Basic Needling

The technique of needle insertion in acupuncture transcends mere physical action. The two primary techniques, Ci Shou, aka “Puncturing hand” and Ya Shou, aka “Pressing hand,” represent distinct approaches in needle insertion. “Puncturing hand” employs finesse in guiding the needle’s trajectory, while “Pressing hand” anchors the point with purpose. Single-handed and double-handed insertion techniques are discussed, focusing on their fine methodologies. The depth, angle, and direction of needle insertion are scrutinized, considering various factors such as constitution, age, anatomical location, disease nature, and seasonal influences. Crucial needling manipulations such as lifting and thrusting and rotating and twisting, along with auxiliary manipulations, highlight the precision and intentionality essential in acupuncture. The concept of De Qi, emphasizing the interplay between the practitioner, patient, and needle, marks a pivotal step in therapeutic efficacy. Tonifying and reducing techniques, adapting to a patient’s constitution and acupoint selection, are crucial in restoring meridian balance. Last, the significance of retaining and withdrawing the needle is explored.