乳香 没药 当归 花乳石(各五钱可加甘草三钱)。
上药同针煮半日。取出。用皂角水洗。再于犬肉内煮一日。仍用瓦屑打磨净端直(今以
细砂皮先在木上打光然后磨针亦得)。
再用松子油涂之。长近人气。
素问遗篇注云。用圆利针。长针。未刺之时。先口内温针暖而用之。又曰毫针于人近体
暖针至温方刺。
旧云。口体温针。欲针入经络。气得温而易行也。今或投针于热汤中。亦此意耳。口温
与体温微有不同。口温者。针头虽热而柄尚寒。不若着身温之。则针通身皆热矣。
王节斋曰。近有温针者。乃楚人之法。其法针穴上。以香白芷作圆饼套针上。以艾灸之
。多
以取效(此即调经论燔针也。可以治筋寒病)然古者针则不灸。灸则不针。夫针而加灸。灸而
且针乃后人俗法。此行于山野贫贱之人。经络受风寒者或有效。只是温针通气而已。于血宜
行。于疾无与也古针法最妙。但恐不得其精而误用之则危拙见于顷刻。惟灸得穴。有益无害
。
火针即淬针。频以麻油蘸其针。灯上烧令通红。用方有效。若不红不能去病。反损于人
。烧
时令针头低下恐油热伤手。先令他人烧针。医者临时用之。以免手热。先以墨点穴。使针时
无差。火针甚难。须有临阵之将心。方可行针。先以左手按穴。右手用针。切忌太深。恐伤
经络。太浅不能去病。惟消息取中耳。凡行火针。必先安慰病患。勿令惊惧。与灸略同而
疼无几时。一针之后。速便出针不可久留。即以左手速按针孔则能止痛。人身诸处皆可行火
针。惟面上忌之。火针不宜针香港脚。反加肿痛。宜破痈疽发背溃脓在内。外面皮无头者。但
按毒上软处以溃脓。其阔大者。按头尾及中以墨点记宜下三针。决破出脓。凡针肿上不可按
之。即以手指从两旁捺之。令脓随手而出。或肿大脓多。针时须侧身回避。恐脓射出汗身也
。
乳香、没药、当归、花乳石（各五钱，可加甘草三钱）。
以上药物与针具一同煎煮半天。取出后，用皂角水清洗。再放入犬肉中煮一天，然后用瓦屑打磨至端部干净笔直（现在可以用细砂皮先在木头上磨光，然后再磨针也可以）。
再用松子油涂抹。使用时贴近人体温度。
《素问遗篇注》说：使用圆利针、长针时，在针刺之前，先含在口中将针温暖后再使用。又说：毫针在使用前需贴近身体，将针暖至温热程度才能进行针刺。
旧时说：含在口中温暖针具，是为了让针进入经络时，经气因温暖而容易运行。现在有时将针投入热汤中，也是这个意思。口温与体温略有不同。口温的情况是，针头虽然热但针柄仍然冷，不如贴身温暖，这样针身通体皆热。
王节斋说：近来有温针疗法，这是楚地人的方法。其法是在穴位上施针，用香白芷做成圆饼套在针上，然后艾灸。大多能取得疗效（这就是《调经论》中的燔针法，可以治疗筋寒病）。然而古代是针则不灸，灸则不针。既针又灸，且灸且针，是后人的世俗之法。这种方法流行于山野贫贱之人中，对于经络受风寒者或许有效，只是通过温针来通气而已，对血行有益，但对疾病本身无直接关联。古法最为精妙，但恐怕不得其精髓而误用，危险和拙劣会在顷刻间显现。只有艾灸取穴准确，才有益无害。
火针即淬针。频繁用麻油蘸取针具，在灯火上烧至通红，使用才有效。如果不红不能去除疾病，反而损害人体。
烧制时让针头向下倾斜，防止油热烫伤手。先让别人烧针，医者临时使用，以避免手部受热。先用墨汁点记穴位，使针刺时没有偏差。火针很难掌握，必须有临阵作战的将军之心，才可以施行针刺。先用左手按压穴位，右手持针。切忌刺入太深，恐怕损伤经络；太浅则不能去除疾病，只能斟酌把握适中。凡施行火针，必须先安慰病患，不要让其惊恐害怕，这与艾灸大致相同，疼痛时间不长。一针之后，迅速出针不可久留。立即用左手快速按压针孔就能止痛。人身各处都可以施行火针，只有面部忌讳使用。火针不宜用于治疗香港脚（足癣/脚气），反而会加重肿痛。适宜用于痈疽发背溃脓在内，外面皮肤没有脓头的情况。只需按压毒肿处变软的地方以促使排脓。对于范围阔大的，按压头、尾及中间用墨点标记，适宜下三针，决破排出脓液。凡针刺肿处不可按压，即用手指从两旁捺压，令脓液随手指动作流出。如果肿大且脓多，针刺时必须侧身回避，恐怕脓液喷射到身上。
Frankincense (Ruxiang), Myrrh (Moyao), Angelica sinensis (Danggui), and Flowered limestone (Huarushi) (each 5 qian, Licorice root (Gancao) 3 qian may be added).
Boil the above herbs together with the needles for half a day. Remove them, wash with soapberry water (Zaojiaoshui), then boil in dog meat for one day. Still polish clean and straight at the tip using tile fragments (nowadays, polishing with fine sandpaper on wood first, then polishing the needle is also acceptable).
Coat with pine nut oil (Songziyou). Keep it close to body temperature before use.
The Commentary on the Lost Chapters of Suwen states: When using Yuanli needles (Round-sharp needles) or Chang needles (Long needles), warm the needle in the mouth before needling. It also states: For Hu needles (Fine needles), warm the needle against the body until it is warm before insertion.
Old texts say: Warming the needle in the mouth aims to facilitate the flow of Qi through the meridians by warming it upon entry. Placing the needle in hot water now serves the same purpose. Mouth-warming differs slightly from body-warming. With mouth-warming, the needle tip is hot but the handle remains cold, unlike body-warming where the entire needle becomes hot.
Wang Jiezhai said: Recently, there is a method called "warm needle," which is a technique from Chu people. The method involves inserting a needle into an acupoint, placing a round cake made of White Atractylodes rhizome (Xiangbaizhi) over the needle, and applying moxibustion. This often yields results (this is the "burning needle" mentioned in the Treatise on Regulating the Meridians, suitable for treating tendon-cold conditions). However, in ancient times, needling was done without moxibustion, and moxibustion without needling. Combining both, or doing moxa then needle, is a later secular practice. It is prevalent among poor people in rural areas; it may be effective for those whose meridians are affected by wind-cold, merely by warming and promoting Qi flow. It benefits blood circulation but has little direct effect on the disease itself. The ancient methods were most exquisite, but improper use due to lack of mastery can lead to danger and clumsiness instantly. Only accurate moxibustion points are beneficial and harmless.
Fire needle (Huozhen) is also known as quenched needle. Frequently dip the needle in sesame oil (Mayou), burn it red-hot over a lamp flame; only then is it effective. If not red-hot, it cannot cure the disease and may harm the person.
When burning, keep the needle head pointing downwards to prevent hot oil from scalding the hand. Have someone else heat the needle initially, and the practitioner uses it temporarily to avoid heating their own hands. Mark the acupoint with ink first to ensure accuracy during needling. Fire needling is difficult and requires the mindset of a general facing battle to perform. Press the acupoint with the left hand, hold the needle with the right. Avoid inserting too deep to prevent damaging the meridians; too shallow will fail to remove the disease. One must judge the appropriate depth. Before performing fire needling, comfort the patient to prevent fear and panic, similar to moxibustion, though pain lasts briefly. After one insertion, withdraw the needle quickly; do not leave it in place. Immediately press the puncture site firmly with the left hand to stop pain. Fire needling can be performed on all parts of the body except the face, which is contraindicated. Fire needling is unsuitable for tinea pedis (Hongkangjiao/Foot Athlete's Foot), as it may worsen swelling and pain. It is suitable for abscesses or carbuncles where pus has formed internally but the skin surface lacks a head. Press the softened area of the toxicity to induce pus drainage. For large areas, mark the head, tail, and center with ink; three needles are suitable to lanced and drain the pus. When needling a swollen area, do not press the center; instead, press from both sides with fingers to guide the pus out. If the swelling is large with much pus, the practitioner should turn aside during needling to avoid being splashed by the pus.