪闭其穴，提按气能上下行，刮者取为时顷刻。缘气不行搜则
奇，气如蚁走战取时，气涩皆赖摩之效，欲和欲绝搓捻之。
随迎补泻真粗细，世人传用皆如此。如吾十法迥难同，良玉 焉可比。此法济人有奇
效，扶生益寿无终穷，传之同志广阴德，杏林春雨枝枝红。
凡是下针后得气，如果针身和针尖都不动，就使用搓、循、盘、按、推、战、搜、摩、摄、提、横、顺、逆、摇这十四种手法。观察气的上下运行，辨别虚实。若要引导气上行，就闭塞其气下行的通路；若要引导气下行，就闭塞其气上行的通路。如果要进针，从辰时到巳时进行；退针，从巳时到辰时进行。进针时向左捻针，退针时向右捻针，这是左右运动的方法。
凡是下针，飞气到达关部，针身不动，针尖动，左右使用搓、循、盘、按、推、战、搜、摩、横、顺、逆、摇以及气上、气下等手法。在患者感觉不适的地方回拨针具，将针放松缓慢操作，就像船中掌舵一样，随着气的流动轻轻左右拨动，气自然交汇。或者全身遍体之气阻滞不通，所采用的方法也是如此。如果气不行，只需舒展伸展、提起即可。
凡是治疗寒热病症下针，用搓法来调理。或向内，或向外，像搓线一样的样子，不要使针转动过大过紧，以免令肌肉紧张。已经针刺后，依据进退原则操作。左转针则产生热感，热感则是天气进入，通过鼻吸气、口呼气排出；右转针则产生寒感，口中吸气，地气进入，从鼻中出气，天气排出。这其中也有出入的道理。慢慢解说，再用脏腑生成的数理补足，自有前人的经验在前。
人的身体具备阴阳五行（二五），气血周流类似天地运行，为何失于调养导致不调，疾病由此产生，仰赖医生救治。真是琼瑶真人用心良苦，能深入穷究医理，区分大经小络的造化，巧妙推行十法施以金针。
循法使气到来不停歇，弹针后用手扪闭穴位，提按能使气上下运行，刮法取效只需顷刻之间。因为气不行，搜法则显出奇效，气如蚁走时用战法取效，气涩滞都依赖摩法的功效，想要调和或断绝就用搓捻法。
随迎补泻的真谛在于粗细变化，世人传承使用都是如此。但我的十法截然不同，良玉怎能相比。此法救人有奇效，扶正益寿无穷尽，传给志同道合者广积阴德，杏林春雨滋润，枝枝红艳。
Whenever acupuncture is performed and *Deqi* (arrival of qi) is achieved, if neither the needle body nor the needle tip moves, employ the fourteen techniques: rubbing (*Cuo*), following (*Xun*), circling (*Pan*), pressing (*An*), pushing (*Tui*), trembling (*Zhan*), searching (*Sou*), stroking (*Mo*), grasping (*She*), lifting (*Ti*), horizontal (*Heng*), clockwise (*Shun*), counter-clockwise (*Ni*), and shaking (*Yao*). Observe the movement of qi up and down to assess deficiency or excess. To guide qi upward, obstruct its downward pathway; to guide qi downward, obstruct its upward pathway. For advancing the needle, proceed from Chen hour to Si hour; for withdrawing the needle, proceed from Si hour to Chen hour. Advancing involves rotating the needle to the left, while withdrawing involves rotating it to the right; this constitutes left-right movement.
Whenever acupuncture is performed, flying qi reaches the "Guan" (barrier/level), with the needle body stationary and the needle tip moving. Employ left-right rubbing (*Cuo*), following (*Xun*), circling (*Pan*), pressing (*An*), pushing (*Tui*), trembling (*Zhan*), searching (*Sou*), stroking (*Mo*), horizontal (*Heng*), clockwise (*Shun*), counter-clockwise (*Ni*), shaking (*Yao*), as well as guiding qi up and down. At areas of discomfort, retract and manipulate the needle slowly and loosely, like steering a boat, gently adjusting left and right according to the flow of qi so that qi naturally intersects. Or, if qi is blocked throughout the entire body, the method applied is similar. If qi does not move, simply extend and lift the needle.
When treating cold and heat conditions via acupuncture, use the rubbing technique. Move inward or outward, resembling the motion of twisting thread, without rotating too widely or tightly to avoid causing muscle tension. After needling, regulate based on advancement and withdrawal. Rotating left generates heat, allowing heavenly qi to enter (inhaling through nose, exhaling through mouth); rotating right generates cold, allowing earthly qi to enter (inhaling through mouth, exhaling through nose, expelling heavenly qi). There are principles of entry and exit involved. Explained slowly, supplemented by the generative numbers of the Zang-Fu organs, prior experiences stand ready.
The human body embodies Yin-Yang and the Five Elements (*Er Wu*), with blood and qi circulating like heaven and earth. Why does neglect of nourishment lead to disharmony? Diseases arise, relying on physicians for salvation. Truly, the heart of Zhenren Qiongyao (Perfected One Qiongyao) is profound, thoroughly investigating medical principles, distinguishing the creation of major and collateral meridians, and skillfully applying ten methods using golden needles.
Following (*Xun*) makes qi arrive without pause; after flicking (*Tan*), closing the acupoint with the hand allows lifting and pressing (*Ti An*) to move qi up and down; scraping (*Gua*) achieves results in an instant. Because qi stagnation makes searching (*Sou*) effective, and when qi feels like ants crawling, trembling (*Zhan*) is used; for stagnant qi, stroking (*Mo*) is relied upon; for harmonizing or severing, rubbing and twisting (*Cuo Nian*) are employed.
The true subtleties of reinforcing and reducing (*Bu Xie*) via following and opposing (*Sui Ying*) lie in fineness and coarseness, which the world generally transmits. However, my ten methods are distinctly different; how can fine jade compare? This method saves people with miraculous effects, supporting life and extending longevity without end. Pass it to comrades to accumulate merit; in the Apricot Grove (TCM community), spring rain nourishes, and every branch blooms red.