近年来，关于针刀疗法的定位归属问题争论不断，大体有三类观点。 一认为针刀疗法是传统针刺技术的改进与发展产物，应归属于中医针灸体系；二认为针刀疗法属于外科微创手术，归属现代医学范畴；另外，尚有观点认为针刀疗法是独立于中西医学体系的全新医疗技术。 针对上述观点，本文详细阐述传统医学和现代医学的基础医疗理念以便为论述做铺垫，然后聚焦针刀疗法，细致剖析该疗法的指导理论体系，操作技术特点以及二者之间的关联性，进而明确其技术创新性和实用性，最后，通过评估界定针刀疗法的优选适宜病种和临床研究现状，进一步肯定该技术在现代医疗实践中的广泛应用价值，并力求为其未来良性化发展提供参考建议。

There are three kinds of views on the categorization of acupotomy in recent years. One of them is that acupotomy is the product of the improvement and development of traditional acupuncture techniques， so it should be categorized to the acupuncture system of traditional Chinese medicine. Another view is that acupotomy is a kind of surgical operation with minor injury， so it belongs to western medicine.In addition， there is another opinion considering that acupotomy is a new medical technique independent of Chinese and western medicine.Given these views， firstly， this paper expounds the basic medical concepts of traditional Chinese medicine and western medicine in order to pave the way for the discussion. Secondly， it analyzes the guiding theory and technique characteristics of acupotomy. Meanwhile， it shows the relationship between theory and technique to explain its technical innovation and practicability. Finally， it evaluates the optimal disease types and current situation of clinical research of acupotomy in order to affirm its wide application value in modern medical practice. This paper tries to provide some suggestions for further development of acupotomy.