针灸为医门一科，须得名师传授，遇病始能按穴刺灸，立起沉 。奈其人罕观，余曾得异传，
用银丝长五寸，锉尖两头，每逢痞块， 瘕，腹痛，阴疽，风寒湿痹，周身串疼等症，非针不效。患者
肉浓可刺寸许，肉薄者约刺四五分。次以纸叠折寸半浓，中锥
一孔，套入针内，又以生姜浓片，亦中锥一孔，套加纸上，安艾绒灸之。虽经时久不觉疼痛，且易愈病
。出针后按症贴膏药，并进汤药。
阳痈 肿，有日渐觉抽痛，以右食指遍捺患上，有一点软陷处，内脓已成。用右食指与大指，
掐住披刀（响铜打的披刀）之口，向上轻轻斜刺患上，肉浓者刺深，肉薄者刺浅，捺尽脓水，插药纸捻
于孔内，贴以膏药。倘痈势延大，脓孔兜住难出，待数日后，皮肉穿薄，顺其下流处，再开一口，
泄净脓毒，方易收功。果脓未熟，门开过早，有翻花肿凸之害。若肌肉太浓，刀不能透，以火针在灯火上烧
红，一烙孔口，插药捻，外贴膏药。背与腹用火针，要斜刺方不伤内膜害人，惟手足针可直入。凡头面
，及疔疮，对口，搭背等症，俱不可用火针，闭毒助火生变。
阴疽多坚肿，骤难成脓，不易消退。惟烙以细火针，以回其阳。其针数多寡，量病形之大小，
外敷温散药，过四日一换。如胸背生症，用针斜刺为要。验脓熟之诀，以右食指，捺有软处，须粗
火针烙之。（阴疽附骨·披刀不能透。）孔内插药捻，随贴膏药。倘脓兜塞，数日后，顺下流处再烙，则
脓易净。若针处肉浓烙口不张，以骨针穿透其口，即插药捻贴膏药，过二三日，方能见脓。若患口内脓
多壅塞难出，果然皮肉薄者，随插拔脓管，钓动脓势，自从管中涌出。管式另详。背部与胸膺，刺艾针当
以左食指与大指，捏起患处浓皮，然后量意针入二三分。因脏腑皆系于背，而胸前为心之宫城，肌肉
浇薄，恐有伤犯。惟腹肚内空，可刺寸许。其余之处临针时，均宜用大指掐紧穴道，让过大筋再刺，遂
不知疼，亦无所碍。
凡用刀针时，令患者口内先含桂元肉八枚，以接补元气，方不晕脱。若老人幼孩，及病久虚体者，皆
难忍痛，不可草率动手，猝有昏脱之变。
喉内舌下两边，生起累累疙瘩，吞吐不快，名曰甸气。或舌根当中，生肉球如樱桃，此为梅核，皆
肝气所致。用烙铁，在灯火上烧红，以左手执，捺舌，捺开口，右手持烙铁，轻轻烙之，以烙平为度。内
进逍遥散，外吹冰硼散，半月平复。
烙铁，用铁打成，烙头如半粒小蚕豆大，烙柄以棉线绕紧，烧红时，方不烫手。若以铜烙烧红多熔
化入喉，伤入性命，决不可用。
大火针阴疽放脓，所用先以笔杆竹长二寸为柄，次用粗铁丝三寸，插入竹内，外余
一寸，锉尖竹杆两头，用细铁丝塞牢，方不脱落。若发散阴疽，用细火针，但以细铁丝，
仿上做法，亦在灯火烧红，看疽势大小。（量意
用针几下。切不可用铜火，针见火，易熔化，误人不浅。
艾针，用细银丝寸许，或二寸长者，一头锉尖，一头绕铜丝作柄。每遇寒湿，侵入
经络肢体，走串酸痛，安艾炷灸之。
喉内诸症，不可轻漫用刀刺，恐日后易于复发。果肿处脓熟，必起软小点，或生小
白头，方可用刀，刺出脓血，立时能见松快。
针灸是医学中的一个专科，必须得到名师的传授，遇到疾病时才能按照穴位进行针刺和艾灸，从而迅速治愈久治不愈的疾病。无奈这样的人很少见到，我曾获得独特的传承，使用长五寸的银丝，将两头锉尖，每逢遇到痞块（皮下结块）、瘕聚（腹内结块，聚散无常）、腹痛、阴疽（发于筋骨或深部组织的阴性疮疡）、风寒湿痹（由风、寒、湿邪引起的肢体关节疼痛麻木）、周身窜痛等症状，非用针治疗才有效。患者肌肉丰厚者可刺入一寸左右，肌肉薄弱者约刺四五分。接着用纸折叠成寸半厚，中间锥一个孔，套在针上，再用生姜厚片，中间也锥一个孔，套在纸上，安放艾绒进行灸治。虽然经过很长时间也不觉得疼痛，而且容易治愈疾病。出针后根据症状贴敷膏药，并服用汤药。
阳痈（属阳性的痈肿）肿胀，有日渐感觉抽痛的情况，用右食指遍按患处，有一点软陷的地方，说明内部脓液已成。用右食指和大拇指，掐住披刀（响铜打造的披刀）的刀口，向上轻轻斜刺患处，肌肉丰厚者刺得深，肌肉薄弱者刺得浅，捺尽脓水，插入药纸捻于孔内，贴上膏药。如果痈势蔓延扩大，脓孔被兜住难以排出，等待数日后，皮肉穿薄，顺着其下流的方向，再开一口，泄净脓毒，才容易收功。如果脓未成熟，开门过早，会有翻花肿凸（疮口溃烂如菜花状突起）的危害。如果肌肉太厚，刀不能穿透，用火针在灯火上烧红，一烙孔口，插入药捻，外贴膏药。背部和腹部用火针，要斜刺才不会伤及内膜危害生命，只有手足部位的针可以直入。凡是头面部，以及疔疮（发病迅速而危险性较大的急性感染性疾病）、对口疽（生于颈后正中线的痈疽）、搭背疽（生于背部的痈疽）等症，都不可用火针，以免闭锁毒气，助火生变。
阴疽多坚硬肿胀，骤然难以成脓，不易消退。只有用细火针烙烫，以回阳救逆。针数的多少，视病形的大小而定，外敷温散药物，过四天更换一次。如在胸背生症，用针斜刺是关键。检验脓液成熟的秘诀，是用右食指按压，如有软处，须用粗火针烙之。（阴疽附骨，披刀不能透。）孔内插入药捻，随即贴膏药。如果脓液被兜塞住，数日后，顺着下流方向再烙，则脓液容易排净。如果针处肌肉丰厚，烙口不开张，用骨针穿透其口，即插入药捻贴膏药，过二三日，才能见到脓液。如果患口内脓液多壅塞难出，果然皮肉薄者，随即插入拔脓管，钓动脓势，自然从管中涌出。管式详见其他章节。背部与胸膺（胸部），刺艾针应当用左食指和大拇指，捏起患处厚皮，然后随意针入二三分。因为脏腑皆系于背部，而胸前为心之宫城，肌肉浇薄，恐怕有伤犯。只有腹部肚内空，可刺入一寸左右。其余之处临针时，均宜用大拇指掐紧穴道，让过大筋再刺，遂不知疼痛，也没有妨碍。
凡是用刀针时，令患者口内先含桂圆肉八枚，以接补元气，方才不会晕脱。如果是老人幼孩，以及病久虚体者，都难以忍受疼痛，不可草率动手，猝然发生昏脱的变化。
喉内舌下两边，生起累累疙瘩，吞吐不快，名叫甸气（可能指梅核气或类似咽喉异物感病症）。或者舌根当中，生肉球如樱桃，这叫梅核（梅核气），都是肝气所致。用烙铁，在灯火上烧红，用左手拿着，捺住舌头，捺开口，右手持烙铁，轻轻烙之，以烙平为度。内服逍遥散（疏肝解郁、养血健脾的方剂），外吹冰硼散（清热解毒、消肿止痛的散剂），半月平复。
烙铁，用铁打成，烙头如半粒小蚕豆大，烙柄以棉线绕紧，烧红时，方才不烫手。如果用铜烙烧红，多熔化入喉，伤害性命，决不可用。
大火针用于阴疽放脓，所用先以笔杆竹长二寸为柄，次用粗铁丝三寸，插入竹内，外余一寸，锉尖竹杆两头，用细铁丝塞牢，方才不脱落。如果发散阴疽，用细火针，但以细铁丝，仿照上述做法，也在灯火烧红，看疽势大小。（随意决定用针几下。切不可用铜火针，针见火，易熔化，误人不浅。
艾针，用细银丝寸许，或二寸长者，一头锉尖，一头绕铜丝作柄。每当遇到寒湿，侵入经络肢体，走串酸痛，安放艾炷灸之。
Acupuncture and moxibustion constitute a specialized branch of medicine, requiring instruction from a master physician so that one can accurately locate acupoints for needle insertion and moxibustion upon encountering diseases, thereby rapidly curing chronic ailments. However, such individuals are rare. I once received a unique transmission: using a silver wire five cun long with both ends filed to a point, it is effective for conditions such as pi masses (subcutaneous nodules), jia accumulations (abdominal masses that gather and disperse), abdominal pain, yin abscesses (yin-type deep-seated sores), bi syndrome caused by wind-cold-dampness (pain and numbness in limbs and joints due to wind, cold, and damp pathogens), and wandering pain throughout the body; these conditions respond only to needle therapy. For patients with thick flesh, needles may be inserted about one cun deep; for those with thin flesh, approximately four or five fen. Subsequently, fold paper to a thickness of one and a half cun, pierce a hole in the center, and slide it onto the needle. Then take a thick slice of fresh ginger, also pierce a central hole, place it over the paper, and apply moxa wool for moxibustion. Although this process takes time, the patient feels no pain, and the disease heals easily. After removing the needle, apply medicated plasters according to symptoms and administer decoctions.
For yang abscesses (yang-type suppurative swellings) characterized by progressive throbbing pain, press the affected area thoroughly with the right index finger. If a soft depression is found, pus has formed internally. Grasp the blade of a Pi Dao (a scalpel made of resonant copper) between the right index finger and thumb, and gently insert it obliquely upward into the lesion. Insert deeply for thick flesh, shallowly for thin flesh. Drain all pus, insert a medicinal paper wick into the incision, and cover with a plaster. If the abscess expands and the opening is blocked, preventing drainage, wait several days until the skin and flesh thin out. Then make a second incision along the downward flow path to drain all pus and toxins completely, facilitating recovery. Premature incision before pus ripens may lead to "fan hua" (fungating, cauliflower-like protrusions). If the flesh is too thick for the knife to penetrate, use a fire needle heated red in a lamp flame to cauterize the opening, insert a medicinal wick, and apply an external plaster. When using fire needles on the back and abdomen, oblique insertion is crucial to avoid damaging internal membranes and endangering life; only needles on the hands and feet may be inserted vertically. Fire needles must never be used on the head and face, nor for ding sores (acute infections with rapid onset and high risk), kou dui ju (carbuncles at the nape), or da bei ju (carbuncles on the back), as this may lock in toxins and exacerbate the condition with fire.
Yin abscesses typically present with hard swelling, making pus formation sudden and difficult, and resolution slow. Cauterization with fine fire needles is required to restore Yang qi. The number of needle applications depends on the size of the lesion. Apply external warming and dispersing medicines, changing them every four days. For lesions on the chest and back, oblique needle insertion is essential. To verify if pus is ripe, press the area with the right index finger; if soft, cauterize with a coarse fire needle. (In cases of bone-attached yin abscesses, the Pi Dao cannot penetrate.) Insert a medicinal wick into the hole and immediately apply a plaster. If pus is trapped, cauterize again along the downward flow path after a few days to facilitate complete drainage. If the cauterized opening remains closed due to thick flesh, pierce through it with a bone needle, insert a medicinal wick, and apply a plaster; pus will appear after two to three days. If excessive pus blocks the wound and the skin is thin, insert a pus-draining tube, manipulate the pus flow, allowing it to gush out naturally. See separate descriptions for tube designs. For the back and chest, when inserting moxa needles, use the left index finger and thumb to pinch up the thick skin of the affected area, then insert the needle arbitrarily to a depth of two or three fen. Since organs connect to the back and the chest is the palace of the heart with thin flesh, care must be taken to avoid injury. Only the hollow abdomen allows insertion up to one cun. For other areas, firmly pinch the acupoint with the thumb during needling, avoiding major tendons, to minimize pain and ensure safety.
When using knives or needles, have the patient hold eight pieces of Longan aril (Gui Yuan Rou) in the mouth beforehand to support Yuan Qi (Original Qi) and prevent fainting. Elderly people, children, and those with chronic deficiency are less tolerant of pain; do not act hastily to avoid sudden syncope.
Lumpy growths appearing on both sides under the tongue inside the throat, causing difficulty in swallowing and speaking, are called Dian Qi. A cherry-sized fleshy ball growing in the middle of the tongue root is called Mei He (Plum-pit Qi), both caused by Liver Qi stagnation. Heat an iron cauterizer in a lamp flame. Hold the tongue down with the left hand, open the mouth, and gently cauterize with the right hand-held tool until flat. Internally administer Xiao Yao San (Free and Easy Wanderer Powder) and externally blow Bing Peng San (Ice and Borax Powder); recovery occurs within half a month.
The cauterizer should be forged from iron, with a head size similar to half a small silkworm bean. Wrap the handle tightly with cotton thread so it does not burn the hand when red-hot. Do not use copper cauterizers, as molten copper entering the throat can be fatal.
For large fire needles used to drain yin abscesses, first use a bamboo handle two cun long. Insert a three-cun thick iron wire into the bamboo, leaving one cun exposed. File the ends of the bamboo sharp and secure the wire tightly with fine iron wire to prevent detachment. For dispersing yin abscesses, use fine fire needles made similarly with fine iron wire, heated red in a flame. Determine the number of applications based on the abscess size. Never use copper fire needles, as they melt easily upon contact with fire, causing serious harm.
Moxa needles consist of fine silver wire, one or two cun long, with one end filed sharp and the other wrapped with copper wire as a handle. When cold-dampness invades the meridians and limbs causing wandering soreness and pain, place moxa cones on the needle for moxibustion.
Do not lightly use knives or needles for throat conditions, fearing recurrence. If the swollen area shows a soft spot or a small white head indicating ripe pus, use a knife to puncture and drain pus and blood, providing immediate relief.