Acupuncture and moxibustion are common methods in traditional Chinese medicine (TCM) to treat disease and regulate qi. The ultimate aim is regulating qi, in which "qi arrival" is the key for curative effect. Professor YANG Jiguo summed up the "three steps regulating qi method" in clinic, that is, three steps of acupuncture and moxibustion obtaining qi, mind controlling qi and acupoint pressing directing qi. Acupuncture and moxibustion obtaining qi depends on acupuncture manipulation and moxibustion dosage to cause "qi arrival", with the key of "obtaining qi", and the "acupuncture sensation" and "moxibustion sensation" should be paid attention to. Mind controlling qi depends on treating mind and regulating mind to guide qi arriving at the disease location, and should be applied when the acupuncture and moxibustion obtaining qi fails. Acupoint pressing directing qi is using pressing, kneading, and percussing on acupoints to regulate qi, and should be applied when the first two steps fails to cause "qi arrival". There are 3 proved cases as examples in this paper.