1
凡刺之要，官鍼最妙。九鍼之宜，各有所爲，長短大小，各有所施也。不得其用，病弗能移。疾淺鍼深，内傷良内，皮膚爲癰。病深鍼淺，病氣不寫，支爲大膿。病小鍼大，氣寫太甚，疾必爲害。病大鍼小，氣不泄寫，亦復爲敗。失鍼之宜，大者寫，小者不移。已言其過，請言其所施。
凡刺之要，官针最妙。九针之宜，各有所为，长短大小，各有所施也。不得其用，病弗能移。疾浅针深，内伤良内，皮肤为痈。病深针浅，病气不写，支为大脓。病小针大，气写太甚，疾必为害。病大针小，气不泄写，亦复为败。失针之宜，大者写，小者不移。已言其过，请言其所施。 fán cì zhī yào, guān zhēn zuì miào. jiǔ zhēn zhī yí, gè yǒu suǒ wéi, cháng duǎn dà xiǎo, gè yǒu suǒ shī yě. bù dé qí yòng, bìng fú néng yí. jí qiǎn zhēn shēn, nèi shāng liáng nèi, pí fū wéi yōng. bìng shēn zhēn qiǎn, bìng qì bù xiě, zhī wéi dà nóng. bìng xiǎo zhēn dà, qì xiě tài shèn, jí bì wéi hài. bìng dà zhēn xiǎo, qì bù xiè xiě, yì fù wéi bài. shī zhēn zhī yí, dà zhě xiě, xiǎo zhě bù yí. yǐ yán qí guò, qǐng yán qí suǒ shī.
针刺的要领，以九针最为精妙。九针的适宜用途，各有它的作为，长短大小，各有它的施治对象。用得不恰当，病就不能除去。病浅而针深，会向内伤及完好的肌肉，皮肤发为痈肿。病深而针浅，病气不能泻出，会聚为大脓。病小而针大，泻气太过，必然造成伤害。病大而针小，气不能泄泻，也会造成败坏。失了用针的适宜，用大针的泻得太过，用小针的病不能除去。已经讲了用错的害处，请让我讲讲各针的施用。
The essence of needling lies in the official needles, which are the most subtle instrument. Each of the nine has its proper use and its proper work; long and short, large and small, each has that to which it is applied. If they are not used according to their use, the disease cannot be moved. When the illness is shallow and the needle goes deep, the good flesh is injured within and the skin becomes a sore. When the illness is deep and the needle is shallow, the diseased qi is not drained and gathers into a great pus. When the illness is small and the needle large, the qi is drained too far and harm must follow. When the illness is great and the needle small, the qi is not drained and ruin follows as well. Losing the fitness of the needle, the large drains too much and the small does not remove. Having spoken of these faults, I ask leave to speak of their application.
2
病在皮膚無常處者，取以鑱鍼于病所，膚白勿取。病在分肉間，取以員鍼于病所。病在經絡痼痺者，取以鋒鍼。病在脉氣少當補之者，取以鍉鍼于井滎分輸。病爲大膿者，取以鈹鍼。病痺氣暴發者，取以員利鍼。病痺氣痛而不去者，取以毫鍼。病在中者，取以長鍼。病水腫不能通關節者，取以大鍼。病在五藏固居者，取以鋒鍼，寫于井滎分輸，取以四時。
病在皮肤无常处者，取以镵针于病所，肤白勿取。病在分肉间，取以员针于病所。病在经络痼痹者，取以锋针。病在脉气少当补之者，取以𫔂针于井荥分输。病为大脓者，取以铍针。病痹气暴发者，取以员利针。病痹气痛而不去者，取以毫针。病在中者，取以长针。病水肿不能通关节者，取以大针。病在五藏固居者，取以锋针，写于井荥分输，取以四时。 bìng zài pí fū wú cháng chù zhě, qǔ yǐ chán zhēn yú bìng suǒ, fū bái wù qǔ. bìng zài fēn ròu jiān, qǔ yǐ yuán zhēn yú bìng suǒ. bìng zài jīng luò gù bì zhě, qǔ yǐ fēng zhēn. bìng zài mài qì shǎo dāng bǔ zhī zhě, qǔ yǐ dī zhēn yú jǐng yíng fēn shū. bìng wéi dà nóng zhě, qǔ yǐ pī zhēn. bìng bì qì bào fā zhě, qǔ yǐ yuán lì zhēn. bìng bì qì tòng ér bù qù zhě, qǔ yǐ háo zhēn. bìng zài zhōng zhě, qǔ yǐ cháng zhēn. bìng shuǐ zhǒng bù néng tōng guān jié zhě, qǔ yǐ dà zhēn. bìng zài wǔ zàng gù jū zhě, qǔ yǐ fēng zhēn, xiě yú jǐng yíng fēn shū, qǔ yǐ sì shí.
病在皮肤而没有固定部位的，用镵针在病处取治，皮肤色白的地方不要取。病在分肉之间的，用圆针在病处取治。病在经络、久痹不去的一用锋针。病在脉而气少、应当补的，用鍉针取井穴、荥穴和分肉腧穴。病成为大脓的，用铍针。痹气突然发作的，用员利针。痹气疼痛而不去的，用毫针。病在深部的，用长针。病水肿而关节不能通利的，用大针。病在五脏固着不去的，用锋针，在井穴、荥穴和分肉腧穴上泻，取治要依四时。
For disease in the skin with no fixed place, take the chan needle at the seat of disease; where the skin is white, do not take it. For disease between the partition flesh, take the yuan needle at the seat of disease. For disease in the channels and luo with chronic bi, take the feng needle. For disease in the vessels with scant qi that should be supplemented, take the di needle at the well, ying and partition shu. For disease that has become great pus, take the pi needle. For bi qi that breaks out suddenly, take the yuan-li needle. For bi qi that pains and will not leave, take the hao needle. For disease in the middle, take the chang needle. For dropsy in which the joints cannot be opened, take the da needle. For disease lodged firmly in the five zang, take the feng needle and drain at the well, ying and partition shu, taking according to the four seasons.
3
凡刺有九日，應九變。一曰輸刺。輸刺者，刺諸經滎輸藏腧也。二曰遠道刺。遠道刺者，病在上，取之下刺府腧也。三曰經刺。經刺者，刺大經之結絡經分也。四曰絡刺。絡刺者，刺小絡之血脉也。五曰分刺。分刺者，刺分肉之間也。六曰大寫刺。大寫刺者，刺大膿以鈹鍼也。七曰毛刺。毛刺者，刺浮痺皮膚也。八曰巨刺。巨刺者，左取右，右取左。九曰焠刺。焠刺者，刺燔鍼則取痺也。
凡刺有九日，应九变。一曰输刺。输刺者，刺诸经荥输藏腧也。二曰远道刺。远道刺者，病在上，取之下刺府腧也。三曰经刺。经刺者，刺大经之结络经分也。四曰络刺。络刺者，刺小络之血脉也。五曰分刺。分刺者，刺分肉之间也。六曰大写刺。大写刺者，刺大脓以铍针也。七曰毛刺。毛刺者，刺浮痹皮肤也。八曰巨刺。巨刺者，左取右，右取左。九曰焠刺。焠刺者，刺燔针则取痹也。 fán cì yǒu jiǔ rì, yīng jiǔ biàn. yī yuē shū cì. shū cì zhě, cì zhū jīng yíng shū zàng shù yě. èr yuē yuǎn dào cì. yuǎn dào cì zhě, bìng zài shàng, qǔ zhī xià cì fǔ shù yě. sān yuē jīng cì. jīng cì zhě, cì dà jīng zhī jié luò jīng fēn yě. sì yuē luò cì. luò cì zhě, cì xiǎo luò zhī xuè mài yě. wǔ yuē fēn cì. fēn cì zhě, cì fēn ròu zhī jiān yě. liù yuē dà xiě cì. dà xiě cì zhě, cì dà nóng yǐ pī zhēn yě. qī yuē máo cì. máo cì zhě, cì fú bì pí fū yě. bā yuē jù cì. jù cì zhě, zuǒ qǔ yòu, yòu qǔ zuǒ. jiǔ yuē cuì cì. cuì cì zhě, cì fán zhēn zé qǔ bì yě.
针刺有九种，与九变相应。第一叫输刺，输刺是刺各经的荥穴、输穴和脏腑的腧穴。第二叫远道刺，远道刺是病在上而取之下，刺六腑的腧穴。第三叫经刺，经刺是刺大经上结聚的络脉和经分。第四叫络刺，络刺是刺小络的血脉。第五叫分刺，分刺是刺分肉之间。第六叫大泻刺，大泻刺是用铍针刺大脓。第七叫毛刺，毛刺是刺浮痹在皮肤的。第八叫巨刺，巨刺是左病取右、右病取左。第九叫焠刺，焠刺是用烧过的针刺治痹病。
Needling has nine methods, answering to the nine changes. The first is shu needling: it needles the ying and shu of the several channels and the shu of the zang and fu. The second is distant needling: the disease is above and one takes below, needling the shu of the fu. The third is channel needling: it needles the knotted luo and the channel divisions of the great channels. The fourth is luo needling: it needles the blood vessels of the small luo. The fifth is partition needling: it needles between the partition flesh. The sixth is great-drain needling: it needles great pus with the pi needle. The seventh is hair needling: it needles floating bi in the skin. The eighth is ju needling: for the left take the right, for the right take the left. The ninth is scorch needling: it needles with a heated needle and so takes bi.
fán cì yǒu shí èr jié, yǐ yīng shí èr jīng.
针刺有十二节，与十二经相应。
Needling has twelve sections, answering to the twelve channels.
5
一曰偶刺。偶刺者，以手直心若背，直痛所，一刺前，一刺後，以治心痺。刺此者，傍鍼之也。
一曰偶刺。偶刺者，以手直心若背，直痛所，一刺前，一刺后，以治心痹。刺此者，傍针之也。 yī yuē ǒu cì. ǒu cì zhě, yǐ shǒu zhí xīn ruò bèi, zhí tòng suǒ, yī cì qián, yī cì hòu, yǐ zhì xīn bì. cì cǐ zhě, bàng zhēn zhī yě.
第一叫偶刺。偶刺是用手直对心部和背部，对着痛处，一针刺前，一针刺后，用来治心痹。用这种刺法，要斜傍进针。
The first is paired needling. One lays the hand straight upon the heart or upon the back, at the painful place, and needles once in front and once behind, to treat heart bi. In this needling one inserts obliquely at the side.
6
二曰報刺。報刺者，刺痛無常處也。上下行者，直内無拔鍼，以左手隨病所按之，乃出鍼，復刺之也。
二曰报刺。报刺者，刺痛无常处也。上下行者，直内无拔针，以左手随病所按之，乃出针，复刺之也。 èr yuē bào cì. bào cì zhě, cì tòng wú cháng chù yě. shàng xià xíng zhě, zhí nèi wú bá zhēn, yǐ zuǒ shǒu suí bìng suǒ àn zhī, nǎi chū zhēn, fù cì zhī yě.
第二叫报刺。报刺是治疼痛没有固定部位的病。痛处上下游走的，直刺进去不拔针，用左手随着痛处按压，然后出针，再刺。
The second is return needling. It treats pain that has no fixed place. Where the pain moves up and down, insert straight and do not withdraw the needle; with the left hand press along the painful place, then withdraw and needle again.
7
三曰恢刺。恢刺，直刺傍之，舉之前後，恢筋急，以治筋痺也。
三曰恢刺。恢刺，直刺傍之，举之前后，恢筋急，以治筋痹也。 sān yuē huī cì. huī cì, zhí cì bàng zhī, jǔ zhī qián hòu, huī jīn jí, yǐ zhì jīn bì yě.
第三叫恢刺。恢刺是直刺后向旁边提插，前后恢廓，以舒缓筋的拘急，用来治筋痹。
The third is free needling. Insert straight and then lift the needle to the side, forward and back, to free the taut sinew, and so treat sinew bi.
8
四曰齊刺。齊刺者，直入一，傍入二；以治寒氣小深者。或曰三刺。三刺者，治痺氣小深者也。
四曰齐刺。齐刺者，直入一，傍入二；以治寒气小深者。或曰三刺。三刺者，治痹气小深者也。 sì yuē qí cì. qí cì zhě, zhí rù yī, bàng rù èr; yǐ zhì hán qì xiǎo shēn zhě. huò yuē sān cì. sān cì zhě, zhì bì qì xiǎo shēn zhě yě.
第四叫齐刺。齐刺是正中刺一针，旁边刺两针，用来治寒气小而深的病。有人叫它三刺，三刺是治痹气小而深的。
The fourth is even needling. Insert one straight in the centre and two at the sides, to treat cold qi that is small and deep. Some call it triple needling; triple needling treats bi qi that is small and deep.
9
五曰揚刺。揚刺者，正内一，傍内四，而浮之，以治寒氣之博大者也。
五曰扬刺。扬刺者，正内一，傍内四，而浮之，以治寒气之博大者也。 wǔ yuē yáng cì. yáng cì zhě, zhèng nèi yī, bàng nèi sì, ér fú zhī, yǐ zhì hán qì zhī bó dà zhě yě.
第五叫扬刺。扬刺是正中刺一针，旁边刺四针，都浮在浅处，用来治寒气广大的病。
The fifth is lifting needling. Insert one in the centre and four at the sides, all kept shallow, to treat cold qi that is broad and great.
10
六曰直鍼刺。直鍼刺者，引皮乃刺之，以治寒氣之淺者也。
六曰直针刺。直针刺者，引皮乃刺之，以治寒气之浅者也。 liù yuē zhí zhēn cì. zhí zhēn cì zhě, yǐn pí nǎi cì zhī, yǐ zhì hán qì zhī qiǎn zhě yě.
第六叫直针刺。直针刺是提起皮肤再刺进去，用来治寒气在浅表的病。
The sixth is straight needle needling. Lift the skin and then insert, to treat cold qi that is shallow.
11
七曰輸刺。輸刺者，直入直出，稀發鍼而深之，以治氣盛而𤍠者也。
七曰输刺。输刺者，直入直出，稀发针而深之，以治气盛而𤍠者也。 qī yuē shū cì. shū cì zhě, zhí rù zhí chū, xī fā zhēn ér shēn zhī, yǐ zhì qì shèng ér rè zhě yě.
第七叫输刺。输刺是直入直出，出针稀疏而刺得深，用来治气盛而有热的病。
The seventh is shu needling. Straight in and straight out, with few withdrawals and deep insertion, to treat qi that is abundant and hot.
12
八曰短刺。短刺者，刺骨痺，稍摇而深之，致鍼骨，所以上下摩骨也。
八曰短刺。短刺者，刺骨痹，稍摇而深之，致针骨，所以上下摩骨也。 bā yuē duǎn cì. duǎn cì zhě, cì gǔ bì, shāo yáo ér shēn zhī, zhì zhēn gǔ, suǒ yǐ shàng xià mó gǔ yě.
第八叫短刺。短刺是治骨痹，稍微摇针而深入，让针尖到达骨，上下摩刮骨部。
The eighth is short needling. It treats bone bi: shake the needle slightly and go deeper, until the needle reaches the bone, and so rub the bone above and below.
13
九曰浮刺。浮刺者，傍入而浮之，以治肌急而寒者也。
九曰浮刺。浮刺者，傍入而浮之，以治肌急而寒者也。
jiǔ yuē fú cì. fú cì zhě, bàng rù ér fú zhī, yǐ zhì jī jí ér hán zhě yě.
第九叫浮刺。浮刺是从旁边刺入而浮在浅处，用来治肌肉紧急而有寒的病。
The ninth is floating needling. Insert at the side and keep it shallow, to treat flesh that is taut and cold.
14
十曰陰刺。陰刺者，左右率刺之，以治寒厥，中寒厥，足踝後少陰也。
十曰阴刺。阴刺者，左右率刺之，以治寒厥，中寒厥，足踝后少阴也。 shí yuē yīn cì. yīn cì zhě, zuǒ yòu shuài cì zhī, yǐ zhì hán jué, zhòng hán jué, zú huái hòu shào yīn yě.
第十叫阴刺。阴刺是左右都刺，用来治寒厥，中了寒厥的，取足踝后的少阴经。
The tenth is yin needling. Needle left and right alike, to treat cold jue; for cold jue that has struck, take the shaoyin behind the ankle.
15
十一曰傍鍼刺。傍鍼刺者，直刺傍刺各一，以治留痺久居者也。
十一曰傍针刺。傍针刺者，直刺傍刺各一，以治留痹久居者也。 shí yī yuē bàng zhēn cì. bàng zhēn cì zhě, zhí cì bàng cì gè yī, yǐ zhì liú bì jiǔ jū zhě yě.
第十一叫傍针刺。傍针刺是直刺一针、旁刺一针，用来治留痹久居不去的病。
The eleventh is side needling. One straight insertion and one at the side, to treat retained bi that has long dwelt in the body.
16
十二曰贊刺。贊刺者，直入直出，數發鍼而淺之出血，是謂治癰腫也。
十二曰赞刺。赞刺者，直入直出，数发针而浅之出血，是谓治痈肿也。 shí èr yuē zàn cì. zàn cì zhě, zhí rù zhí chū, shuò fā zhēn ér qiǎn zhī chū xuè, shì wèi zhì yōng zhǒng yě.
第十二叫赞刺。赞刺是直入直出，多次进针而浅，使它出血，这是用来治痈肿的。
The twelfth is assisting needling. Straight in and straight out, with many quick shallow insertions that draw blood: this is the treatment of swelling and sores.
17
脉之所居，深不見者刺之，微内鍼而久留之，以致其空脉氣也。脉淺者勿刺，按絶其脉乃刺之，無令精出，獨出其邪氣耳。
脉之所居，深不见者刺之，微内针而久留之，以致其空脉气也。脉浅者勿刺，按绝其脉乃刺之，无令精出，独出其邪气耳。 mài zhī suǒ jū, shēn bù jiàn zhě cì zhī, wēi nèi zhēn ér jiǔ liú zhī, yǐ zhì qí kōng mài qì yě. mài qiǎn zhě wù cì, àn jué qí mài nǎi cì zhī, wú lìng jīng chū, dú chū qí xié qì ěr.
脉所在的部位深而看不见的，刺它时要轻微进针而久留，用来引导空虚处的脉气。脉浅的不要直刺，先按压断绝它的脉气再刺，不要让精气外泄，只放出邪气罢了。
Where the vessel lies deep and cannot be seen, needle it by inserting the needle lightly and leaving it long, so as to draw the vessel qi of the empty place. Where the vessel is shallow, do not needle directly: press and cut off its qi, then needle, so that the essence does not leave and only the evil qi is drawn out.
18
所謂三刺則榖氣出者，先淺刺絶皮，以出陽邪；再刺則陰邪出者，少益深絶皮，致肌肉，未入分肉間也；已入分肉之間，則榖氣出。
所谓三刺则榖气出者，先浅刺绝皮，以出阳邪；再刺则阴邪出者，少益深绝皮，致肌肉，未入分肉间也；已入分肉之间，则榖气出。 suǒ wèi sān cì zé gǔ qì chū zhě, xiān qiǎn cì jué pí, yǐ chū yáng xié; zài cì zé yīn xié chū zhě, shǎo yì shēn jué pí, zhì jī ròu, wèi rù fēn ròu jiān yě; yǐ rù fēn ròu zhī jiān, zé gǔ qì chū.
所谓三刺则谷气出的，是先浅刺穿破皮肤，放出阳邪；再刺而阴邪出的，是稍为加深，穿破皮肤，到达肌肉，还没有进入分肉之间；已经进入分肉之间，谷气就出来了。
What is called the threefold needling that brings out the grain qi: first needle shallowly and pierce the skin, to bring out the yang evil; the second needling brings out the yin evil, going a little deeper, piercing the skin and reaching the flesh, but not yet entering the partition flesh; when it has entered between the partition flesh, the grain qi comes out.
19
故刺法曰：始刺淺之，以逐邪氣而來血氣；後刺深之，以致陰氣之邪；最後刺極深之，以下榖氣。此之謂也。
故刺法曰：始刺浅之，以逐邪气而来血气；后刺深之，以致阴气之邪；最后刺极深之，以下榖气。此之谓也。 gù cì fǎ yuē: shǐ cì qiǎn zhī, yǐ zhú xié qì ér lái xuè qì; hòu cì shēn zhī, yǐ zhì yīn qì zhī xié; zuì hòu cì jí shēn zhī, yǐ xià gǔ qì. cǐ zhī wèi yě.
所以刺法上说：开始浅刺，用来驱逐邪气而招来血气；然后深刺，用来引出阴气的邪；最后刺到极深，用来引导谷气下行。说的就是这个。
Hence the needling method says: begin with shallow needling to drive out evil qi and call in the blood and qi; then needle deep to draw out the evil of the yin qi; finally needle very deep to bring down the grain qi. This is what is meant.
20
故用鍼者，不知年之所加，氣之盛衰，虚實之所起，不可以爲工也。
故用针者，不知年之所加，气之盛衰，虚实之所起，不可以为工也。 gù yòng zhēn zhě, bù zhī nián zhī suǒ jiā, qì zhī shèng shuāi, xū shí zhī suǒ qǐ, bù kě yǐ wéi gōng yě.
所以用针的人，不知道年气的加临、气的盛衰、虚实是从哪里起的，就不能算作良工。
Therefore one who uses the needle and does not know the addition of the year, the abundance and decline of qi, and whence excess and deficiency arise, cannot be reckoned a skilled workman.
fán cì yǒu wǔ, yǐ yīng wǔ zàng.
针刺有五种，与五脏相应。
Needling has five methods, answering to the five zang.
22
一曰半刺。半刺者，淺内而疾發鍼，無鍼傷肉，如拔毛狀，以取皮氣，此肺之應也。
一曰半刺。半刺者，浅内而疾发针，无针伤肉，如拔毛状，以取皮气，此肺之应也。 yī yuē bàn cì. bàn cì zhě, qiǎn nèi ér jí fā zhēn, wú zhēn shāng ròu, rú bá máo zhuàng, yǐ qǔ pí qì, cǐ fèi zhī yīng yě.
第一叫半刺。半刺是浅浅进针而快速出针，不伤肌肉，像拔毛一样，用来取皮气，这是与肺相应的。
The first is half needling. Insert shallowly and withdraw quickly, so that the needle does not injure the flesh, as though plucking a hair, to take the qi of the skin: this is the response of the lung.
23
二曰豹文刺。豹文刺者，左右前後，鍼之中脉爲故，以取經絡之血者，此心之應也。
二曰豹文刺。豹文刺者，左右前后，针之中脉为故，以取经络之血者，此心之应也。 èr yuē bào wén cì. bào wén cì zhě, zuǒ yòu qián hòu, zhēn zhī zhōng mài wéi gù, yǐ qǔ jīng luò zhī xuè zhě, cǐ xīn zhī yīng yě.
第二叫豹文刺。豹文刺是在左右前后进针，以刺中脉为准则，用来取经络的血，这是与心相应的。
The second is leopard-spot needling. Needle left and right, before and behind, making it the rule to hit the vessel, to take the blood of the channels and luo: this is the response of the heart.
24
三曰關刺。關刺者，直刺左右盡筋上，以取筋痺，慎無出血，此肝之應也。或曰淵刺，一曰豈刺。
三曰关刺。关刺者，直刺左右尽筋上，以取筋痹，慎无出血，此肝之应也。或曰渊刺，一曰岂刺。 sān yuē guān cì. guān cì zhě, zhí cì zuǒ yòu jǐn jīn shàng, yǐ qǔ jīn bì, shèn wú chū xuè, cǐ gān zhī yīng yě. huò yuē yuān cì, yī yuē qǐ cì.
第三叫关刺。关刺是直刺左右尽筋之上，用来治筋痹，要谨慎，不要出血，这是与肝相应的。有人叫它渊刺，又叫岂刺。
The third is pass needling. Needle straight at the sides upon the end of the sinew, to take sinew bi, and be careful not to draw blood: this is the response of the liver. Some call it abyss needling, and some call it qi needling.
25
四曰合谷刺。合谷刺者，左右雞足，鍼于分肉之間，以取肌痺，此脾之應也。
四曰合谷刺。合谷刺者，左右鸡足，针于分肉之间，以取肌痹，此脾之应也。 sì yuē hé gǔ cì. hé gǔ cì zhě, zuǒ yòu jī zú, zhēn yú fēn ròu zhī jiān, yǐ qǔ jī bì, cǐ pí zhī yīng yě.
第四叫合谷刺。合谷刺是左右如鸡足一样斜刺，刺在分肉之间，用来取肌痹，这是与脾相应的。
The fourth is joining-valley needling. Needle left and right like a chicken’s foot, between the partition flesh, to take flesh bi: this is the response of the spleen.
26
五曰輸刺。輸刺者，直入直出，深内之至骨，以取骨痺，此腎之應也。
五曰输刺。输刺者，直入直出，深内之至骨，以取骨痹，此肾之应也。 wǔ yuē shū cì. shū cì zhě, zhí rù zhí chū, shēn nèi zhī zhì gǔ, yǐ qǔ gǔ bì, cǐ shèn zhī yīng yě.
第五叫输刺。输刺是直入直出，深刺到骨，用来取骨痹，这是与肾相应的。
The fifth is shu needling. Straight in and straight out, deep to the bone, to take bone bi: this is the response of the kidney.