手指全凭巧妙机，须知轻重与高低，高者常加随手转，低者用力莫相亏，轻将手指微微
补，重泻须交紧转移，此是手指微妙法，有人会的是良医。
此般补泻号针头，全仗金针手内收，重刺恐伤筋与骨，轻来犹恐病难由，补泻轻重知分
寸，莫使针头胡乱游，此是针头玄妙法，学人仔细记心头。
补泻还从补泻知，从头一一尽须根据，左行三次针方补，右转三遭泻不亏，三次三遭根据法
使，三移三转自然可，三三如九根据方数，妙法神针号指微。
虚实补泻要消详，补虚泻实是为良，实泻之时应得愈，却加虚补更无妨。莫然虚泻还须
补，休说实时泻最良，若还补泻知分寸，为医下下永传扬。
提按补泻最用心，虚实轻重指头中，虚时要补还轻手，实泻须知手要重，上下高低随手
起，往来提按用神针，若然补泻知分寸，此法幽微胜似金。
从来补泻按阴阳，气血还交日下详，但遇阳迁须气旺，若逢阴日血永昌。阳经阳腑随阳
转，阴络阴腑阴脏传，此是阴阳补泻法，其中知者是贤良。
迎随补泻要须知，逆手为顺逆手推，欲要补时随手转，若将泻后用逆随，下针须知深与
浅，王纂针妖凭此法，秋夫疗鬼用神机。
流注针轻不易求，呼吸临时在手头，初下针时头顺转，吸时须向逆中救。
推按进搓以为补，退动提经是为泻，慢按急提冷冰水，急按慢提如火热，先浅后深补之
热，先深后浅泻之凉，若还补泻知进退，为医效验最高强。
手指的运用全凭巧妙的机枢，必须知晓用针力度的轻重与提插的高低。高提时常常配合随手的捻转，低按时用力不可有所欠缺。轻手法进行微微的补益，重手法则需紧密地捻转以行泻法。这是手指操作的微妙法则，能掌握此法的人便是良医。
这种补泻之法关键在于针头，完全依赖金针在手中的掌控。重刺恐怕会损伤筋与骨，轻刺又担心病邪难以祛除。补泻的力度要分清分寸，不要让针头胡乱游走。这是针头操作的玄妙法则，学习者务必仔细记在心中。
补泻的方法还要从补泻的原理中去理解，从头到尾每一处都必须依据规范。向左捻转三次，针下才产生补的效果；向右捻转三次，泻的作用就不会亏损。按照“三”这个基数来操作，三次、三遭遵循法则使用，三次移动、三次旋转自然可行。“三三如九”是依据方数的法则，这精妙的针法被称为“指微”。
虚实补泻需要仔细斟酌，补虚泻实才是好的治法。实证泻之应当痊愈，如果此时再加以虚证般的补法也无妨。不要认为虚证只宜泻而后再补，也不要说实证只泻最好。如果补泻能掌握分寸，作为医生将永远流传美誉。
提按补泻最需用心，虚实轻重体现在指头之中。虚证时要补，手法要轻；实证要泻，手法要重。上下高低随手而起，往来提按运用神针。如果补泻能掌握分寸，此法的幽深微妙胜过黄金。
自古以来补泻都依据阴阳理论，气血的变化还需结合日期详细分析。遇到阳日迁移时，气就旺盛；遇到阴日，血就长久昌盛。阳经和阳腑随阳气的规律转动，阴络和阴腑阴脏则按阴的规律传导。这是阴阳补泻的法度，其中能理解的人是贤良之人。
迎随补泻必须知晓，逆着经脉走向为顺（此处原文逻辑似有混淆，通常迎随指顺逆经气），逆着手势推运。想要补的时候随手捻转，如果要泻，则在用后采用逆随的手法。下针时必须知晓深浅，王纂的《针妖》凭借此法，秋夫治疗鬼祟运用神机。
流注针法轻柔不易求得，呼吸的配合临时掌握在手中。初下针时头部顺时针捻转，吸气时必须在逆时针中补救。
推、按、进、搓作为补法，退、动、提、经作为泻法。慢按急提感觉像冷冰水，急按慢提感觉像火热。先浅后深产生补的热感，先深后浅产生泻的凉感。如果补泻能掌握进退，作为医生的疗效将是最高强的。
The manipulation of fingers relies entirely on skillful dexterity; one must understand the lightness and heaviness, as well as the elevation and depression. When elevating, one often adds a following rotation; when depressing, force must not be lacking. Lightly manipulating the fingers performs a slight tonification, while heavy manipulation requires tight rotation to perform sedation. This is the subtle method of finger manipulation; whoever masters it becomes a good physician.
Such tonification and sedation are centered on the needle head, relying entirely on the control of the golden needle in hand. Heavy insertion may injure tendons and bones, while light insertion may fail to dispel the pathogen. One must distinguish the degree of tonification and sedation, preventing the needle head from wandering randomly. This is the profound method of needle manipulation; students must carefully memorize it in their hearts.
Tonification and sedation should be understood through their principles, with every detail adhering to standards. Rotating left three times achieves tonification; rotating right three times ensures no loss in sedation. Following the method of "three," three movements and three rotations naturally achieve the result. "Three times three equals nine" is based on numerical formulas; this miraculous needle method is called "Zhiwei" (Subtle Finger).
One must carefully consider tonification and sedation for deficiency and excess; tonifying deficiency and sedating excess is the superior approach. When sedating an excess condition, recovery should occur; adding a deficiency-tonifying technique at that time causes no harm. Do not assume that deficiency only requires sedation followed by tonification, nor claim that sedation alone is best for excess. If one understands the measure of tonification and sedation, one's medical reputation will be praised forever.
Elevation and depression for tonification and sedation require utmost attention, with deficiency/excess and light/heavy sensations conveyed through the fingertips. For deficiency, tonification requires a light hand; for excess, sedation requires a heavy hand. Elevation and depression rise with the hand, and up-and-down elevation/depression utilize the divine needle. If one understands the measure of tonification and sedation, this subtle method surpasses gold.
Since ancient times, tonification and sedation have been based on Yin and Yang theory, with Qi and Blood changes detailed according to days. When encountering Yang days, Qi flourishes; when encountering Yin days, Blood thrives. Yang meridians and Yang fu-organs follow Yang rotation; Yin collaterals, Yin fu-organs, and Yin zang-organs transmit via Yin. This is the method of Yin-Yang tonification and sedation; those who understand it are virtuous and excellent.
One must know the method of Ying-Sui (Following and Opposing) tonification and sedation. Moving against the flow is considered Shun (following), pushing against the hand is Ni (opposing). To tonify, rotate with the hand; to sedate, use opposing following after needling. One must know the depth and shallowness of insertion. Wang Zuan's *Zhen Yao* relied on this method, and Akufu used divine mechanisms to treat spirits.
Liu-Zhu (Flowing and Pouring) needle techniques are light and difficult to master; respiration coordination is handled temporarily by the practitioner. At initial insertion, rotate clockwise; during inhalation, correct with counter-clockwise movement.
Pushing, pressing, advancing, and rubbing constitute tonification; retreating, moving, lifting, and drawing meridians constitute sedation. Slow pressing and rapid lifting feel like cold ice water; rapid pressing and slow lifting feel like fire and heat. Shallow-to-deep insertion generates warming heat (tonification); deep-to-shallow insertion generates cooling sensation (sedation). If one masters advancement and retreat in tonification and sedation, the clinical efficacy of the physician will be supreme.