Acupuncture manipulation is a key factor to affect the clinical effect of needling. Reinforcing and reducing manipulations are key skills of acupuncture manipulation. "Heat-producing needling"is one of the most representative compound reinforcing and reducing manipulations. Although physicians of past generations all followed the manipulations in Golden Needle Ode（ 《金针赋》） and Compendium of Acupuncture and Moxibustion（ 《针灸大成》）

they understood heat-producing needling differently. Their manipulations were quite different. Thus combined with representative experience of famous acupuncture experts of past generations

operating points of heat-producing needling manipulation were discussed

including shallow to deep

three times of inserting and withdrawing

slowly lifting and tightly pressing

closely thrusting

as well as twisting needles slowly

to provide reference for clinical acupuncture treatment.