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CERVICAL SPONDYLOSIS

GENERAL

Clinical Manifestations	Head, neck, shoulder and upper back aching and pain
Treatment Principle
Herb Formulas	For cervical spondylosis: 15-30g Hb. Pyrolae Luo Xian Cao + 15-30g Rx. Puerariae Ge Gen For muscle spasms and tension: 15-30g Rx. Paeoniae Alba Bai Shao + 15-30g Fr. Chaenomelis Mu Gua For osteoporosis or bone impediment: Rz. Drynariae Gu Sui Bi + Cervi Cornu Lu Jiao For Wind-Damp Obstruction: Rx. Clematidis Wei Ling Xian + Rx. et Rz. Notopterygii Qiang Huo For inhibited movement: Pheretima Di Long + Caulis Spatholobi Ji Xue Teng For pain: Rx. Salviae Miltiorrhizae Dan Shen Rz. Chuanxiong Chuan Xiong Scorpio Quan Xie Scolopendra Wu Gong
Points	KI-10 Cheng Shan Xia (2 cun below UB-52)

WIND-COLD (TAI YANG CHANNEL DISHARMONY)

Clinical Manifestations	Heaviness and pain of the head Severe aversion to Cold Mild or no fever Headache Generalized discomfort Pain and stiffness of the cervical vertebrae Stiffness and contraction of the neck and shoulders One or both hands lack strength Inability to flex and extend the fingers Body aches, stiffness, tightness and numbness Joint ache Nausea Vomiting Hiccups Anhidrosis or Spontaneous sweating Gasping Stabbing joint pain Itchy throat Cough Asthma Aversion to Wind and Cold Maybe low back pain Maybe frozen shoulder Maybe dyspnea Maybe epistaxis (severe) T: Normal or Slightly pale C: Thin and white or Greasy and white P: Floating and tight or Floating and moderate or Floating and wiry
Treatment Principle	Expel Wind Dissipate Cold Regulate and harmonize the Ying and Wei
Herb Formulas	For sweating with aversion to Wind: Gui Zhi Jia Ge Gen Tang For sweating with aversion to Cold: Ge Gen Tang
Points

WIND-COLD-DAMPNESS (BI SYNDROME)

Clinical Manifestations	Head, neck, shoulder and upper back aching and pain Fixed neck pain Tender points on the neck A possible palpable cord-like feeling in the neck A stiff neck Inhibited movement Pain, soreness and numbness of the four limbs Maybe weakness and heaviness of the upper limbs Heavy-headedness Aversion to Cold Prefers Heat Severe: Withering of the arm muscles Difficulty extending and flexing the fingers Maybe complete loss of sensation and rigidity of the fingers T: Pale C: Thin and white P: Floating and moderate or Floating and tight
Treatment Principle	Dispel Wind Scatter Cold Unblock the channels Diffuse impediments
Herb Formulas	Gui Zhi Jia Ge Gen Tang modified Di Long Tang Jia Jian For Dampness predominant with the feeling of a bag over the head: Cervical Spondylosis #1 For Cold predominant with aversion to Cold, a Cold sensation on the back of the neck and worse pain on exposure to Cold: Cervical Spondylosis #2 For Wind predominant and numbness more evident: Juan Bi Tang Er Hao For Cold predominant and pain more severe: Yang He Tang
Points	DU-14, GB-20, LU-7, SI-3 For Wind-Damp predominant: - DU-14, LU-7 + SP-9, UB-11 For neck pain along the Bladder Channel: - GB-20 + UB-10, UB-60 For neck pain along the Small Intestine Channel: + LI-10 For neck pain along the Large Intestine Channel: + SI-11, SI-13 For neck pain along the San Jiao Channel: - LU-7 + SJ-3, SJ-15 and/or SJ-16 For neck pain along the DU Channel: + DU-15, DU-16 For pain causing avoidance of backward bending of the neck: + REN-24 For pain causing avoidance of forward bending of the head: + DU-26 For pain involving the shoulders: + LI-15, SJ-15 or LI-15, SI-9, SJ-14 For pain simultaneously involving the neck, trapezius and scapula: First needle GB-21, SI-11, SJ-15, SJ-16, UB-10, Then: If the pain is on the DU Channel: + DU-1 or SI-3 If the pain is on the UB Channel: + UB-60 or UB-62 If the pain is on the GB Channel: + GB-39 or GB-40 If the pain is on the SI Channel: + SI-3 or SI-6 If the pain is on the SJ Channel: + SJ-3 or SJ-6

LIVER AND KIDNEY YIN DEFICIENCY

Clinical Manifestations	Head, neck, shoulder and upper back aching and pain Maybe distending pain in the head Numbness and lack of strength in the four limbs Low back and knee soreness and weakness Walks haltingly Maybe paralysis Dizziness Blurred vision Tinnitus Deafness Tidal redness Night sweats Hot sensations in the face A dry mouth and throat A bitter taste in the mouth Toothache Insomnia or Dream disturbed sleep Agitated Easily angered With Kidney Yang Deficiency: Frequent, copious urination Dribbling of urine Maybe urinary and fecal incontinence T: Red C: Little or none P: Thready and rapid or Thready and wiry or Choppy and wiry
Treatment Principle	Tonify and nourish the Liver and Kidneys Invigorate the Blood Unblock the Channels
Herb Formulas	Hu Qian Wan modified Jing Zhui Bing Fang For cervical spondylosis with accompanying Yang Deficiency and Blood Stasis with cold feet, decreased libido and loose stools: He Shi Jing Zhui Bing Fang For more pronounced Yin Deficiency with Internal Fire and more severe limitation of movement: Hu Qian Wan modified For pain and contracture of the neck and arm muscles: + Shao Yao Gan Cao Tang
Points	GB-39, KI-3, UB-11 For Wind-Damp predominant: + SP-9, UB-11 For neck pain along the Bladder Channel: + UB-10, UB-60 For neck pain along the Small Intestine Channel: + LI-10 For neck pain along the Large Intestine Channel: + SI-11, SI-13 For neck pain along the San Jiao Channel: + SJ-3, SJ-15 and/or SJ-16 For neck pain along the DU Channel: + DU-15, DU-16 For pain causing avoidance of backward bending of the neck: + REN-24 For pain causing avoidance of forward bending of the head: + DU-26 For pain involving the shoulders: + LI-15, SJ-15 or LI-15, SI-9, SJ-14 For pain simultaneously involving the neck, trapezius and scapula: First needle GB-21, SI-11, SJ-15, SJ-16, UB-10, Then: If the pain is on the DU Channel: + DU-1 or SI-3 If the pain is on the UB Channel: + UB-60 or UB-62 If the pain is on the GB Channel: + GB-39 or GB-40 If the pain is on the SI Channel: + SI-3 or SI-6 If the pain is on the SJ Channel: + SJ-3 or SJ-6

QI AND BLOOD STAGNATION

Clinical Manifestations	Head, neck, shoulder, upper back and upper arm aching and pain Severe lancinating pain Fixed pain Pain worse at night and better during the day Pain worse with pressure The muscles of the arms are withered Numbness of the fingertips Maybe numbness which is worse at night Spasms and tension Cramping of the four limbs Vexation Agitation A dry mouth The fingernails are cyanosed, sunken, concave and lack luster Dry, itchy skin The arm may be contracted T: Dark purple or Static maculae or Spots C: White P: Wiry and choppy
Treatment Principle	Invigorate the Blood Transform Stasis Unblock the Channels Alleviate pain
Herb Formulas	Tao Hong Yin modified Huo Luo Xiao Ling Dan With Qi Deficiency Generating Wind: Yi Qi Huo Xue San Feng Tang For dizziness and/or pain and oppression of the chest: Xue Fu Zhu Yu Tangmodified For advanced Qi and Blood Stagnation with severe pain: Hua Yu Chu Bi Tang For Qi and Blood Deficiency giving rise to Qi and Blood Stagnation with severe pain: Bu Yang Huan Wu Tang modified
Points	LI-4, SJ-3, SP-6, UB-62 For Wind-Damp predominant: + UB-11 For neck pain along the Bladder Channel: + UB-10, UB-60 For neck pain along the Small Intestine Channel: + LI-10 For neck pain along the Large Intestine Channel: + SI-11, SI-13 For neck pain along the San Jiao Channel: + SJ-3, SJ-15 and/or SJ-16 For neck pain along the DU Channel: + DU-15, DU-16 For pain causing avoidance of backward bending of the neck: + REN-24 For pain causing avoidance of forward bending of the head: + DU-26 For pain involving the shoulders: + LI-15, SJ-15 or LI-15, SI-9, SJ-14 For pain simultaneously involving the neck, trapezius and scapula: First needle GB-21, SI-11, SJ-15, SJ-16, UB-10, Then: If the pain is on the DU Channel: + DU-1 If the pain is on the UB Channel: + UB-60 If the pain is on the GB Channel: + GB-39 or GB-40 If the pain is on the SI Channel: + SI-6 If the pain is on the SJ Channel: + SJ-6

QI AND BLOOD DEFICIENCY WITH BLOOD STAGNATION

Clinical Manifestations	Head and neck pain Inhibited movement Weakness of the neck Weakness of the four limbs, especially the upper limbs Numbness of the shoulder and arms General fatigue Insomnia Excess dreams Spontaneous perspiration or Night sweats Dizziness Palpitations Shortness of breath A pale face Menstrual irregularities T: Pale C: Thin and white P: Thready and weak
Treatment Principle	Tonify Qi Nourish the Blood Unblock the channels Activate the Blood
Herb Formulas	Huang Qi Gui Zhi Wu Wu Tang modified
Points	DU-14, LI-4, SP-6, ST-36, UB-17, UB-18, UB-20 For Wind-Damp predominant: + UB-11 For neck pain along the Bladder Channel: + UB-10, UB-60 For neck pain along the Small Intestine Channel: + LI-10 For neck pain along the Large Intestine Channel: + SI-11, SI-13 For neck pain along the San Jiao Channel: + SJ-3, SJ-15 and/or SJ-16 For neck pain along the DU Channel: + DU-15, DU-16 For pain causing avoidance of backward bending of the neck: + REN-24 For pain causing avoidance of forward bending of the head: + DU-26 For pain involving the shoulders: + LI-15, SJ-15 or LI-15, SI-9, SJ-14 For pain simultaneously involving the neck, trapezius and scapula: First needle GB-21, SI-11, SJ-15, SJ-16, UB-10, Then: If the pain is on the DU Channel: + DU-1 or SI-3 If the pain is on the UB Channel: + UB-60 or UB-62 If the pain is on the GB Channel: + GB-39 or GB-40 If the pain is on the SI Channel: + SI-3 or SI-6 If the pain is on the SJ Channel: + SJ-3 or SJ-6

PHLEGM-DAMP OBSTRUCTING THE CHANNELS

Clinical Manifestations	Head, neck, shoulder and upper back aching and pain Dizziness Vertigo Heavy-headedness Heaviness of the body Weakness Nausea Chest and ductal fullness and oppression T: Pale C: White and maybe slimy P: Slippery and wiry
Treatment Principle	Transform Phlegm Dispel Dampness Activate the Blood Unblock the Channels
Herb Formulas	Fu Ling Wan Jia Jian For Phlegm Heat Invading the Tai Yang: Er Chen Tang modified
Points	DU-14, GB-20, SI-3 , SP-9, ST-40 For Wind-Damp predominant: - DU-14 + UB-11 For neck pain along the Bladder Channel: - GB-20 + UB-10, UB-60 For neck pain along the Small Intestine Channel: + LI-10 For neck pain along the Large Intestine Channel: + SI-11, SI-13 For neck pain along the San Jiao Channel: - LU-7 + SJ-3, SJ-15 and/or SJ-16 For neck pain along the DU Channel: + DU-15, DU-16 For pain causing avoidance of backward bending of the neck: + REN-24 For pain causing avoidance of forward bending of the head: + DU-26 For pain involving the shoulders: + LI-15, SJ-15 or LI-15, SI-9, SJ-14 For pain simultaneously involving the neck, trapezius and scapula: First needle GB-21, SI-11, SJ-15, SJ-16, UB-10, Then: If the pain is on the DU Channel: + DU-1 If the pain is on the UB Channel: + UB-60 or UB-62 If the pain is on the GB Channel: + GB-39 or GB-40 If the pain is on the SI Channel: + SI-6 If the pain is on the SJ Channel: + SJ-3 or SJ-6

PHLEGM AND BLOOD STAGNATION

Clinical Manifestations	Head, neck, shoulder, upper back and upper arm aching and pain Severe lancinating pain Fixed pain Pain worse at night and better during the day Pain worse with pressure Dizziness Heaviness of the head with a wrapping sensation Cramping of the four limbs Vexation Agitation Palpitations Chest oppression Distention of the flanks Dry mouth Poor appetite Nausea Vomiting Loose or sticky stools A feeling of obstruction in the throat Coughing with copious sputum Abdominal and epigastric fullness and distention The fingernails are cyanosed, sunken, concave and lack luster Dry, itchy skin The arm may be contracted Maybe heaviness, numbness, coldness and/or edema of the limbs Severe cases: Mental and spiritual confusion Loss of consciousness T: Swollen C: White and greasy P: Soft or Deep and weak
Treatment Principle	Expel Damp Transform Phlegm Break up Stasis Unblock the channels
Herb Formulas	With Phlegm and Blood Stagnation equally severe: Dao Tan Tang modified With Blood Stagnation more pronounced than Phlegm Stagnation: Cervical Spondylosis #3 With Phlegm Stagnation more pronounced than Blood Stagnation: Di Tan Tang modified
Points

WIND PHLEGM (FENG TAN)

Clinical Manifestations	Severe narrowing of the cervical canal Pain and stiffness of the neck Paralysis Numbness Dizziness Vertigo Nausea vomiting Blurred vision Tinnitus Sputum in the throat Chest fullness and distention Epigastric fullness and distention Hypertension T: Deviated and trembling C: Thick P: Slippery and maybe wiry
Treatment Principle	Resolve Phlegm Subdue Wind
Herb Formulas	Ding Xuan Tang
Points	ST-40, UB-40 For Wind-Damp predominant: + SP-9, UB-11 For neck pain along the Bladder Channel: + UB-10, UB-60 For neck pain along the Small Intestine Channel: + LI-10 For neck pain along the Large Intestine Channel: + SI-11, SI-13 For neck pain along the San Jiao Channel: + SJ-3, SJ-15 and/or SJ-16 For neck pain along the DU Channel: + DU-15, DU-16 For pain causing avoidance of backward bending of the neck: + REN-24 For pain causing avoidance of forward bending of the head: + DU-26 For pain involving the shoulders: + LI-15, SJ-15 or LI-15, SI-9, SJ-14 For pain simultaneously involving the neck, trapezius and scapula: First needle GB-21, SI-11, SJ-15, SJ-16, UB-10, Then: If the pain is on the DU Channel: + DU-1 or SI-3 If the pain is on the UB Channel: + UB-60 or UB-62 If the pain is on the GB Channel: + GB-39 or GB-40 If the pain is on the SI Channel: + SI-3 or SI-6 If the pain is on the SJ Channel: + SJ-3 or SJ-6