浮针疗法治疗肩周炎临床研究进展

Clinical Research Progress of Fu’s Subcutaneous Needling in Treating Periarthritis of Shoulder

摘要: 肩周炎是临床常见的慢性退行性疾病，以肩关节疼痛和活动受限为主要特征。浮针是一种作用于皮下疏松结缔组织的针刺技术，因其操作轻巧、见效快而备受关注。文章系统梳理了浮针治疗肩周炎的主要临床证据，重点比较了单独使用与联合中药、推拿、康复等手段的疗效差异，同时指出当前研究中样本量偏小、随访缺失等薄弱环节。浮针疗法确有推广价值，但其标准化治疗流程和高质量头对头试验仍有待推进。

Abstract: Periarthritis of shoulder is a common chronic degenerative disease in clinical practice, characterized by shoulder joint pain and limited range of motion. As a novel acupuncture technique, Fu’s subcutaneous needling (FSN) performs sweeping manipulation in the subcutaneous superficial fascia layer combined with reperfusion activities, demonstrating significant advantages in the treatment of periarthritis of shoulder. This paper systematically reviews the principal clinical evidence for floating needle therapy in the treatment of periarthritis of shoulder, with a focus on comparing the efficacy differences between its use as a standalone treatment and in combination with traditional Chinese medicine, tuina, and rehabilitation. It also highlights existing weaknesses in current research, including small sample sizes and a lack of follow-up. While floating needle therapy demonstrates clear value for wider clinical application, the establishment of standardized treatment protocols and the conduct of high-quality head-to-head trials remain to be advanced.