Heel pain is a painful syndrome of the foot and ankle caused by a series of diseases, which occurs in middle-aged and elderly people, especially in athletes and obese people, with a higher incidence in men than in women, with a ratio of 2:1 between men and women, and can occur on one or both sides at the same time. In some people’s eyes, the heel spur is the culprit of heel pain, and it is better accepted by patients. It can be said that the heel spur has been the vicarious recipient of heel pain over the years. In fact, there are many causes of heel pain, which are generally considered to be related to the following pathogenic factors: 1. Plantar fasciitis: The plantar fascia is an important structure of the foot and is important for maintaining a normal foot arch. The metatarsal fascia is also a tissue structure with a relatively high biomechanical load. Long-term loading, especially in cases of obesity and sports strain, is prone to aseptic inflammatory injury, especially in its heel bone attachment. This induces heel pain, and there are often obvious pressure points at the heel bone attachment of the metatarsal tendon membrane. 2.Fat pad lesion: the subheel fat pad is composed of fatty tissue filled compartments. It has the function of attracting stress and cushioning shock, etc. Due to the degenerative change of its fat pad with age, the fat pad atrophies and reduces the protection of the heel tuberosity, causing heel pain due to heel tuberosity periostitis. 3, heel hypertension: all factors that can cause hemodynamic changes in the heel bone can lead to heel hypertension. Blood pooling in the arteries and veins of the heel bone, and increased pressure in the heel bone. This leads to dilatation of peripheral blood vessels and intraosseous vessels, increased capillary permeability, and interstitial edema stimulating the release of neurotransmitters from nociceptive nerve fibers, thus triggering heel pain. 4.The first branch of the lateral plantar nerve is stuck: this branch innervates the medial tuberosity periosteum of the heel bone, the long metatarsal ligament, the small toe extensor muscle and the short flexor muscle. When this nerve branch passes from the medial side of the foot between the c-spductor muscle and the deep fascia of the medial head of the toe square muscle, it changes from a vertical direction to a horizontal direction. At this point, it is susceptible to compression and causes pain in the heel. Pressure pain is often obvious between the start of the c-spductor muscle and toe square muscle. 5, Achilles tendonitis: this can be divided into non-stop Achilles tendonitis and stop Achilles tendonitis, non-stop Achilles tendonitis is mainly due to the relative ischemia of the Achilles tendon and the 2-6cm under the stop of the talus, where the circumference of the Achilles tendon is the thinnest and easy to damage. The external cause is excessive stress and repeated minor injuries to the Achilles tendon. It is also triggered by the use of quinolones, dyslipidemia, rheumatoid arthritis, and gout. The etiology of stopping point Achilles tendonitis remains unclear, but is associated with (1) previous history of joint disease (2) use of quinolones (3) dyslipidemia (4) Hglund deformity. External treatment: heel pain is mainly external treatment, mainly the following methods: 1, external treatment of Chinese medicine: Chinese herbal medicine external washing Haitongpi, Wei Ling Xian, Dan Shen, Yuan Hu, Fang Feng, Gui Zhi each 30 g. Decoction of water 200 ml, super hot scalding the affected area, twice a day, a course (8 days) within the symptoms can basically disappear, but the X-ray film review: bone spurs still exist. Also can clove, cunningham, cumin, gutu grass, sapodilla, cinnamon stick, mugwort, Chuanxiong, safflower, pepper, doklam composed of clove bath foot fumigation, total efficiency 95.25%. This therapy has unique efficacy in the treatment of heel pain pain relief and local swelling reduction. 2, small needle knife treatment: the use of small needle knife treatment of heel pain, its recent efficacy and local closed efficacy did not see a significant difference. But the long-term efficacy is significantly better than the local closure group. Small needle knife relaxation treatment can fundamentally solve the symptomatic changes of heel pain. As a minimally invasive treatment, small acupuncture has unique efficacy in relieving soft tissue pain, such as reducing tension, prolonging contracture, reducing intracavitary pressure, and relieving relative motion restriction. 3, acupuncture therapy: mainly by local acupuncture points, supplemented by the combination of distal acupuncture points along the meridian, the efficacy in reducing pain is certain. Selected acupuncture points Kunlun, Serviceberry and A-Yi, together with Chuan Wu 10g Cao Wu 10g Chuan Xiong 20g Chuan Niu Kne 30g Wei Ling Xian 30g Mu Gua 20g Myrrh 20g Shu Shu Cao 20g Chickweed 20g Chicken Blood Vine 20g Chinese herbal medicine external washing, 2 times in the morning and 2 times in the evening, 7 days as a course of treatment, the total efficiency 96.30%. Acupuncture is reliable in the treatment of painful diseases. When treating patients with heel pain with acupuncture, clinicians should be clear about the causes of the disease in order to dialectically select acupuncture points, and acupuncture is effective for simple soft tissue injury and nerve compression, but for heel pain caused by bony lesions and Achilles tendon injury, the efficacy of acupuncture still needs long-term clinical observation. 4.Surgical treatment: For those who have recurrent attacks or the effect of conservative treatment is not obvious, they can choose to perform surgical treatment. Surgery is mainly based on the minimally invasive method of metatarsal fascia release or partial severing or bone spur grinding. Internal treatment: Chinese herbal medicine: The treatment is mainly based on the patient’s symptoms and is divided into two types: 1. The local skin has petechiae and ecchymosis, the tongue is purple and dark, and the pulse is astringent. The treatment is to promote the flow of qi and blood, resolve stasis and relieve pain. Peach-Hong Siwu Tang with addition and subtraction (Astragalus, Chuan Niu Knee, Gynostemma, Werelin, Peach kernel, Safflower, White peony, Angelica, Chuanxiong, Lactuca, Myrrh, Turtle worms, Yanhuo, Licorice). 2, liver and kidney deficiency type: due to old age and weakness, room strain and essence injury, resulting in abnormal movement of essence, qi and blood, marrow empty and essence less, tendons and bones lose nourishment resulting in degenerative changes in the heel, resulting in pain and difficulty walking. Concurrent symptoms include dry mouth and tongue, tinnitus, red tongue, and fine pulse. Treatment with Liu Wei Di Huang Tang with Zuo Gui Wan plus reduction. As can be seen, the etiology of achalasia is complex and there are more treatment methods for it. Therefore, before choosing a treatment plan, the clinical efficacy can only be improved by identifying the cause and carrying out targeted treatment. Although there are many treatment methods for this disease, there are still long courses of treatment, slow results and limitations of certain treatments. Further research is needed to discover safer, more convenient and effective treatments for achalasia.