疾居荣卫扶救者针观虚实于瘦肥辨四时之浅深是见取穴之法但分阴阳而溪谷迎风逆顺须晓气
血而升沉
原夫指微论中顾义成赋知本时之气开说经络之流注每挟文而参其法篇篇之誓审存覆经而察其
言字字之功明谕疑隐皆知虚实捻附移痛住疼如有神针下获安暴疾沉 至危笃刺之勿误
详夫阴日血引值阳气流口温针暖牢濡深求诸经十二作数络脉十五为周阴俞六十脏主阳穴七十
腑收阳刺经者可卧针而取夺血络者先俾指而柔呼为迎而吸作补逆为鬼而从何忧淹疾延患着灸
之由燥烦药饵而求难拯必取八会壅肿奇经而蓄邪纤犹砭瘳
况夫甲胆乙肝丁心壬水生我者号母我生者名子春井夏荥乃邪在秋经冬合乃刺矣犯禁忌而病复
用日衰而难已丝络在于肉分血行出于支里闷昏针晕经虚补络须然痛实痒虚泻子随母要指
想夫先贤迅效无出于针今人愈疾岂离于医徐文伯泻孕于苑内斯由甚速范九思疗咽于江夏闻见
言稀大抵古今遗迹后世皆师王篡针魅而立康獭从被出秋夫疗鬼而馘效魂免伤悲既而感指幽微用针
真
气乱而神堕慎妄呼吸防他针昏而闭血文以常寻古义由有藏机遇高贤真趣则超然得悟逢达人
示教则表我扶危男女气脉行分时合度养子时刻注穴穴须根据今详定疾病之仪神针法式广搜难素
之秘密文辞深考诸家之肘函妙臆故称泸江流注之指微以为后学之规则
疾病存在于营卫之中，需要扶正救逆。针刺时要观察患者体型的瘦与肥以辨别虚实，分辨四季气候的浅深，这是选取穴位的方法。只需区分阴阳，而溪谷（肌肉间隙）的气血运行有迎风、逆顺之分，必须知晓气血的升沉规律。
追溯《指微论》中顾氏义成的赋文，知晓本时之气机开合，阐述经络之流注。每篇都挟带文辞并参详其法，每一句誓言审慎保存；反复研读经文以察其言，每个字的功效明确谕示。疑惑隐晦之处，皆知虚实；捻针、附针、移痛、住疼，如有神助。针下即可使暴疾、沉疴乃至危笃之症得以安宁，刺之切勿有误。
详察阴日引血，值阳日气流。温针温暖，牢濡之症需深求于各经。十二经脉作为计数，十五络脉为一周循环。阴俞穴六十个由脏所主，阳穴七十一个由腑所收。刺阳经者可卧针取气，夺血络者先令手指柔和。呼为迎，吸作补，逆为鬼，从为何忧？不必担忧久病延患。施灸因燥烦所致，药饵难以拯救，必取八会穴。壅肿之症奇经蓄邪，犹如砭石可愈。
况且甲胆乙肝、丁心壬水，生我者为母，我生者为子。春刺井穴，夏刺荥穴，若邪在秋则刺经穴，冬则刺合穴。犯禁忌则病复发，用日衰则难治愈。丝络位于肉分，血行出于支里。闷昏、针晕，经虚则补，络实则泻，痛为实痒为虚，泻子随母，要旨在于指想。
想夫先贤迅效，无出于针；今人愈疾，岂离于医？徐文伯在苑内泻孕，速度极快；范九思在江夏疗咽，听闻者稀少。大抵古今遗迹，后世皆师法王纂立康之法，獭从被出，秋夫疗鬼而馘效，魂免伤悲。既而感悟指幽微，用针真气乱而神堕，慎妄呼吸，防他针昏而闭血。文以常寻古义，由有藏机遇高贤真趣，则超然得悟。逢达人示教，则表我扶危。男女气脉行分时合度，养子时刻注穴，穴须根据今详定疾病之仪，神针法式广搜《难》《素》之秘密，文辞深考诸家之肘后函妙臆，故称泸江流注之指微，以为后学之规则。
Diseases reside within Ying and Wei (Nutritive and Defensive Qi), requiring support of the healthy qi and rescue from counterflow. Acupuncture must observe deficiency and excess based on the patient's emaciation or obesity, and distinguish the depth related to the four seasons; this is the method for selecting acupoints. One need only differentiate Yin and Yang, yet the flow of Qi and Blood in the Xi Gu (valleys between muscles) has directions such as facing wind or opposing wind, and one must understand the rising and sinking of Qi and Blood.
Tracing back to the Fu (rhapsody) by Gu Yicheng in the *Zhiwei Lun* (Treatise on Subtle Indications), one learns about the opening and closing of Qi according to the current season, expounding upon the flowing and pouring of meridians. Each section carries literary style while referencing its methods, and each sentence requires careful preservation through repeated examination of the classics to scrutinize their words. The efficacy of every character is clearly elucidated. Doubts and obscurities are resolved by knowing deficiency and excess; manipulating needles (twisting, attaching, moving pain, stopping pain) yields miraculous results. Upon needle insertion, acute diseases, chronic ailments, and even critical conditions can be stabilized; one must not err in needling.
Detailed observation reveals that on Yin days, blood is guided; on Yang days, Qi flows. Warm needle therapy warms firm and moist conditions, which require deep searching into the twelve meridians. Counting the twelve meridians and fifteen collaterals forms a cycle. Sixty Yin Shu points are governed by Zang organs, and seventy-one Yang points are collected by Fu organs. When needling Yang meridians, one may use horizontal insertion to drain; when draining blood collaterals, fingers should first soften the area. Exhaling corresponds to "Ying" (welcoming/receiving), inhaling corresponds to "Bu" (tonifying). Opposing is considered "Gui" (demon/evil), following is favorable. Why worry about lingering illnesses? Moxibustion is used for dryness and irritability where herbal medicine fails to save; one must select the Eight Hui points. For swelling and stagnation where extraordinary meridians accumulate pathogenic factors, treatment with Bian stones (stone needles) can cure.
Furthermore, Jia Gallbladder and Yi Liver, Ding Heart and Ren Water: what generates me is called Mother, what I generate is called Child. In Spring, Jing-Well points are needled; in Summer, Ying-Spring points; if pathogens are in Autumn, Jing-River points are needled; in Winter, He-Sea points are needled. Violating taboos causes disease recurrence; using days incorrectly leads to decline and difficulty in resolution. Silk collaterals lie in the muscle layers, blood flow emerges from branch collaterals. Dizziness and fainting occur; if meridians are deficient, tonify; if collaterals are excess, sedate. Pain indicates excess, itching indicates deficiency. Sedate the Child following the Mother; the key lies in mental visualization.
Reflecting on ancient sages, their rapid efficacy came from acupuncture; modern people curing diseases cannot depart from medical principles. Xu Wenbo induced abortion in Yuannei with great speed; Fan Jiusi treated throat ailments in Jiangxia, a rare occurrence. Generally, ancient and modern remnants are all taught by later generations following Wang Zuanli Kang's methods. Otters emerging from quilts, Qiufu treating ghosts and achieving efficacy, souls avoiding sorrow. Thus, sensing the subtleties of finger manipulation, if needle Qi becomes chaotic and Shen (Spirit) falls, one must guard against reckless breathing to prevent needle-induced fainting and blood stasis. Texts constantly seek ancient meanings, encountering high sages' true interests, leading to transcendent understanding. Meeting experts for instruction clarifies my role in supporting the critical. Men and women's Qi and pulse movements follow time degrees; during the "Nourishing Child" periods, Qi enters specific acupoints. Acupoints must be determined according to current detailed disease protocols. The divine needle methods extensively search the secrets of the *Nan Jing* and *Huang Di Nei Jing Su Wen*, deeply examining the clever insights in various families' elbow manuals (compilations). Hence, it is called the *Zhiwei* (Subtle Indications) of Lujiang Flowing Pouring, serving as a rule for future learners.