行针补泻分寒热泻寒补热须分别捻指向外泻之方捻指向内补之诀泻左须将大指前泻后大
指当
后拽补左大指向前搓补右大指往下拽如何补泻有两般盖是经络两边发补泻又要识迎随随则为
补迎为泻古人补泻左右分今人乃为男女别男女经脉一般生昼夜循环无暂歇两手阳经上走头阴
经胞走手指辄两足阳经头走足阴经足走腹中结随则针头随经行迎则针头迎经夺更有补泻定
呼
吸吸泻呼补真奇绝补则呼出却入针要知针用三飞法气至出针吸气入疾而一退急扪穴泻则吸出
方入针要知血气通身达气至出针呼气出徐而三退穴开捺此诀出在梓桑君我今授汝心已雪正是
补泻玄中玄莫向人前容易说
人身血气无暂息动静周流在呼吸呼行三寸吸亦然一息定行六寸脉二百七十息数来脉行六
十丈
二尺积此周身一度过补泻分明知滑涩试问一时吸几何千一百二甘五的脉行六十七丈五四度周
身尚余刻更将余刻为君明四十五息二丈七昼夜循环息几何一万三千兼五百脉行八百一十丈度
行五百周身毕此是平人血气歌迟寒数热难同则
天一生水地六成地二生火天七成天三生木地八成地四生金天九成天五生土地十成 此何
图五
形生成之数一三五七九者奇也属之天二四六八十者偶也属之地一二三四五六七八九十者数
何以能生出五形未盖自天地开辟之后落下便有水此天一地六所生成也如父母生子头生男女第
行曰一故曰一六也第二胎生男女第行曰二是二七生火余皆如此曰生成生此如父之资始曰成始
如母之胎育也
行针时的补泻手法要区分寒热，治疗寒证用补法，治疗热证用泻法，必须分别对待。捻转针柄时，大拇指向外（向前）为泻法；大拇指向内（向后）为补法。泻左侧经脉时，大拇指向前捻转；泻右侧经脉时，大拇指向后拽动。补左侧经脉时，大拇指向前搓动；补右侧经脉时，大拇指向下拽动。为什么补泻有两种方式？这是因为经络之气在身体两侧运行。补泻还要识别“迎随”原则：顺经而刺为补，逆经而刺为泻。古人根据左右来区分补泻，今人则根据男女来区分。其实男女的经脉生成是一样的，昼夜循环不停歇。手部的阳经向上走到头部，阴经从手指走向胸部/腹部（注：原文“胞”疑为胸或腹之误，结合语境指躯干方向）；足部的阳经从头部走向足部，阴经从足部走向腹部。所谓“随”，就是针尖顺着经脉走向进针；所谓“迎”，就是针尖迎着经脉走向进针以夺其邪。还有通过呼吸定补泻的方法：吸气时泻，呼气时补，这真是奇妙绝伦。补法要在患者呼气时将针拔出，吸气时进针；要知道使用“三飞”手法，待气至后出针，吸气时进针，快速退针一次，并迅速按压穴位。泻法要在患者吸气时进针，呼气时出针；要知道气血通达全身，待气至后出针，呼气时缓慢退针三次，开大针孔并按捺。这个诀诀出自梓桑君之手，我今天传授给你，你的心已如雪般清明，这正是补泻中玄之又玄的道理，不要轻易向人透露。
人体的血气没有片刻停息，动静周流于呼吸之间。呼气时气行三寸，吸气时也行三寸。一呼一吸共行六寸。脉搏跳动二百七十次，脉气运行六十丈二尺。积累这些计算，周身气血循环一遍。补泻分明，可以知晓脉象的滑涩。试问一时辰内有多少次呼吸？一千一百二十五次。脉气运行六十七丈五尺。四周身循环还剩余一些时间，再将剩余的时间为你说明：四十五息，气行二丈七尺。昼夜循环需要多少次呼吸？一万三千五百次。脉气运行八百一十丈。度行五百周，周身气血循环完毕。这是描述平人的血气歌诀。迟脉主寒，数脉主热，难以相同。
天一生水，地六成之；地二生火，天七成之；天三生木，地八成之；地四生金，天九成之；天五生土，地十成之。这是什么图？这是五行生成的数理。一、三、五、七、九是奇数，属于天；二、四、六、八、十是偶数，属于地。一到十的数字，为什么能生出五行？大概是因为自天地开辟之后，落下便有水，这是由天一和地六所生成的。就像父母生子，头胎生下的孩子排行第一，所以说是一六。第二胎生下的孩子排行第二，所以说二七生火，其余以此类推。所谓的“生”，如同父亲资始万物；所谓的“成”，如同母亲孕育万物。
When performing needle manipulation, tonification and reduction (Bu-Xie) must distinguish between cold and heat. To treat cold conditions, use tonification; to treat heat conditions, use reduction. When twisting the needle handle, rotating the thumb outward (forward) constitutes reduction; rotating the thumb inward (backward) constitutes tonification. For reducing the left meridians, rotate the thumb forward; for reducing the right meridians, pull the thumb backward. For tonifying the left meridians, rub the thumb forward; for tonifying the right meridians, pull the thumb downward. Why are there two types of tonification and reduction? This is because the Qi of the meridians circulates on both sides of the body. Tonification and reduction also require understanding "Ying-Sui" (Following and Opposing): following the meridian direction is tonification, opposing the meridian direction is reduction. Ancients distinguished tonification and reduction by left and right, while modern practitioners distinguish them by gender. However, the meridian generation in men and women is identical, circulating day and night without pause. The Yang meridians of the hands ascend to the head, while the Yin meridians descend from the fingers toward the torso; the Yang meridians of the feet descend from the head to the feet, while the Yin meridians ascend from the feet to the abdomen. "Sui" (Following) means advancing the needle tip along the meridian's direction; "Ying" (Opposing) means advancing the needle tip against the meridian's direction to seize the pathogenic factor. There is also a method of determining tonification and reduction through respiration: reduce during inhalation, tonify during exhalation. This is truly wondrous. For tonification, withdraw the needle during the patient's exhalation and insert it during inhalation. One must know the "San Fei" (Three Flights) technique: after Qi arrives, withdraw the needle, insert during inhalation, withdraw rapidly once, and quickly press the acupoint. For reduction, insert the needle during the patient's inhalation and withdraw it during exhalation. One must know that Qi and Blood permeate the whole body; after Qi arrives, withdraw the needle during exhalation, withdraw slowly three times, open the needle hole, and press. This secret was revealed by Zisang Jun. I now transmit it to you, whose mind is as clear as snow. This is the profound mystery within tonification and reduction; do not easily reveal it to others.
Human Qi and Blood never cease their movement, circulating dynamically with respiration. During exhalation, Qi moves three cun; during inhalation, it also moves three cun. In one breath cycle, Qi moves six cun. After 270 pulse beats, the pulse Qi travels 60 zhang and 2 chi. Accumulating these calculations, the Qi and Blood complete one circuit around the body. Tonification and reduction are distinct, allowing one to discern slippery or choppy pulses. How many breaths occur in one shichen (two hours)? 1,125 breaths. The pulse Qi travels 67 zhang and 5 chi. After four circuits around the body, some time remains. Let me explain the remainder: in 45 breaths, Qi moves 2 zhang and 7 chi. How many breaths constitute a full day-night cycle? 13,500 breaths. The pulse Qi travels 810 zhang. Completing 500 circuits, the circulation of Qi and Blood around the body finishes. This is the Song of Qi and Blood describing a healthy person. A slow pulse indicates cold, a rapid pulse indicates heat; they cannot be treated alike.
Heaven generates Water with One, Earth completes it with Six. Earth generates Fire with Two, Heaven completes it with Seven. Heaven generates Wood with Three, Earth completes it with Eight. Earth generates Metal with Four, Heaven completes it with Nine. Heaven generates Earth with Five, Earth completes it with Ten. What diagram is this? It is the numerical generation of the Five Elements. One, three, five, seven, nine are odd numbers, belonging to Heaven. Two, four, six, eight, ten are even numbers, belonging to Earth. How can the numbers one through ten generate the Five Elements? It is said that since the separation of Heaven and Earth, Water appeared first, generated by Heaven One and Earth Six. Just as parents have children, the firstborn ranks first, hence "One and Six." The second batch of children ranks second, hence "Two and Seven generate Fire," and so on. The term "Sheng" (Generate) is like the father initiating creation; the term "Cheng" (Complete) is like the mother nurturing gestation.