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According to the skin theory, the pulling method acts on the nerve terminal receptors of patients, stimulating the central nervous system to cause excitement, thereby promoting the local blood circulation of patients, alleviating or relieving the state of nerve compression, eliminating the abnormal feeling of the lateral thigh and femoris skin of the affected side, and achieving the purpose of treatment (27)

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These interactions can increase the risk of serotonin syndrome, a potentially life-threatening condition characterized by symptoms such as agitation, hallucinations, and rapid heart rate