Experience in treating common peroneal nerve injury with elongated needle
Common peroneal nerve injury belongs to peripheral nerve injury of lower extremity in modern medicine,accounting for 50.9%of lower extremity nerve injury.Because of its superficial anatomical location,common peroneal nerve may be damaged by fracture,trauma,surgery and so on.It is easy to be ignored in clinical practice,and it is often found after patients have symptoms.Clinically,the most obvioussymptoms are abnormal motor function and/or sensory function of the leg and feet.With the progression of the disease,patients may suffer from foot drop,inability of foot dorsalia,and foot valgus dysfunction,which seriously affects the daily life of patients.Common peroneal nerve injury belongs to the cat-egory of"paralysis syndrome"in TCM,which refers to the disease which is mainly characterized by relaxation of limbs,weakness,inability to exercise freely,or muscle atrophy.The pathological parts of this disease are in the muscles and and veins,and the diseased organs involve the lungs,spleen(stomach),liver and kidney.The basic pathogenesis is the deficiency of body fluid,Qi(气)and blood,and the essence,which cannot nourish the muscles and veins.The pathological properties can be divided into deficiency syndrome,excess syndrome and syndrome of intermingled deficiency and excess.Acupuncture and moxibustion has unique advantages in supplementing deficiency and draining excess.The elongated needle has the characteristics of stronger irrita-tion and deeper penetration compared with ordinary milliform needles,so as to enhance the effect of acupuncture and moxibustion treatment.The author's mentor ZHOU Ting is the fourth generation successor of of Guangde ZHANG's elongated needle,one of the fifth batch of veteran TCM practitioner heirs,and has been practicing for more than 20 years,is especially good at applying elongated needle in the treatment of nervous system related diseases,and has achieved good clinical effects.This paper introduces the medical cases of Chief Physician ZHOU Ting in the treatment of common peroneal nerve injury with elongated needle,and summarizes the clinical experience of Chief Physician ZHOU Ting in the treatment of this disease,hoping to provide new ideas for clinical treatment of common peroneal nerve injury.