Dense silver needle acupuncture therapy in pressure points has remarkable therapeutic effect in treating early stage of vertebral canal soft tissue contracture of damaging pain (clinically，most of the chronic，severe vertebral canal in soft tissue pain belong to this period).Its operation is applying dense silver needle acupuncture in tenderness points which are outside the spinal canal soft tissue damaging musculoskeletal pain lesion area，strictly in accordance with the anatomical location of the soft tissue spots，meanwhile placing moxa on the tail of the needles to conduct moxibustion.From the aspects of acupoints selection，operation and therapeutic effect，dense silver needle acupuncture therapy in pressure points interprets the idea of “ treatment shall focus on the burnt needle hook，sensing is enough while pain is a failure” of Pivot.This paper explains the mechanism，method，characteristics，and diseases of the therapy from the aspect of integrated traditional Chinese and western medicine.