动者,如气不行,得针动伸提而已。伸提者,即非针出入引气也。摇者,凡行赤凤摇头
之法,即摇之拨动其经以愈疾,详见本法。
进者,行泻法,进针至穴,得分寸,令病患呼气一口,即用针进至入一豆许,停针少时
,得气即退,针行泻法。
退者,行补法之时,进针至穴,得分寸,令病患吸气一口,即用针退出一豆许,停针少
时,得气却,行补法。
搓者,凡针要寒热者,以为搓之。或外或内,如搓线之貌,勿转之太紧,恐人肉缠针,
难进退。左捻则热,右捻则寒,亦出入之理,慎当忌之。
弹者,凡泻时用指轻弹,使其气速行,则气至也,易至也。补则不用,气实自至者,不
用此法。
努者,凡用大指次指捻针,名曰努针,引其气至也。如气不至,令病患闭气一口,着力
努之,外以泻针引之,则气至矣。气自至者,不用此法。
掐者,凡下针于所部分经络,用手上下掐抹之,使气往来,推之则行,引之则止。
扪者,如痛处未除,即于痛之处扪摩,使痛散也,复以飞针引之,除其痛也。
摄者,如针下气涩滞,随经络上下,用爪甲摄之,其气自通。摄与捻者同。
按者,如补,出针时令病患吸气一口,急用手指按闭其穴上,此补法也;如泻,出针时
,令病患呼气一口,则勿按针孔,此乃泻法也。
爪者,以手爪甲掐穴,令气血散也,方下其针刺入也。
切者,以手爪甲极掐其穴,气血散开,方下针,切与爪同。
捻者,以手大指次指捻针,来去上下,即飞针之法也。
The **Dong** (Movement) technique is used when Qi circulation is obstructed; it involves merely lifting and thrusting the needle to mobilize the meridian Qi. "Lifting and thrusting" here refers not to simply inserting and withdrawing the needle to guide Qi, but specifically to this mechanical movement.
The **Yao** (Shaking) technique involves performing the "Red Phoenix Shaking Head" method, where shaking the needle stimulates the meridians to cure the disease. For detailed methods, refer to the specific section on this technique.
The **Jin** (Advancing) technique is employed for reducing methods. The needle is inserted into the acupoint to a precise depth. The patient exhales once, after which the needle is advanced by approximately one bean's width. After pausing briefly until Deqi (arrival of Qi) is achieved, the needle is withdrawn, constituting the reducing method.
The **Tui** (Retreating) technique is employed for tonifying methods. The needle is inserted into the acupoint to a precise depth. The patient inhales once, after which the needle is retreated by approximately one bean's width. After pausing briefly until Deqi is achieved, the tonifying manipulation is performed.
The **Cuo** (Rubbing/Twisting) technique is used when inducing cold or heat sensations. The motion resembles twisting thread, either inward or outward. It should not be twisted too tightly to avoid muscle fibers wrapping around the needle shaft, which would hinder insertion and withdrawal. Twisting to the left generates heat, while twisting to the right generates cold, following the principles of advancement and retreat. Caution is advised against improper use.
The **Tan** (Plucking/Tapping) technique involves lightly tapping the needle handle with fingers during reducing methods to accelerate Qi circulation, facilitating the arrival of Qi. This method is not used for tonification if the Qi is already abundant and arrives naturally.
The **Nu** (Straining/Pressing) technique involves grasping the needle between the thumb and index finger to guide Qi. If Qi does not arrive, the patient holds their breath for one moment while applying forceful pressure (straining). Simultaneously, withdrawing the needle externally helps guide the Qi. If Qi arrives naturally, this method is unnecessary.
The **Qia** (Pinching) technique involves pinching and stroking the skin above the meridian segment where the needle has been inserted, using the hand to promote the flow of Qi. Pushing promotes movement, while pulling halts it.
The **Men** (Palpating/Massaging) technique is applied when pain persists. The painful area is massaged to disperse the pain, followed by the application of the "Flying Needle" technique to eliminate the pain.
The **She** (Grasping/Holding) technique is used when Qi feels stagnant under the needle. By grasping along the meridian with fingernails, Qi circulation is restored. This technique shares principles with twisting.
The **An** (Pressing) technique varies by method. For tonification, upon needle withdrawal, the patient inhales, and the acupoint is immediately pressed closed with fingers. For reduction, upon withdrawal, the patient exhales, and the needle hole is left unpressed.
The **Zhua** (Clawing) technique involves pressing the acupoint with fingernails to disperse Qi and Blood before inserting the needle.
The **Qie** (Cutting/Pinching) technique involves firmly pinching the acupoint with fingernails to disperse Qi and Blood before needle insertion. It is identical in principle to the Zhua technique.
The **Nian** (Twirling) technique involves twirling the needle between the thumb and index finger, moving it up and down. This constitutes the "Flying Needle" method.