Acupotomology Related Soft Tissue Release Technique Research

Objective: To probe the soft tissue dissolution related to acupotomology.To probe the theoretical foundation of acupotomology.Methods: Analyzing musculature theory, traditional needle and traditionalacupuncture technique. Analyzing the soft tissue dissolution in traditionalacupuncture. Contrasting the difference between traditional acupuncture andmodern acupuncture and analyze the reason. Based on the tissue dissolution effectof acupotomology, analyze the pertinent literature and put forward thehypothesis.Results: There are five parts.Part1: Substance of acupotomy is percutaneous minimally invasive softtissue dissolution which was contained by traditional acupuncture. The mainindication of acupotomy is motor system chronic trauma which is similar toJingjin disease; Some traditional thick needles which can make larger soft tissueincision can be used for sharp soft tissue dissolution; Some acupuncturetechnique which can make larger soft tissue incision, and other which can dragsoft tissue strongly can be used for sharp or blunt soft tissue dissolution.However, becoming thinner and thinner, softer and softer, modern needles cannot give play to soft tissue dissolution. Therefore the standard of acupotomeshould be established.Part2: Nowadays, there are many non-surgery methods treating motor systemchronic trauma, in which many methods can produce the effect of soft tissuedissolution. This kind of methods contains edged needle therapy, thick needlewith no edge, dissolution by pulling string and massage manipulation. All ofthe methods take on its own character but the common characteristic is containingsoft tissue dissolution effect, so these kind of methods are often used inconjunction.Part3: Although acupotomy is considered to be related to surgery for a longtime， soft tissue dissolution is only a surgical skill, which accounts for onlya very small proportion of surgery; Dr Xuan Zheren has developed the skill toan independent type of surgery, but later he developed multi-needles puncturewith thick needle to take the place of surgery soft tissue dissolution; Acupotomycan substitute some surgery dissolution. Part4: Compared with traditional acupuncture, modern acupuncture payattention to filiform needle and changes obviously in the performance of needles,acupuncture technique and cognition of acupuncture effect. The main reason isthat Chinese acupuncture has been influenced by Japanese acupuncture since theperiod of the Republic of China, which is related to the historical backgroundof that time, for example, the famous acupuncture specialist Cheng Da’nan playeda very important role. Because of changes, cognition of acupuncture effect bymodern acupuncture research is limited, considering acupuncture effect as bodyself-control function elicited by acupuncture but not direct effect, which isbenign, bidirectional, global, Comprehensive, functional and pristine. Andacupuncture specificity is considered to be relative. But acupotomology is anhelpful supplement for modern acupuncture research, considering acupuncture isof direct effect, which can be monodirectional, regional, organic, terminal.And some acupuncture point specificity may be absolute. Acupotomology shouldbe a independent academic subject, but not a branch of acupuncture.Part5: Fundamental research of acupotomology is insufficient. Below canbe concluded by searching literature. The effect of acupotomy containsdissolution, damage and acupuncture effect (usually recognized), in whichdissolution is the most important. Various kinds of pathological change canresult in change in soft tissue mechanical property. The soft tissue, whosemechanical property is changed, may participate the pathogenesis of many deseaseby influencing adjacent nerves, vessels, bones, joints. The target site ofacupotomy is the influence on human physiological function from abnormal softtissue mechanical property, but not the soft tisse pathological change. Thechange of soft tissue mechanical property may related to human resting muscle（myofascial） tone, active contraction of fascia, the relationship betweenmyofascial stiffness and age. The hypothesis “connective tissue sclerosis”and “re-stabilify” and “excessive stability state” of joint and spine areraised.