What Is a Trocar?

Trocar acupuncture, or trocar for short, is a new type of treatment tool in which a traditional acupuncture needle is placed in a piston-type cannula.

Trocar

Right!

Trocar acupuncture, or trocar for short, is a new type of treatment tool in which a traditional acupuncture needle is placed in a piston-type cannula.

Introduction to trocar acupuncture

Trocar acupuncture, or trocar for short, is a new type of treatment tool in which traditional acupuncture needles are put into a piston-type cannula; the cannula is a special needle holder that is equipped with a special acupuncture needle for local muscle Stimulation and release, through the conduction of nerves, regulate the function of the internal organs or diseased areas to achieve the purpose of treatment.

Professor Yan Zhican of Canada first applied needles to the treatment of chronic pain, which belongs to muscle stimulation therapy. It has the advantages of simple operation, quick and long-lasting, safe and reliable, and free of space constraints. Professor Jinxian Hao, member of the Chinese Traditional Medicine Pain Society, first introduced trocar technology to China, and has applied it in clinical practice for nearly a decade, treating a large number of patients with difficult diseases.

Second, the theoretical basis of the trocar

The trocar treatment theory is mainly based on Cannon-Rosenbluth's law on neurological disorders: "In a series of output neurons, when one of them is destroyed, it will appear in an isolated structure or some structures. Hypersensitivity to chemical reagents, and this kind of allergy is the biggest part of the direct loss of innervation. "In other words, when a nerve function is blocked (neurological disease), he will become allergic and behave abnormally. This law is basic and universal, but it is not well known and believed.

Cannon and Rosenbruth have identified four types of allergies:

1. The degree of response is unchanged, but the time is prolonged (the response is too long);

2. The stimulating force is lower than normal (excessive sensitivity);

3. Reducing irritation can also produce a normal degree of response (increased allergies);

4. The organization's ability to respond increases (overreacted).

Hypersensitivity can occur in many different structures of the body, including skeletal muscle, smooth muscle, spinal neurons, sympathetic ganglia, adrenal glands, and even brain cells. In addition, the structure of the innervation disorder responds excessively to many chemical and physical stimuli, including stretching and compression.

Cannon's law tells us that chronic pain is an allergic phenomenon caused by a neurological disease. We call it hyperalgesia, which means that we have to distinguish the pain response from hyperalgesia.

Trocar treatment mechanism 1

Trocar treatment mechanism 2

Third, the treatment mechanism of trocar

According to the latest research, the feeling of pain is caused by a change in the pulse flow into the nerve! In other words, when the output pulse stream is different from the input pulse stream, it will cause pain in the human brain, and the phenomenon of pain in human tissues is called "hyperalgesia".

The principle of trocar treatment is to eliminate the local neuroallergic reaction phenomenon through muscle stimulation therapy to achieve the purpose of treatment. Acupuncture to achieve muscle stimulation is a new technique for treating chronic pain based on modern medical theory. Although it inherits traditional Chinese medicine acupuncture, its theory is not based on the theory of meridians, but on modern biology. , Especially human anatomy, neurophysiology and physiology. It can be said that it has brought a brand-new theoretical basis to acupuncture medical technology with a history of thousands of years. This major breakthrough not only lifted the mystery of traditional acupuncture, but also made it easier for people to understand and master the medical technique of acupuncture. And it has brought new vitality to acupuncture, and he has laid a solid foundation for future development.

The theory is that in the absence of significant persistent injury or inflammation, most of the persistent pain is caused by a disease in the nervous system. And the whole nervous system is most likely to have problems with the nerve roots. In addition to pain in one part of the patient, there are sensory, motor, and autonomic diseases that belong to the same segment level.

We have found that acupuncture of muscles that shorten spinal segment levels due to diseases can eliminate symptoms such as pain in these diseases. Acupuncture not only eliminates pain, but more importantly, he has a healing function. Many western treatments are not easy to eradicate pain in the affected area. Most of them can only temporarily control the symptoms, so they do not have a healing effect.

Fourth, the scope of trocar treatment

The main disease treated by trocars is the (long-term) pain caused by neurological diseases. In neurological diseases, it is mainly the functional and structural changes of the central and peripheral nerves, especially radiculopathy. Because the nerve root is most vulnerable to damage in the foramen after leaving the spinal cord. In other words, pressure, friction, traction, and twisting of nerve roots at the foramina can cause neurological dysfunction .

Cannula for cervical spondylosis, lumbar disc herniation, osteoarthritis, aseptic (ischemic) necrosis of the femoral head, ankylosing spondylitis, periarthritis, knee pain, epicondylitis humerus, tenosynovitis, foot Heel pain, numb hands and feet, cold limbs; headaches, dizziness, nausea, vomiting, poor breathing, blurred vision, tinnitus, runny nose, sore throat, and trigeminal neuralgia, facial paralysis, and temporomandibular joint disorders caused by neurological diseases Syndrome, facial muscle spasm, etc .; For cervical, thoracic, lumbosacral spine and other spine-related diseases such as anterior chest pain, back pain, stomach cramps, abdominal pain, tachycardia, hypertension signs, dysmenorrhea and other medical and gynecological functions Lesions have a very good effect.

V. Development status of trocar technology in China

Director Jin Xianhao, member of Chinese Pain Society of Chinese Medicine, has applied trocar treatment technology in clinical practice since 2000. Through more than ten years of clinical exploration and research, he has accumulated a large number of clinical cases, and summarized trocar treatment of chronic pain and other problems. Disease routine. At present, the trocar technology has been reported to the relevant authorities in Heilongjiang Province to apply for special charging standards. In November 2011, the Pain Branch of the Chinese Academy of Chinese Medicine also submitted a national continuing education promotion project application for trocar technology. In order to enable everyone to fully understand the technique of trocar pain management, the Chinese Academy of Traditional Chinese Medicine Pain Society will also invite Director Jin Xianhao to give free online lectures. Interested practitioners can visit the "Chinese Traditional Medicine Pain Society Official Website" for further information.

What is the difference between trocar and traditional acupuncture

For acupuncturists in Chinese medicine, TCM practitioners know it well; what's the difference with the piston-type cannula?

1. The concept of acupuncture and the theoretical basis of treatment are different;

2. There is a difference in the operation of acupuncture. Needles with a piston-type cannula are more convenient to operate and it can be used by the operator dexterously. Its characteristics are: easy operation, accurate, flexible and stimulating acupuncture area, and flexible control of needle direction and depth. As far as traditional Chinese medicine needles are concerned, the stimulation is mainly point-based, which is manifested in needle retention after acupuncture. The needle with a piston-type cannula has both a little and a linear stimulation effect, which is manifested in the ability to repeatedly stimulate the body tissue groups (mainly muscles) from different angles and in large areas.

How to master trocar technology

The trocar technique is diagnosed and treated according to current medical theory. Although the trocar technique originates from "pure western medicine", there are many places that have been involved with Chinese medicine. Although it is used to penetrate the body, there are many differences in operation. There is no difference between a trocar needle and a traditional Chinese medicine needle, except that the needle of the traditional Chinese medicine has been added to the "foreign people" and a tool using a needle-a piston-type cannula.

To master this technique, you must first have a medical foundation, at least the basis of human anatomy and neurophysiology. Of course, you must also have knowledge of imaging and biochemistry in diagnosis. With the medical foundation, the understanding of the disease will be deeper, and the corresponding clinical examination will be used to determine the diagnosis using the guidance of clinical medical theory. Once the diagnosis is clear, treatment will be easier.