火针疗法多元创新发展与共性差异探析OA

As a distinctive external therapeutic modality in TCM,fire needling therapy has evolved into a diversified system of innovations through the integration of classical TCM theories with modern medicine,ethnic medicine,and emerging technologies.This study systematically reviews the innovations in needle instruments and operational characteristics of major fire needling schools,including SHI's fire needling,HE's fire needling,and Lingnan fire needling.It further analyzes the integration of fire needling within Zhuang medicine,summarizes the technological advancements represented by electro-fire needling and laser fire needling,and discusses the key innovations of combined and minimally invasive approaches such as fire needle-acupotomy therapy,medicated fire needling,and filiform fire needling.The analysis demonstrates that various fire needling therapies share common therapeutic mechanisms,namely warming and unblocking the meridians,eliminating pathogenic factors,and strengthening body's vital-Qi.They also follow a common operational principle characterized by needle heating,site selection,and rapid insertion.However,notable differences exist across five dimensions in terms of theoretical foundations,needle design,operative techniques,regional adaptability,and clinical indications.Based on an analysis of both commonalities and differences,this study proposes that clinical application of fire needling therapy should adhere to the principles of treatment selection based on syndrome differentiation,standardized operation,and complementary utilization of therapeutic advantages.Such an approach may further exploit the unique strengths of fire needling therapy and promote its standardization and contemporary clinical application.