A, the essentials and advantages of fire acupuncture treatment of soft tissue injuries Fire acupuncture, “Yellow Emperor’s Classic of Internal Medicine”, also known as “burnt needle”, its method is also known as “n stab method”, meaning that the needle is burned until red, stabbed into the body, so fire acupuncture therapy on the human body damage than milli-needle, pain is heavier than milli-needle Therapy. This requires the needle into the needle, out of the needle speed to be fast. Because the fire needle than the general thick needle, in order to get out of the needle, into the needle pain is small, you must burn the needle until white, through the heat, before the speed into the speed out. Fire needle therapy requires fast needle, so accurately piercing the acupuncture points is more important, which requires the operator to send needles to pierce the points, not deviated. In short, the fire needle operation requirements are “red”, “fast”, “accurate” three words. Nantong City Hospital of Acupuncture and Moxibustion Cao Yun General acupuncture, moxibustion and fire acupuncture can treat soft tissue injuries, the three to fire acupuncture is fast and simple and convenient. The needles used in general acupuncture are now generally thin, the amount of stimulation is small, plus the use of electric needles, can increase the amount of stimulation, and soft tissue injuries, local either blood stasis and pain, or blood deficiency and pain. The blood stasis needle is small, to remove the blood stasis needles for many times before the effect, and fire needles needle hole is large, the amount of stimulation is also large, fire acupuncture after local cupping can be out of the blood stasis, the power to remove evil macro, and both warm through the function of support; blood deficiency does not glory need to warm through the treatment effect will be better, and the method of warm through the general take warm acupuncture moxibustion or moxibustion, moxibustion is long, moxibustion method for a long time to have a better effect, so not suitable for outpatient fast-paced medical activities, fire acupuncture is not, burning red piercing out of the needle in an instant. Burning red stabbing into the needle out in an instant. Fire acupuncture and moxibustion are the same method of warming the meridians and opening the channels. Fire acupuncture is simple and convenient, while moxibustion is time-consuming and labor-intensive. Fire acupuncture is relatively less painful, while direct moxibustion is more painful, indirect moxibustion is less painful, but the practitioner is also time-consuming and laborious. Although warm acupuncture is less painful, it is troublesome to operate and easily burns the skin. We believe that fire acupuncture is easy to operate and effective, and has the tendency to replace warm acupuncture. Second, the key to the effectiveness of fire acupuncture Fire acupuncture therapy is easy to learn and difficult to fine, to do red, accurate, fast, just make the patient less painful, does not mean that the curative effect is necessarily good, and the depth of fire acupuncture is the key to get the effect. Soft tissue injury, the lesion is located in the muscle, ligament, periosteum and other tissue intersection, “Ling Shu – the end of the ninth chapter” “in the bone to keep the bone, in the tendons to keep the tendons”, the lesion between the tendons and bones, need to pierce the lesion, the treatment effect is good. Therefore, according to the depth of the lesion, determine the depth of acupuncture. If the pain lesion is deep, it is deep; if the pain lesion is shallow, it is shallow. It is especially difficult to grasp the depth of the needling process, because the needling occurs between the eyes, not to be carefully experienced, all depending on a little idea. Professor Zhuang believes that the fire needle depth as long as the mastery of the three elements can be largely controlled: First, the needle selection, needling deep selection of fine needles, shallow can choose fine needles, but also available thick needles; second is the length of burning needles, need to stab deep need to burn needles long, need to stab shallow need to burn needles short; third is the size of the force, deep stab need to be a little force, shallow stab need to force a small, strong force small are to virtual strength with the needle, do not hold the needle too real, otherwise easy to stab too deep or break or bend the needle. Third, the mechanism of fire acupuncture treatment of soft tissue injuries and the method of taking the ayurvedic point The study of the mechanism of fire acupuncture treatment is relatively late, fire acupuncture can warm and strengthen Yang Qi, dispel cold and dampness, remove blood stasis and relieve pain. Professor Zhuang believes that fire acupuncture treatment of soft tissue injuries may be due to the reduction of local intra-tissue pressure, improved local blood circulation, and fire acupuncture raises the pain threshold, in addition, fire acupuncture causes acupuncture point burns, similar to buried wire, acupuncture point injection therapy can be a long time to stimulate the acupuncture points, thus playing a good therapeutic role. Fire acupuncture treatment of soft tissue injuries its must pierce the point is the point is the pressure point. A is the point pressure pain point, in addition to the lesion local pressure pain point, there are distal pressure pain point, local dynamic pain point and moving pain point, foreign body point. Local pressure points for soft tissue injuries are mostly in the starting and ending areas of muscles and tendons, and the most obvious ones can be taken as acupuncture points through the finger cut; distal pressure points are some pressure points far away from the lesion, such as shoulder joint pain about 1 inch below Yinlingquan, and biliary colic about an inch below Yanglingquan; moving pain points in joints often appear when the joint is at a certain angle, and need to be fixed. The moving pain points in the joints often appear when the joints are at a certain angle, and the angle of the joints should be fixed; the moving pain points are often taken on the healthy side opposite to the pressure pain points; the foreign body points are some soft tissue injuries and the nodules touched in the stomach, spleen, diaphragm and other parts of the stomach. The treatment process first takes these ayurvedic points, in order to achieve twice the effect with half the effort. Fourth, the treatment experience of common soft tissue injuries Soft tissue injuries are mostly caused by the fall and flash, local swelling, pain, joint movement is limited, and even visible stasis of blood, blood stasis does not go, qi and blood does not glory, wind, cold and damp attack, often delayed difficult to heal. Soft tissue injury in the acute stage of fire acupuncture can dispel blood stasis and pain, eliminate swelling and disperse knots, and in the chronic stage can warm the meridians, dispel cold and damp. Fire acupuncture is the best treatment for this type of evidence. Acute lumbar sprain: acute lumbar sprain is firstly advisable to use milli-needle to prick Renzhong, Houxi, pension, lumbar pain points with lumbar activities, if the patient’s range of activities basically restored, still lumbar pain, can be fine fire acupuncture lumbar A is point. If the lumbar sprain is not treated in a timely manner and turns into chronic lumbar pain, fire acupuncture is especially suitable, generally localized A is with kidney Yu, pinch points, etc., fine fire acupuncture points can be effective. Lumbar intervertebral disc herniation: lumbar pain with lower limb radiating pain is more effective, while the waist is not very painful, lower limb pain, CT suggests that there is a lateral saphenous fossa stenosis is less effective. Fine fire acupuncture is taken from the lumbar A-Yi point, Kidney Yu and Chichibian, Yin Men and Cheng Shan for pain in the foot solar bladder meridian; Feng Shi and Hang Zhong for pain in the foot Shaoyang meridian. Heel pain: heel pain is caused by local sterile inflammation, fire acupuncture can quickly reduce the pressure in the local soft tissues, the treatment is very effective. Take the local ayurvedic point, 2-3 needles can be taken, in addition, Chengshan point must be taken. Frozen shoulder: Frozen shoulder should be separated from the pain around the shoulder caused by cervical spondylosis, which can be identified by X-ray examination and clinical signs. Frozen shoulder should not be pushed during the acute stage of frozen shoulder, but medium to coarse fire acupuncture with local cupping is more effective, taking the acupuncture point Ah Yes, shoulder k, shoulder front, shoulder back, arm and hand three li. Exercise should be enhanced during the recovery period. Humeral epicondylitis: Because of the large range of pressure and pain in humeral epicondylitis, only 3-4 stitches with fine fire needles on the humeral epicondyle are effective. It is often taken below the Quchi point, where the radial head, pain is caused by the inflammatory involvement of the humeral epicondyle, and should not be used as the main point. Ankle sprain: ankle sprain acute local swelling and pain, late local hard nodes or hidden pain, are fire acupuncture indications. In the acute stage, use fine fire acupuncture to puncture the local ayurvedic point and Yanglingquan. If there is stasis and swelling, use medium to thick fire acupuncture to puncture the swelling to make it bleed. In the later stage, the painful points are punctured with fine fire needles.