The needle is held between the thumb and index finger, and is pressed and moved by the middle finger to control the transmission of acu-esthesia to one direction.
When acu-esthesia is obtained, the needle is lifted a little. The thumb and index finger hold the handle of the needle, the middle finger presses and flicks the body of the needle or bends the body of the needle to one side so that the body of the needle looks like a bow. To direct the acu-esthesia to transmit upward, the needle is bent downward and backward. To direct the acu-esthesia to transmit downward, the needle is bent upward and forward (Fig. 2- 45).
To strengthen stimulation, to promote the flow of qi, to direct qi and to enable acu-esthesia to transmit along the meridians.
Fixed flicking is helpful to promote and direct qi flow, to enable the meridian qi to disperse along the route of the meridian and to direct acu-esthesia to transmit ot certain direction and to the location of the disease. Fixed flicking can direct qi underneath the needle to reach the location of the disease. For this purpose, the hand should not release the needle; and it should press or rotate the needle so as to maintain acu-esthesia underneath the needle and to direct it to transmit to the desirable direction and directly to the location of the disease.
22. Bending and cushioning
One hand bends the needle to one side, the index finger of the other hand cushions the body of the needle on the skin of the needled point.
Bending is a technique used after acu-esthesia is felt and when the patient feels comfortable, the acupuncturist bends the needle with one hand to one side; cushioning means that the finger of the other hand cushions the area between the body of the needle and the skin over the needled acupoint to reinforce the acu-esthesia ( Fig. 2 -46).
To promote and direct qi to the location of the disease.
Seeking means to seek for the meridian qi.
If the acu-esthesia is not obtained after the insertion, the needle is thrustedup and down and from the left to the right to seek for the meridian qi till acu-esthesia is felt (Fig. 2 -47 ).
This method is used to promote qi flow and acuesthesia.
The needle is lifted from the deep to the shallow region during the withdrawal of the needle.
In the manipulation, the needle is withdrawn gradually and steadily. Or in the withdrawal of the needle, the needle is retreated (Fig. 2 -48).
This technique is for the manipulation or withdrawal of the needle.