In the technique 'penetrating heaven coolness', how should the needles be withdrawn?

In the technique 'penetrating heaven coolness,' the correct approach for withdrawing the needles is to withdraw them slowly and leave the hole open. This method is critical for performing the technique effectively because it allows for the maintenance of qi flow and energy regulation that this technique aims to achieve.

When needles are withdrawn slowly, it minimizes discomfort for the patient and allows for a more gentle release of therapeutic effects. Leaving the hole open facilitates continued interactions at the acupuncture point, which is considered beneficial for the therapeutic outcome, especially in terms of allowing the patient to retain the calming and soothing effects of the treatment. This technique is often employed for addressing conditions characterized by excess heat or stagnation and aims to restore balance within the body's energy systems.

Using rapid withdrawal or attempting to close the hole immediately can disrupt this delicate balance, potentially leading to more discomfort or a less effective treatment. Similarly, lifting gently and withdrawing quickly, while it may seem considerate, does not align with the fundamental principles of maintaining qi flow associated with this particular technique.