Scoliosis is a coronal deviation of the spine from its normal position, resulting in an abnormal morphology, with a lateral curvature of more than 10° on anteroposterior and posterior spinal radiographs. It is the most common deformity of the spine. In appearance, scoliosis can produce a bulging back deformity, a “razorback” deformity, and in some cases even a “bucket chest” or “chicken chest” deformity. At the same time, the combination of this back deformity can be accompanied by bilateral shoulder joint imbalance or pelvic imbalance, as well as the unequal length of the lower limbs, which can cause obvious local deformities, height reduction, reduced thoracic and abdominal flexion, and even cause damage to neurological, respiratory, and digestive functions. Scoliosis deformity specifically refers to deviation in the coronal position. Surgical treatment if necessary. Scoliosis can be categorized into idiopathic scoliosis and degenerative scoliosis depending on the cause. According to Chinese medicine, idiopathic scoliosis is caused by a lack of innate kidney qi, which results in the loss of moistening of the meridians in later life; wind, cold, dampness or trauma causes the solar meridians to be unfavorable, which in turn affects the Shaoyang and Yangming meridians and results in this disease. The pathogenesis of degenerative scoliosis and idiopathic scoliosis have similarities in etiology and pathology. Degenerative scoliosis belongs to the acquired over-exertion, depletion of kidney qi is too much, the meridians are not moistened, the wind, cold and dampness attack or trauma leads to unfavorable solar meridian qi, which affects the Shaoyang and Yangming meridians, and develops into the disease. Whether it is congenital or acquired, are blamed on the lack of kidney qi, kidney essence deficiency, loss of nourishment of the tendons and bones, all kinds of lumbago, physical endowment weakness, coupled with overwork or house labor too much, or old age, resulting in loss of kidney essence. There is no turbulence to raise the tendons and bones of the intervertebral disc degeneration, and gradually developed into this disease. External cold and dampness attack the human body, so that the stagnation of blood and qi, the blood veins do not pass and the onset of the disease. Scoliosis small needle knife therapy a needle knife fixed points: the supraspinous ligament point, the interspinous ligament point, the left and right L3 ~ L5 giant lumbar vertebrae transverse protrusion point, the sacral middle ridge and both sides of the back of the sacrum erector spinae muscle starting point. Operation procedure: Based on the mesh theory of the pathological structure of chronic soft tissue injury, the key point of the lesion in the lumbar region, the overall relaxation of needle knife is very effective. The patient is in prone position, and cotton pads are placed on the abdomen so that the lumbar spine is narrowed by anterior flexion. ①Loosen the supraspinous ligament and interspinous ligament treatment points, make the body of the needle knife perpendicular to the skin, the knife line parallel to the longitudinal axis of the spine, pierce the spinal interspinous space of about 0.5cm, rotate the knife line by 90 °, perpendicular to the direction of the tendon ligament fibers, incise and loosen the ligament of the yellow ligament if there is a hypertrophy of the ligament of the yellow ligament, the yellow ligament can be incised. When cutting the ligamentum flavum, when there is a feeling of falling under the hand, it is not possible to stab deeply. ② Loosen the transverse point of the lumbar vertebrae from L3 to L5 on the left and right, feel the apex of the transverse point of the lumbar vertebrae, and open 3cm from the midpoint of the lumbar vertebral spinous process next to it as the entry point of the knife. Make the body of the needle knife perpendicular to the skin, the knife line parallel to the longitudinal axis of the spine, into the knife to reach the transverse surface of the bone, the knife body to move outward, when there is a sense of fall, you find the lumbar intertransverse process, and then use the lifting and inserting knife method to cut the tip of the transverse process of the adhesion, scarring, generally 2 to 3 knives, and then transfer the knife line of 90 ° to cut the transverse intertransverse process of the ligaments. (iii) Loosening of the iliolumbar ligament stop, positioning in the posterior superior iliac spine, the incision line is parallel to the longitudinal axis of the spine, and after entering the knife to reach the bone surface of the posterior superior spine, the needle knife along the posterior superior spine of the bone surface of the medial side of the knife 2cm, and then cut the adhesion of the iliolumbar ligament stop by the lifting and inserting knife method for 2 to 3 cuts. ④Loosening the back of the erector spinae muscle, on the basis of loosening the back of the erector spinae muscle sacral median standoff starting point, from the sacral median ridge respectively 2cm as a fixed point, from the back of the sacrum into the needle, the knife line is parallel to the longitudinal axis of the spinal column, to reach the sacral bone surface, in the longitudinal sparse and transverse peeling of the bone 2 ~ 3 knives, out of the needle, press the hole of the needle and knife for 1 minute. Operation interval: once a week until the disease is cured. Scoliosis small needle knife therapy II needle knife fixed point: upper thoracolumbar fascia reaction point, middle thoracolumbar fascia reaction point, lower thoracolumbar fascia reaction point. Operation procedure: the patient is lying in prone position. ①Loosen the upper thoracolumbar fascia, set the point at the tip of the twelfth rib, the line of the incision is in the same direction as the longitudinal axis of the body, and the body of the needle knife makes an angle of 90° with the skin. Needle knife stabbing up to the twelfth rib, turn the knife line 45 °, so that it is consistent with the direction of the twelfth rib, in the rib bone surface of the left and right before and after the direction of shoveling peeling 2 to 3 cuts, and then stick to the bone surface down to the lower edge of the ribs, lifting the insertion of the knife method of cutting 2 cuts. ②Loosen the middle thoracolumbar fascia, open the 8-10cm fixed point next to the spinous process of the 3rd lumbar vertebra, make the knife body and the skin at an angle of 90 °, the knife line and the direction of the longitudinal axis of the human body is consistent with the needle to reach the fascial migration. The longitudinal sparse transverse peeling 2～3 times. ③Loosen the lower thoracolumbar fascia, set the point in the middle of the iliac crest at the point of pain repulsion, make the knife body and the skin at an angle of 90°, the incision line is consistent with the longitudinal axis of the human body, enter the needle to reach the iliac crest, rotate the incision line by 90°, and shovel peeling the iliac crest in the internal and external anterior-posterior direction in the bone surface with 2 to 3 knives. Fan peeling is not more than 0.5cm. Operation interval: weekly – times, can be alternated with technology a joint application. Scoliosis small needle knife therapy three needle knife fixed point: lower posterior serratus upper muscle abdomen, lower posterior serratus middle muscle abdomen, lower posterior serratus lower muscle abdomen. Operation procedure: the patient is lying in prone position. ①Loosen the upper muscle abdomen of the inferior posterior serratus muscle, set the point at 5cm beside the collar point of the twelfth thoracic vertebrae, with the body of the needle knife at an angle of 90° with the skin, and the line of the incision in the same direction as the longitudinal axis of the human body. Through the fascia to the muscle layer, longitudinal sparse transverse peeling 2 to 3 knives, Fan cutting no more than 1cm. ② release the lower serratus posterior muscle in the muscle abdomen, the needle knife operation method is the same as the release of the lower serratus posterior muscle in the upper muscle abdomen. (iii) Loosening the lower part of the lower serratus posterior muscle, the needle knife operation method is the same as that of loosening the upper part of the lower serratus posterior muscle. Operation interval: once a week, can be used in combination with technique II. Scoliosis small needle knife therapy IV needle knife fixed points: supraspinatus ligament, interspinous ligament, articular synovial capsular ligament, transverse interspinous ligament. Operation procedure: the patient is in prone position. ①Loosen the supraspinous ligament, the apex of the spinous process as a fixed point, so that the incision line is parallel to the longitudinal axis of the spine, into the knife, the needle knife through the skin, subcutaneous tissues, straight to the spinous process of the surface of the bone, in the surface of the bone of the longitudinal sparse and transverse peeling of 2 to 3 knives. ② Loosen the interspinous ligament, positioning in the interspinous space, the incision line is parallel to the longitudinal axis of the spine, the needle knife into the tissues, turn the incision line 90 ° using the lift and insert the knife method of cutting 2 to 3 cuts. The depth should not be more than 1cm. (3) Loosening of articular synovial capsular ligaments, positioning at the apex of the thoracic vertebral spinous process 2cm to the left and right, with the knife body perpendicular to the skin and the incision line parallel to the longitudinal axis of the spine, and then stabbing straight to the bony surfaces of the articular synovial joints of the two sides, and cutting the capsular ligament with 3-4 cuts by the method of lifting and inserting the knife. ④Loosen the intertransverse ligament, and position the blade 3 cm from the apex of the thoracic vertebral spinous process, so that the blade is perpendicular to the skin, the incision line is parallel to the longitudinal axis of the spine, and the blade is stabbed straight to the bony surfaces of the transverse processes of the two sides, then the blade moves outward, and when there is a sensation of emptiness, then it is prompted to arrive at the intertransverse processes. Here the adhesions and scarring at the tip of the transverse process are cut with the lifting and inserting knife method for 2 to 3 cuts, and then the incision line is reversed, and the upper and lower edges of the transverse process are cut with the lifting and inserting knife method for 3 to 4 cuts, respectively. Operation interval: once a week until the disease is cured.