行针手法口诀多，撮要编为十二歌，取穴持温进指摄，退搓捻留摇拔合。
【注】[1]十二字分次第手法歌诀，始自三衢杨继洲。
[2]后之诸家，口诀虽多，皆不免于繁杂。
[3]今撮其要，仍编为十二歌诀，庶简明切当，便于后学。
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取穴先将爪切深，须教毌外慕其心，令彼荣卫无伤碍，医者方堪入妙针。
【注】[1]凡下针，用左手大指爪甲，重切所针之穴，令气血开，
教病者心专于内，不要外驰，然后下针，使针不伤荣卫，方堪入妙也。
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持针之士要心雄，手如握虎莫放松，欲识机关三部奥，须将此理再推穷。
【注】[1]凡下针之士，须心小力雄，以右手持针于穴上，势若握虎，不敢放松，
着力旋插，直至应止之处，吸气三口，然后提针，徐徐而用。
[2]凡机关三才奥理，欲识于心而行于针者，须将此再三推穷可也。
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温针之理最为良，口内温和审穴方，母令冷热相争搏，荣卫宣通始安祥。
【注】[1]凡下针，必先将所用之针，入于口中，使之温热，审定穴所，
方可与刺。
[2]勿令冷热相争，庶血气调和，而得安祥也。
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进针理法取关机，失经失穴最不宜，阳经取陷阴经脉，三思已定针之愈。
【注】[1]凡下针，要病人神气定，息数匀，医者亦如之，关机最密，
切勿太忙，须细审经络穴所在何部分，不可轻施其针，
失于经络穴所也。
[2]如在阳部，必取筋骨间陷下之处，则不伤于筋骨；
如在阴分□腘之内动脉相应间，则以爪重切经络，
少待片时，方可进针，而不伤于荣卫。
[3]又必三思已定，然后下针，病可愈矣。
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行针的手法口诀有很多，我选取要点编成十二首歌诀。取穴、持针、进指、退针、搓捻、留针、摇针、拔针，涵盖了这些步骤。
【注】[1]这十二个字分阶段的手法歌诀，最早出自三衢人杨继洲。
[2]后来的各家，虽然口诀很多，但都不免于繁杂。
[3]现在我选取其要点，仍然编为十二首歌诀，希望简明恰当，便于后学者学习。
取穴时先用指甲深深按压，必须教导患者内心专注，使其荣卫之气不受损伤，医者才能进行精妙的针刺。
【注】[1]凡是下针，用左手大拇指的指甲，重重地切按所刺的穴位，使气血开通，
教导患者心神专注于体内，不要向外驰散，然后下针，使针不伤及荣卫之气，这才是精妙的方法。
持针的人要心胸雄定，手像握着老虎一样不能放松，想要了解机关三部（天、地、人）的奥妙，必须将这个道理反复推究穷尽。
【注】[1]凡是下针的人，须要心思细致而力量雄健，用右手持针在穴位上，态势如同握虎，不敢放松，
着力旋转插入，直到该停止的地方，吸气三口，然后提针，慢慢地运用。
[2]凡是关于机关三才（天、地、人）的奥理，想要在心中领会并在针刺中运用的，必须将此道理再三推究即可。
温针的道理最为良好，口中含针使其温和，仔细审定穴位之后，不要让冷热相互争斗搏结，荣卫宣通顺畅才开始安详施治。
【注】[1]凡是下针，必须先将所用的针，放入口中，使之温热，审定好穴位，
才可以进行刺入。
[2]不要让冷热相互争斗，这样血气调和，就能得到安详的效果。
进针的理法在于把握关键时机，失于经络或穴位是最不适宜的，阳经取筋骨间的陷处，阴经脉则需慎重，三思已定后再决定针刺是否痊愈。
【注】[1]凡是下针，要使病人神气安定，呼吸均匀，医者也要如此，关键时机把握得最严密，
切勿太匆忙，必须仔细审视经络穴位所在的具体部分，不可轻率施针，
以免失于经络穴位。
[2]如果在阳部，必须取筋骨间凹陷之处，这样就不伤及筋骨；
如果在阴分腘窝内的动脉相应之间，就用指甲重切经络，
稍待片刻，方可进针，而不伤及荣卫之气。
[3]又必须三思已定，然后下针，病就可以痊愈了。
The mnemonics for needle manipulation techniques are numerous; I have selected the essentials and compiled them into twelve songs. These cover taking acupoints, holding the needle, inserting the finger, withdrawing, rubbing, twisting, retaining, shaking, and extracting.
[Note] [1] The twelve-character mnemonic for sequential manipulation techniques originated from Yang Jizhou of Sanqu.
[2] Later schools had many such mnemonics, but all were inevitably complicated.
[3] Now, selecting the essentials, I have compiled them into twelve songs again, hoping they will be concise and appropriate, facilitating learning for future students.
When taking an acupoint, first press deeply with the fingernail. You must instruct the patient to focus their mind inward, so that Ying and Wei (Nutritive and Defensive Qi) are not injured. Only then can the physician perform exquisite needle insertion.
[Note] [1] When inserting a needle, use the nail of the left thumb to press heavily on the target acupoint, causing the Qi and Blood to open up.
Instruct the patient to concentrate their spirit internally and not let it wander externally. Then insert the needle, ensuring it does not injure Ying and Wei Qi; this is considered exquisite technique.
The practitioner holding the needle must be mentally steadfast and forceful. The hand should grip as if holding a tiger, without relaxing. To understand the profound secrets of the three levels (Heaven, Earth, Man), one must repeatedly ponder and exhaust this principle.
[Note] [1] The practitioner must be careful in mind yet vigorous in strength. Holding the needle with the right hand over the acupoint, the posture should resemble holding a tiger, never relaxing.
Apply force to rotate and insert until the designated stopping point, take three deep breaths, then withdraw the needle slightly and apply it slowly.
[2] Regarding the profound principles of the Three Realms (Heaven, Earth, Man), those who wish to comprehend them in mind and apply them in needlework must repeatedly ponder these principles.
The principle of warming the needle is most beneficial. Warm the needle in the mouth, carefully examine the acupoint, and ensure cold and heat do not contend. Only when Ying and Wei Qi flow freely and smoothly can treatment proceed peacefully.
[Note] [1] Before inserting a needle, one must first place the used needle in the mouth to warm it, and carefully determine the acupoint location before needling.
[2] Avoid letting cold and heat contend, so that Blood and Qi harmonize, resulting in a peaceful outcome.
The method of needle insertion relies on grasping the critical timing. Missing the meridian or acupoint is highly inadvisable. For Yang meridians, select depressions between sinews and bones; for Yin meridians, exercise caution. After thorough consideration and decision, the needle may restore health.
[Note] [1] When inserting a needle, the patient's Shen (Spirit) must be calm and respiration even. The physician must also maintain this state, grasping the critical moment precisely.
Do not be hasty. Carefully examine which part of the meridian and acupoint is involved. Do not lightly insert the needle, lest you miss the correct meridian or acupoint.
[2] If treating a Yang region, select depressions between sinews and bones to avoid injuring them.
If treating a Yin region, such as within the popliteal fossa where arterial pulses correspond, use the fingernail to press heavily on the meridian line.
Wait a moment before inserting the needle, so as not to injure Ying and Wei Qi.
[3] Furthermore, only after careful consideration and final decision should the needle be inserted, allowing the disease to heal.