琼瑶提按最玄妙，气上周流十二支，六十六穴并经络，一日时辰此刺知。
冷痹肾俞三里提，阴陵脐腹痛相宜，肩井只针手三里，颈项之疾手后溪，夹脊后心中渚
刮，阴陵胁肋应无疑，大陵能主心胸痛，委中腰脚要须知。
先要己口温针暖，得其呼吸运气随。毒掐穴而凭指甲，此是进针不痛机。痛疼即泻痒麻
刮，弹每先呼后吸之。提按须要分在此，认取经络有功奇。春夏瘦而宜浅刺，秋冬肥人深刺之。
搓进盘摇分子午，腹部盘盘要君知。
冷即要热热宜冷，三提三按别有机，紧提慢按如冰冷，慢提紧按似火池。要识进搓分提
按，随济左而补暖宜，能别动静如按歇，迎夺右而寒泻之。得气至如舡扶舵，应如弦弩始发机，
气至如鱼吞钓饵，未至闭处邃幽闺。指扪塞闭候其气，手如握虎敬宾时。气至速而亦速效，
气至迟而效亦迟。琼瑶提按留真诀，方知速效有神机。《素问》《难经》分补泻，此法提按
少人知。年中四季人感灾，迎随决移源问之。观形察色分深浅，要在徐徐用针施。合进三分
提按可，五分用者自详推。世间妙诀少人知，荣卫先留后用之。
春夏秋冬要提按，左右见效在心持。神人先用气上下，坐地须来遍所宜。针至皮肤分深
浅，
须知先后莫妄施。或捻或弹搓时用，更须仔细用意推。合先呼而根据法补，合泻根据法不用疑。
补
时大指向前是，泻是大指望后移。阳人大指推前甲，阴人推后亦如之。补泻之时已此定，男
左女右古今知。要得气上知提按，针后须臾效自奇，提针气来能战刮，顿起沉 即此机。出
阳入阴应呼吸，出入阴阳不可违。此是琼瑶十段锦，提按千金不换之。
琼瑶真人提出的提插手法最为玄妙，能使气在周身十二经脉中周流不息，涵盖六十六个特定穴位及经络系统，一日十二时辰皆可依此法施针。
若遇寒痹证，可针刺肾俞穴、足三里穴并施行提法；阴陵泉穴适用于脐腹部疼痛。肩井穴仅针刺手三里穴以治颈项部疾病；夹脊穴后心中渚穴可用刮法操作；阴陵泉穴治疗胁肋痛确无疑义；大陵穴能主治心胸疼痛；委中穴治疗腰脚病症必须知晓。
施针前要先用口温针使其温暖，顺应患者的呼吸节奏来引导运气。用指甲掐按穴位以便进针，这是进针时不痛的秘诀。若患者感到疼痛则用泻法，若感到瘙痒麻木则用刮法；弹拨穴位应在呼气时先做，吸气时后做。提插手法的运用关键在于此，认清经络走向功效奇特。春夏季节人体消瘦宜浅刺，秋冬季节人体肥胖宜深刺。
搓针、进针、盘摇手法需分阴阳（子午），腹部盘摇之法务必知晓。
寒证需用热法，热证需用冷法，三提三按别有玄机：紧提慢按感觉如冰冷，慢提紧按感觉似火池。要识别进针时的搓捻与提插的区别，随经气方向补益左侧而温补适宜，能辨别动静如同按压休止；逆经气方向夺其邪气于右侧而寒泻之。得气时感觉如同船夫扶舵，应像弓弩发射机关一样有力；气至时感觉如鱼吞食钓饵，气未至时则深邃幽闭。用手指扪塞穴位周围以候气，手部动作要像握虎一样谨慎，对待病人要恭敬。气至得快疗效也快，气至得慢疗效也慢。琼瑶真人的提插留针是真诀，方知速效有神机。《素问》和《难经》区分补泻，这种提插法少有人知。一年四季人感受病邪，迎随补泻决断移动之源在于询问。观察形体面色分辨深浅，要在徐徐施针中进行。合于进针三分处进行提插可行，五分处使用者自行详细推演。世间妙诀少有人知，营卫之气先留后用。
春夏秋冬都要注意提插，左右见效在于用心把握。神人先用气上下运行，坐地施针须遍及各处适宜之处。针至皮肤层分清深浅，须知先后顺序不可妄加施针。或捻转或弹拨或搓动时，更须仔细用意推演。合于先呼气的根据法为补，合于泻的根据法不用怀疑。补法时大拇指向前推，泻法是大拇指向后移。阳人大拇指推前甲，阴人推后亦如此。补泻之时已由此确定，男左女右古今皆知。要得到气上知提插，针后片刻疗效自然神奇，提针时气来能产生震颤感，顿起沉重感即为此机。出阳入阴应顺应呼吸，出入阴阳不可违背。这就是琼瑶十段锦，提插千金不换之秘。
The lifting and thrusting technique proposed by Zhenren Qiongyao is most profound, allowing Qi to circulate freely through the twelve meridians of the body, encompassing sixty-six specific acupoints and meridian systems, applicable for needling at any of the twelve two-hour periods (Shichen) in a day.
For cold bi-syndrome (Cold Bi), one may needle the Shenshu (BL23) and Zusanli (ST36) acupoints and apply the lifting method; Yinlingquan (SP9) is suitable for pain in the umbilical and abdominal regions. Jingwell (GB21) should only be needled with Hand Sanli (LI10) to treat neck and shoulder disorders; after the Jiaji (EX-B2) points, Zhongzhu (TE3) can be treated with scraping; Yinlingquan (SP9) undoubtedly treats hypochondriac pain; Daling (PC7) can primarily manage chest and heart pain; Weizhong (BL40) must be known for treating waist and leg conditions.
Before needling, warm the needle with one's mouth to make it warm, following the patient's breathing rhythm to guide the Qi. Press the acupoint with fingernails to facilitate insertion; this is the secret to painless needle entry. If the patient feels pain, apply the draining method; if they feel itching or numbness, apply scraping; plucking/acupoint stimulation should be performed first during exhalation and later during inhalation. The key to applying lifting and thrusting lies here: recognizing the meridians yields extraordinary efficacy. In spring and summer, when the body is lean, shallow needling is appropriate; in autumn and winter, when the body is fat, deep needling is appropriate.
Rubbing, advancing, and rotating techniques must distinguish between Yin and Yang (Zi and Wu hours); the rotation method for the abdominal region must be understood.
Cold conditions require heat methods, and heat conditions require cold methods; three lifts and three thrusts have distinct mechanisms: tight lifting and slow thrusting feels like ice water, while slow lifting and tight thrusting feels like a fire pool. One must recognize the difference between rubbing/advancing and lifting/thrusting: following the meridian direction tonifies the left side for warmth suitability; opposing the meridian direction drains the right side for cold drainage. When Qi arrives, it feels like a boatman steering the rudder, powerful as a bow releasing an arrow; when Qi arrives, it feels like a fish swallowing bait; when Qi has not arrived, it feels deep and secluded. Use fingers to press around the acupoint to await Qi; hand movements should be cautious like holding a tiger, respectful towards the patient. Fast Qi arrival brings fast results; slow Qi arrival brings slow results. The lifting, thrusting, and retention techniques of Zhenren Qiongyao are true secrets, revealing the divine mechanism of rapid efficacy. While *Suwen* and *Nanjing* differentiate tonification and drainage, few know this lifting and thrusting method. Throughout the four seasons, when humans contract pathogens, the decision on following/opposing movement stems from inquiry. Observe form and complexion to determine depth; apply needles slowly. Advancing three cun allows for lifting and thrusting; those using five cun should deduce carefully. Rare secrets of the world are little known; Ying and Wei Qi are retained first and used subsequently.
Lifting and thrusting are essential in spring, summer, autumn, and winter; effectiveness on left and right depends on mental focus. Divine practitioners first circulate Qi up and down; sitting needling must suit all appropriate areas. Upon reaching the skin layer, distinguish depth; know the sequence and do not apply needling recklessly. Whether twisting, plucking, or rubbing, one must carefully deliberate with intent. Following exhalation according to method constitutes tonification; following drainage according to method leaves no doubt. During tonification, the thumb pushes forward; during drainage, the thumb moves backward. For Yang persons, the thumb pushes forward to the nail; for Yin persons, pushing backward is similar. Tonification and drainage timing are thus established; male left and female right are known since ancient times. To perceive Qi ascent and understand lifting/thrusting, effects become miraculous shortly after needling; when lifting the needle, Qi arrival causes trembling; sudden heaviness indicates this mechanism. Exiting Yang and entering Yin should follow respiration; exiting and entering Yin and Yang must not be violated. This is the Ten-Section Brocade of Qiongyao, a lifting and thrusting secret worth more than a thousand gold.