Abstract：
BACKGROUND: Fu\'s subcutaneous needling (FSN) is a novel acupuncture technique developed based on traditional needling principles that aims to alleviate diseases by improving local muscle conditions and blood supply. FSN have been widely used for the treatment of various diseases. Restless legs syndrome (RLS) is a common central nervous system disorder characterized by intense discomfort in the legs, particularly at night, leading to an urge to move the legs for relief. In this study, we report a case in which FSN was used to treat primary RLS.
METHODS: A 67-year-old patient complained of nocturnal discomfort in the right leg for over 4 months, the symptoms occurred 2-3 times, with uncontrollable movement impulses in the right leg during the onset, accompanied by a burning sensation, lasting about 2 h, accompanied by anxiety and insomnia. Imaging examinations revealed no spinal stenosis or history of kidney disease, rheumatic disease, diabetes, or Parkinson\'s disease.
METHODS: The patient was diagnosed with primary RLS, and the International Restless Legs Syndrome Study Group rating scale (IRLS) score was 26.
METHODS: FSN was successfully performed three times per week on different days. No adverse and unanticipated events while the treatment. The total treatment course lasted for six weeks.
RESULTS: After the treatment, the patient reported that the recent onset interval was approximately 10 days, each time lasting approximately 15 min. The patient\'s IRLS score was 5, After a follow-up of 2 months following the end of treatment, the patient reported that the incidence of RLS was approximately one episode within two weeks,each lasting approximately 10 min.
CONCLUSIONS: FSN significantly improved leg discomfort and desire for leg movement in patients with RLS. FSN may exert its therapeutic effects by influencing connective and muscular tissues, thereby improving the condition of the central nervous system and the local blood supply in the legs. However, due to the limitation of a single clinical observation case, a randomized clinical trial with a sufficient follow-up time is needed.
METHODS: A 67-year-old patient complained of nocturnal discomfort in the right leg for over 4 months, the symptoms occurred 2-3 times, with uncontrollable movement impulses in the right leg during the onset, accompanied by a burning sensation, lasting about 2 h, accompanied by anxiety and insomnia. Imaging examinations revealed no spinal stenosis or history of kidney disease, rheumatic disease, diabetes, or Parkinson\'s disease.
METHODS: The patient was diagnosed with primary RLS, and the International Restless Legs Syndrome Study Group rating scale (IRLS) score was 26.
METHODS: FSN was successfully performed three times per week on different days. No adverse and unanticipated events while the treatment. The total treatment course lasted for six weeks.
RESULTS: After the treatment, the patient reported that the recent onset interval was approximately 10 days, each time lasting approximately 15 min. The patient\'s IRLS score was 5, After a follow-up of 2 months following the end of treatment, the patient reported that the incidence of RLS was approximately one episode within two weeks,each lasting approximately 10 min.
CONCLUSIONS: FSN significantly improved leg discomfort and desire for leg movement in patients with RLS. FSN may exert its therapeutic effects by influencing connective and muscular tissues, thereby improving the condition of the central nervous system and the local blood supply in the legs. However, due to the limitation of a single clinical observation case, a randomized clinical trial with a sufficient follow-up time is needed.
摘要：
背景：Fu的皮下针刺（FSN）是一种基于传统针刺原理开发的新型针刺技术，旨在通过改善局部肌肉状况和血液供应来缓解疾病。FSN已广泛用于各种疾病的治疗。不安腿综合征（RLS）是一种常见的中枢神经系统疾病，其特征是腿部严重不适，尤其是在晚上,导致移动腿以减轻压力的冲动。在这项研究中,我们报告了一例使用FSN治疗原发性RLS的病例.
方法：一名67岁患者主诉右腿夜间不适超过4个月，症状出现2-3次，发作期间右腿无法控制的运动冲动，伴随着灼烧的感觉，持续约2小时，伴随着焦虑和失眠。影像学检查显示无椎管狭窄或肾脏疾病史，风湿性疾病,糖尿病,或帕金森病。
方法：患者被诊断为原发性RLS，国际不安腿综合征研究组评定量表（IRLS）得分为26分。
方法：FSN在不同日期每周成功进行三次。治疗期间无不良和非预期事件。整个疗程持续6周。
结果：治疗后，患者报告最近的发病间隔约为10天，每次持续约15分钟。患者的IRLS评分为5分，治疗结束后随访2个月，患者报告RLS的发生率约为两周内的一次发作，每次持续约10分钟。
结论：FSN显著改善RLS患者的腿部不适和腿部运动欲望。FSN可能通过影响结缔组织和肌肉组织发挥其治疗作用，从而改善中枢神经系统的状况和腿部的局部血液供应。然而,由于单一临床观察病例的限制，需要有足够随访时间的随机临床试验.
方法：一名67岁患者主诉右腿夜间不适超过4个月，症状出现2-3次，发作期间右腿无法控制的运动冲动，伴随着灼烧的感觉，持续约2小时，伴随着焦虑和失眠。影像学检查显示无椎管狭窄或肾脏疾病史，风湿性疾病,糖尿病,或帕金森病。
方法：患者被诊断为原发性RLS，国际不安腿综合征研究组评定量表（IRLS）得分为26分。
方法：FSN在不同日期每周成功进行三次。治疗期间无不良和非预期事件。整个疗程持续6周。
结果：治疗后，患者报告最近的发病间隔约为10天，每次持续约15分钟。患者的IRLS评分为5分，治疗结束后随访2个月，患者报告RLS的发生率约为两周内的一次发作，每次持续约10分钟。
结论：FSN显著改善RLS患者的腿部不适和腿部运动欲望。FSN可能通过影响结缔组织和肌肉组织发挥其治疗作用，从而改善中枢神经系统的状况和腿部的局部血液供应。然而,由于单一临床观察病例的限制，需要有足够随访时间的随机临床试验.
