The Silver Needle had just been inserted into Chu San's head under Ling Zhenfei's direction. Ling Zhenfei watched very closely, using the Perspective Eye to locate a tiny breakthrough point where entry would not damage any nerves. It was only in that minuscule area that the needle could be inserted safely.
He acted so quickly because he feared Chu San might flinch from the pain, causing him to lose that critical spot.
Once the Silver Needle was inserted, it reached directly above the tumor in Chu San's brain. Ling Zhenfei's task was to puncture the tumor within the brain, for once the tumor was breached, it would no longer press on the nerves.