The first step: neurolocalization diagnosis, medical history and conscious symptoms In addition to gender, age, and occupation, the medical history should focus on the following: detailed history of trauma, from childhood to the present, including the history of trauma during adolescence, and the presence of birth injuries in pediatric patients should be understood. Head, neck, back, lumbar and hip trauma often do not present symptoms immediately after the trauma, especially chronic strain injury, because the trauma history is easy to ignore at the first visit. The importance of trauma history is particularly important for the development of treatment plans. Occupation, work, and posture are factors in chronic strain; ask about the possible connection between spinal symptoms and visceral symptoms, whether the onset is sudden or gradual, and whether there are triggers for sudden onset, and understand the triggers for onset to help prevent recurrence. To have a holistic view of the spine, ask about the time of appearance of symptoms and the sequence of various symptoms in each part of the spine, the occurrence and development of biomechanical imbalances in the spine, and the priority and importance of each segment of the spine and symptoms. Ask about the nature of the pain, is it sore, numb, dull, burning, or radiating? Is it persistent pain or intermittent pain? Step 2: What is the effect on the pain when the position is changed: aggravation, reduction or no change? The specific location of the pain should be known accurately, in which range of the head, neck, chest and abdomen, waist and back, buttocks and limbs. Is there any abnormality in sensation, if so, it is important to understand whether it is numbness, pins and needles, swelling, cold syncope or burning sensation? Is there any diminution or loss of sensation. Is there any motor dysfunction? To what extent? Is there any muscle atrophy or compensatory hypertrophy? Does the upper limb appear to be holding objects to the ground? Is there any stiffness and cotton feeling in the lower limbs? Does paraplegia, hemiplegia, monoplegia or cross paresis and facial paresis occur? Step 3: In addition to peripheral nerve damage, we should also find out whether there are any pathological symptoms in the internal organs or organs innervated by the sympathetic nerves of the segment: for example, dizziness, nausea, erratic, panic, excessive sweating in cervical spine patients; unexplained fluctuations in blood pressure (too high or too low); blurred vision, blinking eyes, tearing or dry eyes, diplopia, dilated pupils, eyelid weakness without obvious organic lesions drooping or persistent eyelid twitching, intraocular sulcus or Horner’s syndrome, and gold stars in the visual field; or tinnitus and hearing loss of neurological (non-in-the-ear lesions) origin; and chronic throat discomfort or swallowing difficulties. Patients with low back pain and discomfort have symptoms such as pain in the upper abdomen (liver or stomach area), acid reflux and belching, abdominal distension and intestinal tinnitus, loose stools or constipation. Are there any symptoms such as frequent urination, painful urination, premature diarrhea, impotence or dysmenorrhea? In short, the inquiry should include the clinical manifestations of spinal cord segment, peripheral nerve and sympathetic nerve damage related to the spine of onset and whether the blood circulation and lymphatic circulation are normal. Through the above inquiries, the preliminary analysis of what tissues (spinal cord, nerve roots, sympathetic nerves, muscles, blood vessels or lymphatic vessels) are damaged in what parts of the spine, the initial determination of the onset of the spine or joint. Briefly summarized as follows: 1, numbness, pain in the limbs, according to the distribution of peripheral nerves, to make a preliminary localization of the spinal range of morbidity. 2, with internal organs, organ disease, according to sympathetic and parasympathetic nerve segments, to make a preliminary judgment of the onset of the spine. 3, with local symptoms of the spine, according to the paravertebral muscles, ligaments, fascia attached to the intervertebral relationship to make a judgment. 4. In the absence of the above clinical manifestations, judgment was made according to the arterial blood supply, brain and spinal cord damage at the symptomatic site.