1. plasmin
  2. C3
  3. complement proteins
  4. produce C3, C5 and C9
  5. C3 and C5 vasodilate and degranulate mast cells and basophils
  6. Mast cells and basophils release histamine, heparin, kinin protease, and chemotactic factors
  7. Heparin increases blood flow at site of needling (inhibits thrombin production)
  8. Chemotactic factors attract neutrophils and eosinophils that control and mediate repair phases 5 & 6
  9. kinin protease produces plasmin (which produces more C3) and bradykinin
  10. bradykinin stimulates the substance P nociceptive neurons
  11. resulting axon reflex sustains needling reaction

splinter puncture
inflammation flowchart
inflammation animation
complement pathway