First, the preparation of the silver needle treatment room and the needles before using the finishing and disinfection 1, silver needle treatment room requires quiet, bright light, equipped with smoke extraction facilities, air conditioning machines, ultraviolet disinfection lamps, equipped with treatment car. Treatment room should be pre-cleaned and disinfected before each treatment, and keep the room temperature at 20~24℃ during treatment. 2, treatment before the silver needle cleaning, finishing, according to the different models into four groups, respectively, after packaging for high-pressure steam disinfection spare. Second, silver needle therapy auxiliary utensils, anesthetic drugs and the preparation of Ai ball 1, auxiliary utensils include single-use sterile gloves, single-use sterile syringes, elbow hemostatic forceps, stainless steel medical curved disc, 75% alcohol cotton balls, iodophor cotton balls, 95% alcohol, etc.. 2, anesthetic drugs are mainly 2% lidocaine hydrochloride injection, sterilized injection water dilution. 3.Paper wrapped in mugwort. The production method is to use cotton paper to wrap the appropriate amount of high-quality moxa into a solid water chestnut-like moxa ball with a diameter of about 2 cm, the bottom of the moxa ball with a sharp instrument to poke a deeper hole, easy to install in the end of the silver needle needle will not fall off. Third, silver needle needling needle method 1, straight piercing: the needle body vertical piercing into the skin, subcutaneous tissue, fascia and skeletal muscle muscle belly straight to the bone of the periosteum or tendon attachment. 2, oblique stab: the needle body and the horizontal line at an angle into the skin, subcutaneous tissue, fascia and skeletal muscle muscle belly directly to the bone of the periosteum or tendon attachment. 3, flat stab: the needle body parallel to the horizontal line stabbed into the skin, subcutaneous tissue, fascia and skeletal muscle muscle belly directly to the bone of the periosteum or tendon attachment. 4.Subperiosteal stab: select the soft tissue weak area far from the focal area, first make a straight stab into the skin and muscle, fascia, etc., and then change to an oblique stab after reaching the periosteum, and continue to advance the needle along the inflammatory periosteum of the bone concave surface to reach the focal area. 5.Drilling: the left (right) hand pinches the tail of the needle downward for rapid left and right rotation, together with the left (right) hand pinching the lower part of the needle body 3 fingers, the upper and lower hand movements coordinate the needle with rotation and pressure into the skin, subcutaneous tissue and severely degenerated fascia up to the periosteum of the bone or tendon attachment. 6, around the stab: around the focal area, from the focal area around the appropriate distance for the fan-shaped multi-needle oblique stab or multi-needle subperiosteal stab. Fourth, the operation steps of silver needle therapy 1, according to the site of needling, the patient can take a supine position, prone position or lateral position, both to fully expose the needling site, but also to make the patient’s position more comfortable. 2, select soft tissue damage pain lesion needling treatment area, iodine volt cotton ball disinfection skin. The operating physician determines the entry point and then makes an intradermal injection of 0.25%~0.5% lidocaine injection at each entry point to form a mound about 1 cm in diameter (to avoid the limited skin stinging pain produced by the silver needle piercing and the limited skin burning pain produced by the burning of the moxa ball). According to the different needling site to choose the appropriate type (needle stabbing to the focal area bone surface pain point after the length of the needle body left outside the body about 10 cm is appropriate) by high pressure steam sterilization spare silver needle, using the correct needle posture will be silver needle from the point of needle into the skin, subcutaneous tissue, fascia and muscle layer to the soft tissue damage pressure point at the attachment of the bone surface, and to the surrounding bones for a small lift insert, to uncover the lesion The pain points in the soft tissues with strong needle sensation are then stopped, and the treatment of the pain points in the rest of the lesion is completed in turn. During the treatment process, different methods of needle insertion can be chosen according to different lesion sites and the degree of soft tissue degeneration. For muscle hypertrophy, the contraction of the muscle during the needling process may cause the tip of the needle that has been pierced to the bone surface to float away from the bone surface. After completing the operation of all the entry points, it is necessary to check and re-prick the partially floated needle to reach the painful point on the bone surface. The operating physician must be familiar with anatomy, and avoid injury to important nerves, blood vessels and organs during the operation. 3.After the needling operation, use sterilized cotton cloth to pad the skin space between the needle and the needle respectively, with gentle movements, and pad to sufficient thickness to protect the skin from burning pain or burns caused by the radiation heat when burning the moxa ball. After the completion of the pad cloth in each silver needle needle tail are mounted on a prepared paper wrapped moxa ball, syringe drip injection of 95% alcohol to half wet wrapping paper, vascular clamp tight alcohol cotton ball ignition to burn, while paying attention to close observation to prevent the burning moxa ball off. When the moxa fire extinguished, the needle body completely cooled after the needle. Before starting the needle, the ash of the moxa ball on the end of the needle will be sucked clean, remove the padding between the needles, the physician’s hand holding the alcohol cotton ball to press the skin of the eye of the needle and then quickly start the needle, after starting the needle eye iodophor cotton ball disinfection, and then 75% alcohol cotton ball wipe clean. Needle eye can be completely exposed, 48 hours without contact with water or unclean objects. V. Routine treatment after silver needle treatment 1. After the treatment is completed, because the needle has relieved the original pain and discomfort of the lesion, the patient can get up and walk or move on his own, only the soft tissue of the lesion outside the outer iliac wing of the hip will be weak after the needle, and it is necessary to perform active and passive hip flexion and extension activities dozens of times with the help of the physician, and then get out of bed and walk in the treatment room for about 15 minutes to basically restore the gait. 2, explain clearly to the patient, the original signs after acupuncture treatment to relieve but may have two days of local discomfort or pain acupuncture reaction, some multi-needle intensive acupuncture may appear mildly elevated body temperature phenomenon, without special treatment; skin itching around the eye of the needle, avoid scratching with nails to avoid skin infection; the same focal area of two acupuncture treatment interval of 5-7 days, different focal areas of acupuncture The duration of treatment depends on the patient’s tolerance and may not be limited by time. 3, after the signs are obviously relieved or completely eliminated, it is recommended that patients adhere to long-term jogging exercise, joint functional exercise, lumbar and back muscle functional exercise, which is essential for patients with severe chronic soft tissue pain to achieve long-term pain management effect by silver needle treatment. Six, indications 1, diagnosed as soft tissue damage pain disease outside the spinal canal, mostly manifested as: chronic neck, shoulder, back and arm pain, lumbar arm, leg and knee pain, head and face pain, wrist and palm pain, ankle and heel pain, etc. 2.Traditionally diagnosed as herniated disc, cervical spondylosis, osteophytes (including bone spurs), vertebral body slippage, small joint disorders, etc. due to secondary soft tissue aseptic inflammation, resulting in pain in various parts of the torso. 3.Symptoms similar to those of internal organs caused by soft tissue lesions, such as dizziness, dizziness, eye swelling, eye pain, vision loss, swallowing discomfort, mouth opening, chest tightness, chest pain, palpitations, abdominal distension, diarrhea, urinary frequency, urinary urgency, urinary and fecal incontinence, painful trails, menstrual disorders, menstrual disorders, male and female genital pain or sexual dysfunction, and more than 100 kinds of internal medicine, neurology, neurosurgery, psychiatry, thoracic disorders, etc. The symptoms of neurology, neurosurgery, psychiatry, thoracic, cardiovascular, orthopedics, abdominal surgery, urology, male, gynecology, family planning, rehabilitation medicine, sports medicine, ophthalmology, otorhinolaryngology, dermatology, stomatology and other diseases are completely similar. 4.Traditionally diagnosed as neuropathic damage, and cannot be confirmed as neurological diseases, and produce pain in various parts of the body. VII. Contraindications 1. Severe cardiovascular and cerebrovascular diseases and liver, lung and kidney failure. 2.Patients with epilepsy, psychosis and other severe mental illnesses. 3.Pregnancy and severe cardiovascular and neurasthenia. 4.Patients with blood disorders such as thrombocytopenia or those with bleeding tendency. 5.Patients with local skin allergy or infectious disease and fever. 6.Other people who are not suitable and cannot cooperate.