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Heaven, human, and earth supplementation and drainage

天人地三才补泻 〔天人地三才補瀉〕tiān rén dì sān cái bǔ xiè

A method of needling that involves a three-stage insertion to achieve supplementation and a three-stage withdrawal to achieve drainage.

Method: Supplementation is achieved by inserting the needle to a shallow depth (heaven), advancing to a middle depth (human), and then further advancing to the deepest level (earth). The needle is then removed in a single movement. Drainage is achieved by first inserting the needle to the deepest level, and then withdrawing to the mid-level, and finally to the shallow level before removal.

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