In many years of clinical practice, the author found a widespread phenomenon, that is, in the treatment of certain chronic diseases, especially such as cervical spondylosis, lumbar spinal stenosis, osteoarthritis of the knee, etc., the first time the effect of the needle knife is very significant, and after the continuation of the treatment, the signs left behind are not so easy to remove, there is a phenomenon of stagnation of the effect of the treatment, and I call this phenomenon: ” Disease efficacy platform”. This phenomenon exists objectively, and recognizing the existence of this phenomenon will enable doctors and patients to assess the efficacy of the disease more realistically and facilitate the development of treatment programs. So why does the “efficacy platform” exist? This is a question for us to think about, I just some superficial views, more discussion to be done in the future. First, the treatment is valuable in the persistence of treatment of diseases, like daily climbing (this may be an inappropriate analogy), in the beginning of a relatively flat section, plus enough physical strength, it is easy to go halfway up the mountainside; at this point, although less than half of the remaining distance, but that are the cliffs. Plus physical strength has been consumed most of the remaining distance is exceptionally difficult, the so-called “line 100 miles half ninety”, the remaining only 10% of the distance need to use more than the beginning of ten times or even a hundred times the time and strength to reach the summit. Once you reach the top, it is at a very high altitude on the “level ground”, if you are about to get to the top when you can not hold on, then it will be abandoned, left behind in addition to the difficulties or difficulties. Treatment is like the above mountain climbing, the treatment of the beginning, some of the appearance (these appearances often temporarily cover the substantive signs), like flat ground, a little applied to the method of treatment will appear obvious effect, which is a natural phenomenon determined by the regression of the disease. But the rest is often “stubborn disease”, we need to pay ten times or even a hundred times the treatment time and method to conquer the stubborn disease. Second, the disease is often not a single existence of our common treatment of neck, shoulder, lumbar and leg pain. Patients are often seeking medical advice, to the point that almost can not be sought before we find us, most of the long course of the disease, the condition of heavy, and most of the patients over 60 years of age, or because of the pain of mobility, limbs in a state of disuse. Not to mention the fact that these patients have other medical conditions, the vast majority of them also have osteoporosis, which cannot be solved by needle and knife alone. Even if calcium supplementation has been considered, is it effective? Many patients with osteoporosis are difficult to treat, that is, we can solve the problem of the specialty, the osteoporosis is not cured, the patient will certainly leave the relevant signs, which is one of the persistent diseases. To give another example, there are often some patients with untreated frozen shoulder, or the first time with the needle knife treatment is also very effective, but always can not eliminate all the signs, in fact, these patients are suffering from diabetes at the same time, according to our investigation of patients with diabetes or “hidden diabetes” patients, often accompanied by periapical, as long as the diabetes of these patients a day! As long as these patients’ diabetes is not cured, frozen shoulder will not be cured. It is inevitable that the effect of treatment will stagnate or the condition will recur. There are many examples like this, so I won’t give you an example. Third, the return of the disease determines the time of complete recovery In the clinic, such as cervical spondylosis, lumbar disc herniation, lumbar spinal stenosis and other diseases, in general, the first treatment of the removal of more symptoms, but the second or third treatment patients often reflect the effect of the treatment is not obvious, at this time, we must be clearly informed that this is the return of the disease is determined by a period of time after the correct treatment, this kind of disease return has several aspects: 1, cured; 2, improved. Cured; 2, improved; 3, ineffective; 4, the condition has not been controlled, aggravated. Above such four kinds of return is objective, according to the doctor and patient hope that the first return to the theory, but also not “needle” to get rid of the disease, we must give the disease enough time to recover, this kind of disease recovery time needs at least three months. Moreover, there are three other cases, so we must always remember that we cannot exaggerate the efficacy of the treatment, or always unrealistically think that only one or two times with the needle knife treatment can cure the stubborn disease that has remained untreated for many years. Once the patient is given such a misleading, give them too high expectations, the result often leads to the patient’s negation of the needle knife therapy and the doctor to doubt and lose confidence in continuing treatment. Fourth, the course of the disease determines the recovery time Any kind of chronic disease has a long period of “latent period”, in fact, is not “sick as a mountain down, sick as silk”, it should be “sick as a silkworm cocoon, sick as people move mountains. Sickness is like a silkworm making a cocoon, and the disease is like a man moving a mountain”. We treat many diseases, such as cervical spondylosis, lumbar spondylosis, spinal stenosis, ankylosing spondylitis, femoral head necrosis, osteoarthritis of the knee, frozen shoulder, etc., are the accumulation of chronic strain disease, some of the course of the disease can be as long as 10-20 years, how can it be cured in a few days or 1-2 weeks? In the case of these diseases, a clinical healing period of 2-3 months is generally required, with most taking 3-4 months. This is also in response to the saying that people often say, “It takes 100 days to hurt a muscle or a ligament.” In fact, the metabolic cycle of muscle and ligament tissue is about 100 days, in this sense, the healing platform is the time required for tissue recovery. Fifth, the pain is easy to forget is the composition of the disease efficacy platform factors The patient’s subjective feelings constitute the components of the efficacy evaluation. Human beings in the adaptation of the environment and society, often suffer attacks or accidents, in the completion of life and work of labor and inevitably without injury, these are to give people the feeling of pain, and even great pain, such as serious trauma, severe pain, etc., often painful to bear, but when the pain is stopped, people soon forget the pain of the past. For example, we once cured a reporter who suffered from severe leg pain, and when he returned to the clinic a month later, he said that he could no longer remember how he suffered from the pain at that time. There is also the severe pain of childbirth, once the baby is born, when they are enveloped in the happiness of getting a child, they have long forgotten all about the pain just now. This is a good example of the phenomenon of “pain forgetfulness” in human beings. I think this is a good thing, assuming that we have been through the pain are cumulative, remember, it is difficult to imagine what will happen? Maybe we wouldn’t have the courage to live. Therefore, I think that “pain is easy to forget” has a positive effect on us. However, when it is clear that the patient will have such a natural state of mind, it is not surprising that the second treatment will not be as effective as the first one, because it is expected that there will be some errors in the sensory perception of the second treatment.