How to choose the needle tool for meridian disease?

  Previously, we have introduced the common range of zones for burnt-needle robbing for pain as transfusion and for painful transfusion of the twelve meridians for meridian tendon diseases, respectively. Since certain large knots in the meridian tendons are in the cautious zones for acupuncture, especially for coarse acupuncture, such as the Yin apparatus and the lack of pelvis, we made little mention of them in the previous article.  The Nei Jing’s understanding of the etiology and treatment principles of meridian tendon diseases provides the theoretical basis for the treatment of meridian tendon diseases. The “Spiritual Pivot – Stabbing the real evil” says: “If a meridian is not accessible from above, there must be a cross-loop that is added to the great meridian, making it inaccessible, and this is called untying the knot. The concepts of “cross-loop” and “untie the knot” were clearly introduced. The concept of “untie the knot” is a pathological product of the paralysis process and an important cause of pain; most of them occur at the end of the tendon and nearby tissue abnormalities or functional changes, such as muscle fascia, tendon sheath, bursa, ligament painful nodules or striated masses, as well as abnormal sensations on the meridian tendon.  Below we will discuss the acupuncture treatment and the choice of needles for meridian tendon disease.  In the previous article, we have learned that the treatment of tendon disease in the Nei Jing era focuses on burnt needling, i.e., fire-based therapy, including rapid needling with fire and time-consuming warm acupuncture. The longitudinal does not close, there is no use of burnt needles”.  In addition to “Ling Shu – Jing Tendon”, there is also the following account in the “Nei Jing”. The nine stabs and twelve stabs of “Ling Shu – Official Needle” and the five stabs are mentioned respectively: “n stab, stab burnt needle then take paralysis also”, “resume stab, straight stab near the, lift before and after, resume tendon urgent, to cure tendon paralysis also, …… short stab, cure bone paralysis The “short prick” is to treat bone paralysis, slightly shaking and deep, to the needle bone, up and down the bone also”, “Guan prick, straight prick left and right, all tendons on, to take tendon paralysis”. We note that the stabbing burnt needle is to take paralysis; straight stabbing near the, lifting before and after, to restore the tendons urgent; treatment of bone paralysis, slightly shaken and deep, to the needle bone, above and below the bone; straight stabbing left and right, all tendons on the stabbing method is similar to the current small needle knife loosening, stripping, eradication and other surgical actions. Obviously, these practices are more difficult to accomplish with the milli-needle, so let’s take a look at the needle tools involved in the treatment of the meridian tendon disease as highlighted in the Nei Jing.  The “Spiritual Pivot – Nine Needles and Twelve Principles” says that the nine needles are “each appropriate, each different in shape, and each at its own discretion”. At present, the nine needles in the milli-needle is widely used, while the thick fire needle, long needle, large needle, round sharp needle but less people ask for. The fire needles, long needles, large needles, and round needles are the most important tools for clinical treatment of soft tissue disorders, i.e., “untie the knots” in the Nei Jing. And look at the “Ling Shu – nine needles 12 original”: “… long needle, sharp body thin, can take deep evil far paralysis. The big needle, pointed like a club, its sharpness micro member, to diarrhea organs of water also.” “Ling Shu – nine needle theory”: “round sharp needle, …… main take carbuncle paralysis also. Fire needles, long needles, large needles, round sharp needles, none of them are thick needles.  Combined with the current reality, we then look at the acupuncture clinical application of the needle knife, round sharp needles, fire needles, milli-needles in the treatment of soft tissue disorders, the effect of comparison, you can basically understand the effectiveness of each. Take several common diseases as an example: most of the patients with frozen shoulder, acupuncture treatment only needs 3-5 times to solve the problem, circular needle within ten times should be almost, milli-needle more than 3 months still do not know whether there is no improvement; tennis elbow, most of the acupuncture knife once and healed, rarely do three times, circular needle also does not need many times, milli-needle is effective difficulties, even with the warm needle effect is not obvious, unless the humeral epicondyle is burned will quickly The effect is not obvious even with warming needles, unless the epicondyle of the humerus is burned, which will improve quickly. For heel pain, acupuncture is basically 1-2 times, while milli-needle is difficult to solve the problem.  In general, soft tissue injuries such as meridian disease, acupuncture knife treatment is the best, fire needle, circular needle is the next, milli-needle poor. Because the fire needle is not easy to master, so here is not recommended. In the absence of needle knife, round needle conditions, if you want to improve the efficacy of milli-needle treatment of the tendon disease, do not use the 30 needle, change the 28, or even 26 needle use, and in the needle into the focal point to mention inserted, with swinging the needle body, in order to play a role in soothing and relaxing. Can place the Ai, it is best to burn the end of the needle in the case of the disease allows. Imagine, 30 slim soft milli-needle, for the cross-loop adhesions, nodules, strips, lumps, etc., how much can play a role in untying the knot.