TCM Acupuncture: 6 Qi Responses Explained by Yin-Yang Theory

Yellow Emperor inquired: “Having mastered the Nine Needles from you, I observe diverse Qi-blood reactions among the people during acupuncture. Some exhibit heightened spiritual vitality with Qi surging before needle insertion; others synchronize Qi arrival with the needle; some manifest Qi only post-withdrawal; certain cases require repeated needling to evoke Qi; while a few experience adverse reactions like syncope or aggravated symptoms after treatment. These six variations perplex me—pray elucidate their mechanisms.”

Qibo responded: “Individuals with exuberant Yang energy possess volatile spiritual vitality, which readily mobilizes Qi. Their physiological fire blazes fiercely—articulate in speech, assertive in demeanor, with surplus cardiopulmonary energy. This Yang dynamism, swift and effervescent, agitates the spirit, propelling Qi to precede the needle.”

Yellow Emperor pressed: “Yet some Yang-dominant individuals lack this preemptive Qi surge—why?”

Qibo clarified: “Such persons harbor latent Yin influences. Observe: Yang-exuberant minds radiate optimism; Yin-predominant temperaments simmer with repressed ire. When Yang-Yin equilibrium falters, spiritual vitality cannot spearhead Qi mobilization.”

Yellow Emperor: “What of those whose Qi synchronizes with needle insertion?”

Qibo: “Harmonious Yin-Yang interplay engenders lubricious Qi-blood circulation. Thus, needle penetration instantly activates Qi resonance—a hallmark of balanced constitutions.”

Yellow Emperor: “Explain delayed Qi emergence post-withdrawal.”

Qibo: “Herein lies Yin predominance—deep-seated Yin energy constrains superficial Yang. The needle withdraws before Yang, sluggish yet resolute, begins its solitary ascent.”

Yellow Emperor: “Why do some require multiple sessions for Qi activation?”

Qibo: “Excessive Yin with scant Yang creates inert spiritual terrain. Repeated needling gradually awakens this dormant matrix through cumulative kinetic stimulation.”

Yellow Emperor: “What causes syncope or therapeutic backlash?”

Qibo admonished: “These iatrogenic mishaps stem not from patient’s Yin-Yang dynamics, but practitioner negligence—improper technique, disregard for constitutional sensitivity, or failure to assess Qi-blood status pre-treatment