When studying “Soft Tissue Surgery for Hikikomori”, it is important to focus on the examination of the spinal attachments. Because these attachments are the deep muscle attachments of the spine, they can cause localized pain in the case of aseptic inflammation, and when the pain recurs over a long period of time, it can lead to a number of related signs. I for the cure in the spine spine, after the joints, transverse process on the soft tissue attached to the damage caused by the relevant signs, has been exploring Songyuan Hospital of Traditional Chinese Medicine Rehabilitation Department Wang Bo how to do the spine spine, vertebral plate, after the joints, the transverse process of the accurate touch and acupuncture, now the experience is reported as follows: First, the focus of the spine attached to the examination and related signs 1, in the examination of cervical spine pressure point, (1) to pay attention to (1) The most obvious pressure pain is at the end of cervical vertebrae 2-5 spinous processes, and the attachment of cephalic semispinalis muscle (cervical 2-6 spinous processes – thoracic 1-5 transverse processes); (2) The tip of cervical vertebrae 1-4 transverse processes is one of the sites of the onset of ear and cheek signs. (2) The tip of transverse process of cervical vertebrae 1-4 is one of the pathogenic parts of the ear and cheek signs; (3) The tip of transverse process of cervical vertebrae 5-7 is one of the signs of cervical root; (4) Damage to soft tissue attachments of cervical vertebrae 6 – thoracic joints 2 is one of the main pathogenic parts of the cervical, back and shoulder with acidity, distension, heaviness and numbness, which should not be missed in the examination. 2, in the chest to chest 5-6, chest 8-9, chest 11-12 is the most sensitive, as the most favorable parts. Left thoracic 5 spinous process pain, can be to the left side of the front chest sternum body lateral to the fifth rib cartilage conduction, in the fifth rib cartilage at the formation of secondary high sensitivity pressure point, often misdiagnosed as “coronary heart disease” “pain in the heart area”, we call pseudo coronary heart disease, as long as the left thoracic 5 spinous process soft tissue line of silver, the pain in the left thoracic 5 spinous process soft tissue of the left thoracic 5 spinous process soft tissue of the left thoracic 5 spinous process. As long as the soft tissue of the left thoracic 5 spinous process is loosened with silver needles, this kind of pseudo-coronary heart disease will be cured. 3. Common signs associated with lumbosacral damage. (1) The tip of the lumbar 1-3 transverse process is the preferred site of lumbar soft tissue attachment. In addition to the conductive pain in the direction of the buttocks and legs, there will also be pain in the arch of the chest and 12 ribs, a belt-like tightness in the epigastric region, abdominal discomfort, and abdominal distension. Belching, acidity, hiccups, loss of appetite, poor appetite, chronic diarrhea or habitual constipation, fear of cold on the abdominal wall and diarrhea when exposed to cold and wind, and other gastrointestinal symptoms appear. (2) Primary lumbosacral 4-2 (lumbar 4~sacral 2) deep muscle damage, lower back discomfort, lower abdominal pain, thigh root pain, loss of or loss of sexual function (impotence, premature ejaculation in males and frigidity in females), menstrual disorders, menstrual dysfunction, early amenorrhea, and chronic vaginal ulcers. (3) Primary deep damage to the lower sacral region, anal or perineal discomfort, prolapse, tingling, numbness, or spasm of the soft tissues between the two, resulting in the scrotum and penis pulling backward, and paroxysmal contracture and twitching of the vagina in women. In short, aseptic inflammation of the deep soft tissues of the spine at the spinous processes, transverse processes and posterior joints, followed by recurrent pain that does not go away for a long time, leads to persistent spasms or degenerative contractures of the multifidus, piriformis and spinous processes, which leads to insufficient supply of blood to the muscles themselves, resulting in metabolic and nutrient disorders, which give rise to symptoms such as a cold and tight back, stiffness, a feeling of heaviness, and the inability to hold up the back. In serious cases, it will also cause dysfunction of the plant nerves, circulatory system, respiratory system, nervous system, digestive system, urinary system and other systems, which is one of the main reasons for the signs related to the damage of the soft tissues outside the spinal canal. Anatomy of deep spinal muscles The multifidus muscle starts from the back of the sacrum, the transverse processes of the thoracolumbar vertebrae, the posterior articular processes of the lower 4 cervical vertebrae, and crosses 2-3 vertebrae upward to end at the spinous processes of all vertebrae (except atlantoaxial vertebrae). The piriformis muscle, which originates from the dorsal surface of the root of the transverse process of the next vertebra and ends on the dorsal surface of the spinous process of the previous vertebra, is more developed in the thoracic region and may cross one vertebra. Spinosus, originating from the common tendon of the erector spinae muscle, the spinous processes of the upper 2 lumbar vertebrae and the lower 2 thoracic vertebrae, the fascicle usually crosses 1-2 spinous processes and ends on the lateral surface of the spinous process. The transversus spinosus muscle originates from the transverse processes of the lower vertebrae, runs obliquely inward and upward, and ends at the spinous processes of the upper vertebrae, and is arranged throughout the lumbar, dorsal, and collateral regions from the sacrum to the occipital bone. Third, the spine’s spinous process, transverse process, the touch of the posterior joints can be determined according to the bony signs of the human body, carefully touch the soft tissues behind the group, and with the manipulation to make them relaxed, combined with X-ray film, bony and muscular signs, can accurately touch the spinous process and transverse process, in the spinous process and transverse process is determined, the posterior joints of the vertebral body will be good to determine. Cervical 7 spinous processes: Ask the patient to look down and see the obvious protrusion at the cervicothoracic junction, which is the cervical 7 spinous processes. 2.Scapular ridge flat thoracic 3 spinous process, 3.Sternum angle flat thoracic 4 vertebrae 4.Scapular angle flat thoracic 7 vertebrae (when the arms are naturally drooping) 5.Sternum body and the junction of the raphe flat thoracic 9 spinous process 6.Thoracic lll spinous process: Along the twelve ribs to the midline palpation, the end of the end of the thoracic 11 spine. 7.12th thoracic vertebrae spinous process At the angle of the 12th rib 5 centimeters from the posterior midline. The lowest point of the rib arch (tip of the 11th rib) is flat on the lumbar 2 vertebrae. The longest transverse process palpable on both sides of the lumbar muscle is the transverse process of the 3rd lumbar vertebra, which is at the same level as the 3rd lumbar vertebra. The line connecting the highest points of bilateral iliac crests generally passes through the lower part of the 4th lumbar vertebra or the interspace between the 4th and 5th vertebrae. The line of bilateral posterior superior iliac spines passes between the 5th lumbar vertebra and the spinous process of the first sacral vertebra. 12, and the iliac lower back of the spine, is the third sacral vertebra spinal protrusion clinically accustomed to the above signs touch localization, but some are not balanced, some are not easy to measure, some are not very good at touching, so the localization of inaccurate, can only be a general estimate. (1) The use of Xuan Lao’s strong stimulation, pressure, kneading and massage can be a predictive diagnosis and treatment. In the process of treatment, it is emphasized that in the case of aseptic inflammation of the deep soft tissues of the spine, it is necessary to perform strong stimulation massage on the spinous processes, posterior joints, transverse processes and vertebral plates of the spine as an important means of obtaining prognostic diagnosis and treatment. (2) If the reversible soft tissue damage of contracture causes serious related signs, warm silver needling can be used. It is emphasized that the silver needle must be accurately applied to the vertebral plates and posterior joints of the spine at the point of attachment of aseptic inflammation of the soft tissues. (3) For the soft tissues in the primary and secondary spasticity stage, Mr. Derek Kuo’s spinal manipulation treatment can also be used. The treatment emphasizes on the improvement of the spasm of the deep soft tissues attached to the spinous processes, posterior joints, and transverse processes through the skillful spinal manipulation of the spinal column and the sudden micro-rotational displacement of the vertebral bodies, and ultimately the elimination of the aseptic inflammation of the deep soft tissues attached to the spinous processes, posterior joints, and transverse processes.