China has two kinds of medicine, Chinese medicine and Western medicine, which is a major advantage of our medical and health care services. The coexistence of the two kinds of medicine can not only provide diversified technical services for the medical care of the general public, but also promote the modernization of traditional Chinese medicine and accelerate the development of medicine in China through the mutual penetration of the two kinds of medicine. Needle knife medicine is the product of the mutual penetration of Chinese and Western medicine. Needle knife medicine is a new discipline developed on the basis of needle knife therapy. Since 1976, the year of the birth of needle-knife therapy, this year is exactly the year of its establishment. When Zhu Hanzhang pioneered the needle-knife therapy, he integrated the two strengths of acupuncture needles and surgical knives, so that orthopedics and traumatology surgery such as cutting, peeling, loosening and so on, from open to closed, which significantly improved the treatment of chronic soft tissue injuries, osteoporosis and other types of diseases. Later on, the development of needle knife medicine not only made the indications of needle knife therapy from orthopedics and traumatology to expand to the internal, external, gynecology, pediatrics, ophthalmology, dermatology and other diseases, but also many common diseases, difficult diseases of the pathogenesis, pathogenesis and the mechanism of needle knife therapy put forward a series of theories and insights consistent with the actual clinical situation, which is about the etiology of the theory of chronic soft tissue injuries, the etiology of the theory of osteoporosis Among them, the theories on the etiology of chronic soft tissue injuries, the etiology of osteoporosis, the etiology of spinal cord, and the theory that needle knife regulates the function of the organism to restore its balance are all new advances on the basis of the predecessors, and have significant application and theoretical value, no matter for Chinese medicine or Western medicine. Over the past thirty years, the rapid development of the acupuncture and knife medicine team has reached more than 30,000 people, and has set up its own academic organization, that is, the Professional Committee of Acupuncture and Knife Medicine of the Chinese Society of Traditional Chinese Medicine, and often carries out academic exchanges at home and abroad, and the education department has also made the acupuncture and knife medicine as the teaching curriculum of the national colleges and universities of traditional Chinese medicine. Why does needle knife medicine have such a strong vitality? The fundamental reason lies in the fact that needle knife therapy has relatively superior curative effect on many common and difficult diseases. I have personally seen the needle knife treatment of cervical spondylosis, lumbar spondylosis, ankylosing spondylitis, adolescent scoliosis, incomplete traumatic paraplegia, ischemic femoral head necrosis, asthma in children and other diseases, to understand the patient’s feelings and views, and listened to several in the Western medical institutions engaged in the evaluation of the professor of internal medicine and surgery of the needle knife medicine, have proved that the effectiveness of the needle knife is indeed a surprise. For example, Inner Mongolia Medical College to observe acupuncture knife treatment of cervical spondylosis 622 cases, the cure rate of 85%; General Armaments Department 513 hospitals to observe the acupuncture knife treatment of advanced ankylosing spondylitis 376 cases, all achieved varying degrees of efficacy, manifested as the disappearance of the symptoms or the basic disappearance of the hunchback significantly improved, the hip joints and the spinal column of the activities of the function to enhance the hospital; Zhejiang Traditional Chinese Medicine College hospital to observe the acupuncture knife treatment of 68 cases of osteoarthritis, cure plus the apparent efficiency of 85.3%, the cure of the cure rate of 85.3%. Cure plus apparent efficiency of 85.3%; Daqing Orthopedic Disease Hospital observation of needle knife treatment of femoral head necrosis 216 cases, the good rate of 95%, after 2-5 years of follow-up, the efficacy of consolidation. The advantages of needle knife medicine show that this emerging discipline to improve and promote seriously, not only to help the prevention and treatment of contemporary common diseases and difficult diseases, but also its time-tested clinical effects and theoretical insights, but also to the modernization of traditional Chinese medicine and the combination of traditional Chinese medicine and Western medicine to play a powerful role in promoting. The following is how to further develop the problem of needle knife medicine, put forward a few rough views: First, the development of needle knife medicine to today, there is an important problem has not been resolved, that is, the positioning of needle knife medicine. Firstly, it is believed that needle knife therapy is the improvement and development on the basis of traditional acupuncture therapy, so the needle knife medicine should belong to the category of Chinese medicine; secondly, it is believed that the needle knife medicine from technology to theory is different from both Chinese medicine and Western medicine, which is a brand new theoretical system; thirdly, it is believed that the needle knife therapy has nothing in common with the traditional acupuncture technology, and the needle knife medicine is a new branch of surgical science, which should belong to the category of Western medicine. the category of Western medicine. Obviously, different views will guide the development of needle knife medicine in different directions. The divergence of the three views is so great that one cannot help but worry that the combined force will turn into a divided force, affecting the future of needle-knife medicine. In my opinion, to judge which academic field a discipline belongs to, one should not simply look at it from the technical level, but from the theoretical height. In terms of specific medical technology, it is true that needle-knife therapy is different from acupuncture therapy. Although needle-knife therapy also emphasizes the feeling of needles in the application of surgery, and sometimes the corresponding acupuncture points in acupuncture should be selected, its focus is on the use of the blade of the knife to carry out directional cutting, peeling, and loosening, which is obviously different from acupuncture. However, from a theoretical point of view, the theory that the etiology of chronic soft tissue injuries is due to the imbalance of dynamic equilibrium, the theory that the etiology of osteomalacia is due to the imbalance of force balance in the body, as well as the theory of the etiology of spinal zones, the theory that the mechanism of acupuncture and knife treatment lies in the restoration of various kinds of equilibrium in the human body, etc., all of which are in line with the basic theories of traditional Chinese medicine and acupuncture and moxibustion. Of course, the so-called fit refers to the basic viewpoints, theoretical principles of the same, indicating that the basic theoretical framework of acupuncture and knife medicine belongs to the theoretical system of Chinese medicine only. Conformity is not the same as equivalence. In fact, the theoretical insights put forward by acupuncture and knife medicine are all based on modern science, which is fundamentally different from the classical theories. I have devoted myself to the modernization of Chinese medicine for many years, and I believe that the way to realize the modernization of Chinese medicine is to combine Chinese medicine with modern science and technology, including modern medical technology, and the sign of modernization should be to give Chinese medicine a brand new modern scientific connotation under the premise of maintaining and developing the theoretical system of Chinese medicine. It is on the basis of this understanding that I have always regarded acupuncture and knife medicine as one of the successful examples of the modernization of Chinese medicine. Secondly, although there are new advances in needle-knife medicine, the high standard of clinical research has not been able to keep up with it, which to a certain extent restricts the promotion of needle-knife medicine. In the future, in accordance with the basic requirements of evidence-based medicine, we should strengthen the prospective research on some of the diseases that are sufficient to show the characteristics of the needle knife, in order to provide the domestic and international medical community with more persuasive research reports. In clinical research, randomized group control is extremely important, but it is not meaningful to use acupuncture, tuina, and traditional Chinese medicine to do the control, and should adopt the best Western medical treatment recognized by the international medical community to do the control, so that the control group can be a real measure of the value of needle knife treatment. Third, the current medical theory of needle knife is the sublimation of clinical practice knowledge, from its basic point of view, principles, theories, is undoubtedly correct. But according to strict scientific standards, the medical theory is still only in the hypothesis stage, to be further verified and enriched from a series of details. For example, regarding the therapeutic role of the needle and knife, many needle and knife doctors believe that it has both the role of the knife and the role of the needle. Cutting, peeling, loosening is the role of the knife, adjusting the body’s function to restore normalcy is the role of the needle. In fact, cutting, peeling, loosening is also a strong stimulation of the body, also contains the role of the needle. Therefore, the study of the mechanism of action of the needle knife should not focus solely on closed surgery, should pay more attention to the current status of acupuncture research, fully borrowed from the experience and results of the research on the mechanism of action of acupuncture. Needle knife academic organizations such as the promotion of needle knife team and acupuncture research team cooperation, and jointly explore the mechanism of action of needle knife, will be twice the result with half the effort. Fourth, the safety of needle knife therapy is a social concern. In all fairness, such as cervical spondylosis, lumbar spondylosis, ankylosing spondylitis, necrosis of the femoral head, osteoarthritis and other diseases, Western medicine surgery, there is also a certain degree of risk, why should be demanding on the needle knife treatment. However, safety and efficacy is, after all, the eternal theme of medicine, needle knife treatment to achieve the maximum safety factor, in addition to continuous improvement of diagnostic and treatment techniques, the current urgent need to solve the problem of two: one is to formulate the technical specifications of needle knife treatment of common diseases, so that the majority of doctors have to follow the needle knife; the second is to strengthen the management of the doctor of the needle knife, to develop a training system of needle knife doctors and the qualification standards for the practice of medicine, to prevent abuse of needle knife therapy by medical personnel without formal training. The second is to strengthen the management of needle knife doctors and formulate a training system and practicing qualification standards for needle knife doctors, so as to prevent the abuse of needle knife therapy by medical personnel without formal training. Of course, in order to do a good job in these two areas, it is not enough to rely solely on the self-discipline of the needle-knife team, and it requires the strong support and promotion of the competent government departments, as well as the needle-knife academic organizations to do more concrete work. The most important feature of the development of contemporary Chinese medicine is modernization and internationalization, which is the inevitable way for the development of contemporary Chinese medicine not to be shifted by human will. The question before people is not whether to modernize or not, but how to modernize. In the process of modernization of Chinese medicine, while it is important to absorb modern scientific knowledge, it is especially important to adhere to the theoretical system of Chinese medicine as the cornerstone. The significant achievements of needle and knife medicine show that once the theory of Chinese medicine is given the connotation of modern science, it will show how great the scientific value! What a great impact will be brought to the modern western medical concepts!