学习研究“十二五”期间中国中医药出版社和人民卫生出版社出版的《刺法灸法学》有关针刺补泻手法的内容，对捻转补泻手法、提插补泻手法、徐疾补泻手法、呼吸补泻手法和开阖补泻手法的阐述，从文献最早记载、教材描述和分析感悟三个方面分析。对捻转补泻提出：拇食指夹持针柄，食指不动，由拇指捻针在食指上运动，能更好地突出向前向后用力，也能更好地与一般捻转法区别。对提插补泻提出：中医药版教材强调提插补泻手法的操作部位是在得气处，小幅度施行手法，不强调操作的层次；人卫版教材则规定提插补法先浅后深，提插泻法先深后浅，强调操作的层次。而对徐疾补泻手法的操作则认为徐疾可以从分层进退来体现，徐疾补法“徐内而疾出”，“徐内”可以考虑为从天部到地部要分层进，“疾出”可以考虑为从地部一次性提至天部；徐疾泻法“疾内而徐出”，“疾内”可以考虑为从天部一次性插至地部，“徐出”可以考虑为从地部到天部要分层出。对呼吸补泻手法和开阖补泻手法，重点研究两本教材在操作描述上的不同。

To study the content of acupuncture reinforcing and reducing methods in Techniques ofAcupunctureandMoxibustion published by China Press of Chinese Traditional Medicine and People's Medical Publishing House in accordance with the Twelfth Five-year Plan.The studies on twirling and rotating the needle，lifting and thrusting the needle，rapid and slow insertion and withdrawal of the needle，respiration and keeping the holes open or close include three aspects：the earliest original documents，analysis of different description in textbooks and analysis insights.In the textbook，to operate reinforcing and reducing method by twirling and rotating is to hold the needle handle by the thumb and index finger and keep still of the latter，against which twirl and rotate the needle by thumb.The manipulation of this kind can not only extrude the direction of applying force，but also distinguish from other reinforcing and reducing method easily.With regard to reinforcing and reducing method by lifting and thrusting needle，the textbook published by China Press of Chinese Traditional Medicine stresses that should be manipulated by small degree in deqi-area，without mentioning the layer of operation，while in accordance with the textbook published by People's Medical Publishing House，the reinforcing method should be manipulated from the shallow layer to the deep one，and the reducing method，from the deep layer to the shallow one，emphasizing the operation layer.Concerning reinforcing and reducing method by rapid and slow insertion and withdrawal of the needle，the rapidness and slowness can be reflected by inserting and withdrawing the needle in different layers.As to operating reinforcing method of slow insertion and rapid withdrawal of the needle，the needle can insert layer by layer from tian-level to di-level and withdraw the needle from di-level to tian-level at once，while insert the needle from tian-level to di-level at once and withdraw the needle from di-level to tian-level layer by layer to operate reducing method of rapid insertion and slow withdrawal of needle.As to the reinforcing and reducing method reached by respiration and keeping the holes open or close，we focus on the different descriptions of manipulation in the two edition textbooks.