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Wang Jiezhai stated: Recently, some practitioners use "warm needle" therapy, which involves moxibustion while needling the acupoint, termed warm needle. In ancient times, acupuncture and moxibustion were performed separately; one would needle without moxibustion, or moxa without needling. The practice of combining both needle and moxa, or alternating them, is a secular method of later generations. This method may cause no harm when applied to commoners in rural areas; however, if applied to wealthy individuals with delicate skin that cannot tolerate it, harm may occur within moments, potentially causing lifelong injury.

The commentary on the lost chapters of *Suwen* states: When using Yuanli Needle (Round-Sharp Needle) or Chang Needle (Long Needle), before needling, hold the needle in the mouth to warm it, and use it only after it becomes warm. It further states: For Haon Needle (Fine Needle) used on the human body, heat the needle close to the body until warm before inserting. Generally, when warm needles are inserted into meridians, Qi flows easily due to the warmth.

*Jinzhen Fu* (Ode to the Golden Needle) states: If syncope occurs during needling, it is due to deficiency of Shen Qi (Spiritual Qi). Apply tonification technique, cover the patient with a sleeve, wait for breath to return at the nose and mouth, and provide hot soup. After a brief pause, repeat the treatment as previously indicated.

*Zhiwei Fu* (Ode to Subtle Principles) states: If a physician thoroughly understands the flow of Qi and Blood, selects acupoints accurately, and applies tonification and sedation techniques appropriately, there will certainly be no risk of syncope or fainting. However, in hurried situations, those who fear needling are more prone to this condition. Robust individuals will recover spontaneously as Qi circulates; timid individuals require immediate rescue. For instance, if needling the Liver Meridian causes syncope due to Qi disturbance, tonify the Liver Meridian and connect to the Luo-connecting point Ququan (LR8); if needling the Liver Collateral causes syncope due to Blood disturbance, tonify the Jing-River point Ququan (LR8) of the same meridian. Upon insertion, the patient revives, with efficacy akin to raising the dead from life. Other cases should follow this pattern. Liu Zongnong stated: For syncope during needling, rescue using Duoming Acupoint (Extra Point), selecting the left side for males and the right side for females. If ineffective, switch to the opposite side, similarly for females. This point is located in the depression between the tendons and bones on the lateral aspect of the forearm, above the thenar eminence (referred to as "toad bone"), exactly midway from the shoulder to the elbow.

*Jisheng Bacui* states: Why does sudden death sometimes occur immediately following needling? The answer is twofold: First, ignorance of contraindications, such as needling the heart leading to death within a day; second, failure to understand pulse signs, such as diarrhea accompanied by a suddenly large pulse indicating death. In all acupuncture and moxibustion practices, one must first carefully examine the pulse signs and observe the disease manifestations, thereby understanding the contraindications, the proximity and distance of meridians and acupoints, climatic factors, respiration rates, and the depth and measurement of insertion.