Blade needle as a therapy, there are its strict indications and contraindications, on this basis, master the operation of the blade needle, in order to be able to play the effect of blade needle therapy 1, blade needle therapy indications: blade needle therapy is clinically applicable to chronic soft tissue injuries, acute attacks of old soft tissue injuries and some acute soft tissue injuries; also applicable to traumatic bursitis, key sheathitis, myofasciitis, end-stage disease, hyperplasia Arthritis, peripheral nerve entrapment syndrome, bone a fiber canal entrapment syndrome, cervical spine syndrome, lumbar spine syndrome, osteoarthritis, fatigue periostitis, soft tissue injury plant nerve dysfunction and spine related diseases, as well as some internal medicine, orthopedic surgery, gynecology, dermatology, anorectology and plastic and cosmetic surgery disorders. (2) Contraindications to acupuncture: the following diseases are not suitable for acupuncture: (1) systemic fever or infection, the onset of serious visceral diseases; (2) redness, swelling, heat or deep abscess necrosis at the site of surgery; (3) hemophilia, thrombocytopenia and other coagulation insufficiencies; (4) important nerves, arteries, veins or major organs at the site of surgery and cannot avoid the potential for injury; (5) acute local soft tissue injury with a risk of injury (5) Acute local soft tissue injury with the possibility of bleeding; (6) Patients with motor system symptoms due to brain-derived disorders; (7) Patients with neurogenic disorders; (8) Patients whose diagnosis is unclear or whose lesion site cannot be determined for the time being; (9) Patients with mental illness or those who are too mentally stressed to cooperate; (10) Patients with severe hypertension, coronary heart disease, myocardial infarction, ulcer disease, liver and kidney insufficiency, and infectious diseases; (11) (12) Patients with tuberculosis and suspected history of tuberculosis; (12) Patients with pernicious anemia and malignant tumor; (13) Severe diabetes mellitus with blood glucose not controlled in the normal range; (14) Patients over 80 years of age or with extremely poor physical condition or fasting; (15) Severe rheumatoid arthritis, ankylosing spondylitis, knee deformity requiring more than expected results; (16) Bony stenosis in the spinal canal, vertebral body with 2nd degree (17) severe systemic osteoporosis, extensive pain or multiple compression fractures; (18) infants and children who cannot cooperate with the treatment. 3, the operation of the blade needle therapy: clinical use of the blade needle therapy, must first through the physical diagnosis, neurological diagnosis, imaging diagnosis, etc., comprehensive to make a clear diagnosis, and determine the indications. The operation should be based on the body surface markings and projections to determine the treatment point and accurately mark the needle entry point and the direction of the needle blade. The operating room environment should be sterile, and the treatment point should be routinely disinfected locally. The use of “open skin puncture method” “acupressure method”, etc., quickly pierce the skin into the subcutaneous tissue layer, to reduce the stabbing pain to the lightest. 4, the blade needle therapy adjuvant treatment: adjuvant treatment to consolidate and strengthen the blade needle therapy therapeutic role, is the organic part of the blade needle therapy, commonly used therapies are: (1) Chinese, Western drug therapy: oral, external use, injection, etc.; (2) modern manipulation therapy: modern manipulation is based on traditional manipulation, drawing on the concept and methods of modern medicine, improve, improve it more in line with the level of modern technology sublimation (2) Modern manipulation: Modern manipulation is based on traditional manipulation, which is a sublimation of modern medical concepts and methods, perfected and improved to be more in line with modern technology. It mainly includes compression, pulling, passive movement and correction of soft tissue and/or joint anatomical position disorder. The main techniques include compression, pulling, passive movement and correction of soft tissue and/or joint anatomical disorders. Among them, the mechanism of pressure-type manipulation – “local pressure reflex principle” deserves special attention.