Epiglottic neuritis is a serious pain in the lower back and buttocks caused by injury, and can also be called epiglottic nerve injury. It is thought to be caused by the dislocation of the supragluteal nerve, which in Chinese medicine belongs to the category of “tendon out of groove”. It is more common clinically and mainly involves pain in the low back and buttocks. The pain is dull, aching or stabbing, and radiates to the lower hip and thigh on the affected side, but not over the knee. The pain is aggravated by bending, turning, squatting and standing. The author treated 28 cases with small needle closed release and received good results, which are reported below. General data The author treated a total of 28 patients with epiglottic neuritis from September 2004 to November 2004, 8 men and 20 women; the oldest was 63 years old, the youngest was 31 years old, and the most common was 35-50 years old; the shortest duration was 2 days, and the longest was 35 days. The patient was placed in a prone position, the skin was routinely disinfected and toweled, local anesthesia was performed with 1% lidocaine at the marked points, and the needle was inserted at the pressure points of the gluteal epicutaneous nerve area and the pear-shaped muscle area with the four-step needle approach, and longitudinal stripping and transverse spatula stripping were performed, with 3~5 cuts at each point. Each time stripping 2~4 points, after 5~7d, if the symptoms are not completely eliminated, treat once again. Efficacy criteria Cured: the symptoms disappeared after treatment, and the patient was able to engage in normal work and physical labor, and no “cord-like” objects could be touched, and there was no pressure pain; Significantly effective: the symptoms were significantly reduced or disappeared, and “cord-like” objects could still be touched, and there was pressure pain; Invalid: the symptoms and signs did not improve. Results: 19 cases were cured, accounting for 67.8%; 8 cases were effective, accounting for 28.6%; 1 case was ineffective, accounting for 3.6%, with an overall efficiency of 96.4%. The shortest treatment was 1 time and the longest treatment was 3 times. Discussion The superior gluteal nerve is a sensory nerve, a group of cutaneous branches emanating from the lateral branches of the posterior branches of the lumbar 1, 2 and 3 spinal nerves, which are distributed in the skin of the upper lateral gluteal area to the greater trochanteric area of the femur. As each branch travels through the thick muscle layer and lumbodorsal fascia, and crosses the hard iliac crest, it reaches the upper hip. Modern research confirms that the chemical substances produced by the aseptic inflammatory reaction of soft tissues stimulate the nerve endings and cause pain, reflexively causing muscle spasm and small vessel spasm, insufficient blood supply to soft tissues, metabolic and nutritional disorders, and the inflammatory reaction becomes inflammatory adhesions or inflammatory fibrous tissue hyperplasia, and the contracted and degenerated soft tissues produce “embedded pressure” on small vessels and nerve endings. The contracted and degenerated soft tissues produce an “embedded pressure” on small blood vessels and nerve terminals. Therefore, when acute and chronic injury occurs to the soft tissues of the lumbar region, the superior gluteal nerve is often involved. Injury to this nerve can cause congestion, edema, and even hemorrhage in the nerve and its surrounding soft tissues, which can lead to degenerative reactions in the axons and myelin sheaths of the nerve over time, resulting in thickening of the nerve bundle in the shape of a pike, and thus neuropathic pain symptoms. The clinical manifestations of epiglottic neuritis are: pain in the affected side of the waist and hip, stabbing pain, such as tearing, and radiating pain on the back of the thigh, but the pain does not exceed the knee joint. In the acute stage, the pain is more intense, bending is limited, it is difficult to get up and sit down, and when changing from sitting to standing, it is necessary to climb and support others or objects, and the patient often complains that the pain site is deep, the area is vague, and there is no obvious distribution boundary. In the early stage of the injury, the pathological changes may be as follows In the early stage of injury, the pathological changes can be reversible, and the application of conservative treatment, such as massage, closure, etc. can be effective. In the late stage, when the lesion is irreversible, the above conservative treatment is often not effective and surgical means, i.e. soft tissue release, must be used to completely eliminate the source of the disease and cure it. Therefore, borrowing the pathological basis of the above soft tissue release surgery, using modern minimally invasive surgery and ancient acupuncture combined with small acupuncture knife, using a fixed point to release the small blood vessels and nerve endings that are stuck, can be stronger stimulation of the lesion, adhesions and stuck parts, in order to improve the excitability of local tissues, accelerate blood circulation, eliminate soft tissue edema and inflammatory response, block the pain to the bad stimulation of nerves, eliminate or reduce pain. By stripping tissue adhesions and loosening scarring at the lesion site, it promotes autologous repair of the lesion tissue and achieves the same effect as surgery. Therefore, acupuncture is the treatment of choice for back and leg pain and other soft tissue pain and partial dysfunction, and has many advantages over surgery and other treatments, such as less trauma, no scar adhesions, less patient pain, faster results, and lower costs.