T/CI 087-2022 Active

Scope: This document specifies the basic operating methods, treatment methods, contraindications, and precautions for minimally invasive techniques of traditional Chinese medicine (TCM) meridians. This document is applicable to teaching, clinical practice, scientific research, medical administration, publication, and academic exchanges at home and abroad in the field of TCM; Main technical content: Basic operating methods 4.1 Positioning 4.1.1 Palpate the affected area from light to heavy to determine the location and layer of the pain point, and mark it with a fingernail indentation or purple ink pen. 4.1.2 Based on the results of posture evaluation, select treatment points on the fascial chain and mark them with a fingernail indentation or purple ink pen. 4.2 Disinfection Use iodine solution for local skin disinfection and place a sterile drape. 4.3 Needle insertion The operator wears sterile rubber gloves, presses the needle insertion point vertically with the thumb of the left hand, and inserts the needle into the skin. When the needle penetrates the skin, there is a feeling of emptiness, indicating that it has entered the fat layer. When the needle slowly penetrates and encounters a second resistance, the needle tip reaches the fascial surface. Then, by pressing harder, the needle breaks through the fascia and enters the muscle, passing through the muscle and reaching the bone surface. 4.4 Release According to the treatment needs, use a needle knife to puncture, cut, and peel on the bone edge. For tension relief in the fascial layer, use a needle knife to puncture scattered points on the fascial surface with 3-5 punctures; for the release of cord-like adhesions, perform continuous linear cutting along the longitudinal axis or intermittent oblique puncturing along the transverse axis. Alternatively, use a round needle to perform oblique puncturing in the muscle. 4.5 Needle removal After completing the treatment operation, remove the needle