Pricking and cutting treatment with spike-hooked needles often has an immediate effect on diseases with fixed pain points. This article, from anatomic position, point checking method, therapeutic procedures and clinical application, presents the clinical experience of spike-hooked needle cutting the medial border of scapula and shows that spike-hooked needle cutting scapular spine margin can not only treat meridian sinew diseases but also has a marked therapeutic effect on many craniofacial and visceral diseases.