How pathogenic qi enters the channels, and the detailed operation of tonification and reduction by breathing.
Su Wen (素问)General Principles of Needling
ENGLISH TRANSLATION
The English is translated from the Chinese vernacular. The original text and its pinyin sit beneath each sentence in smaller type; hide them whenever you prefer to read the translation alone.
When evil enters the vessels, cold makes the blood congeal and stagnate, heat makes the qi moist and slippery; the deficient evil takes advantage and lodges there, as river water is stirred by wind.
Insert on the inbreath so that qi is not opposed; keep still and retain the needle so evil cannot spread; twirl on the inbreath, taking the arrival of qi as the aim; then draw the needle on the outbreath and withdraw as the breath ends, so that the great qi all leaves. This is called reduction.
First palpate and trace the point, press to disperse, push and smooth, flick to make the qi swell, pinch and insert, free the channel and take it; then draw the needle out and close the gate to keep the spirit in. Insert as the outbreath ends, still and long retained, taking the arrival of qi as the aim, as though waiting on an honoured guest and unaware that evening has come.
bì xiān mén ér xún zhī,qiè ér sàn zhī,tuī ér àn zhī,dàn ér nù zhī,zhuā ér xià zhī,tōng ér qǔ zhī,wài yǐn qí mén,yǐ bì qí shén,hū jǐn nèi zhēn,jìng yǐ jiǔ liú,yǐ qì zhì wéi gù,rú dài suǒ guì,bù zhī rì mù。
When qi has arrived, guard it fittingly; draw the needle on the inbreath so qi cannot escape but stays in its place; then press the gate shut so spirit and qi remain and the great qi stays. This is called tonification.
Li He Zhen Xie Lun follows pathogenic qi as it enters the body and moves from the skin into the channels and then into the organs, and it identifies the moment at which treatment is most effective. It is the classical source for the practice of needling at the point where the pathogen has arrived but has not yet settled.
The chapter gives the most detailed early description of tonification and reduction coordinated with the patient breathing, including the timing of insertion, the direction of the needle and the moment of withdrawal. It also contains an unusually direct warning against needling when the qi is disordered, disturbed or depleted.
ANNOTATION
Moist and flowing (淖泽): 淖 is pronounced nào, soft and moist; summer heat makes blood and qi glossy and free-running.
Great qi (大气): here evil qi.
Pluck and enrage it (弹而怒之): to flick the point so that blood and qi fill and swell.
Push the gate shut (推阖其门): to press the needle hole closed.
COMMENTARY
Respiratory tonification and reduction is rarely performed strictly today, yet two principles here remain valid: that tonification and reduction must keep time with the opening and closing of qi, and that waiting for qi requires patience. “As though waiting upon an honoured guest, unaware that evening has come” is a sharp rebuke to those who rush the needle.