NECK PAIN, STIFFNESS AND TENSION

Clinical Manifestations
  • Neck pain and stiffness
  • Inhibited side to side turning
  • Aversion to Wind
  • Mild, or severe chills
  • Fever which may be persistent
  • Uneasiness from fever
  • Spontaneous perspiration
  • Headache
  • Nausea
  • Nasal irritation
  • Nasal obstruction
  • Tendency to snore
  • Itchy throat
  • T: Normal
  • C: Thin and white
  • P: Superficial and slow or Moderate and maybe weak
Treatment Principle
  • Create sweat to relieve the Exterior and expel Wind
  • Harmonize Ying and Wei to protect digestion and nourish Wei Qi
Herb Formulas
Points
Clinical Manifestations
  • Neck and shoulder pain and stiffness
  • Inhibited side to side turning
  • Severe chills
  • Mild or no fever
  • Headache
  • Generalized discomfort
  • Stiff neck and shoulders
  • Body aches
  • Joint ache
  • Nausea
  • Vomiting
  • Hiccups
  • Anhidrosis
  • 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
  • C: Thin and white
  • P: Floating and tight
Treatment Principle
  • Relieve the Exterior
  • Expel Cold
  • Disperse the Lungs
  • Stop asthma
Herb Formulas
Points
Clinical Manifestations
  • Fever and chills (chills predominant)
  • Anhidrosis
  • A rattling cough
  • Wheezing (asthma)
  • Copious, white, stringy, difficult to expectorate sputum
  • Stifling sensation in the chest
  • Lacrimation
  • General heaviness (especially upper body)
  • General body aches
  • Stiff neck
  • No thirst
  • Floating edema (severe)
  • Considerable difficulty breathing while lying down (severe)
  • Intolerance of Cold
  • Periorbital edema
  • Dyspnea or orthopnea
  • Vomiting of frothy saliva during pregnancy
  • Chest distention
  • Dry heaves
  • Decreased urine
  • Subcardiac edema
  • Stridor
  • Occasional chills on the back
  • Hiccups
  • Retching
  • Dysphagia
  • Diarrhea
  • Dysuria
  • Decreased urination
  • Flushed face
  • Dizziness
  • Headache
  • Inflammation of the tear ducts
  • T: Pink
  • C: Moist or White and greasy
  • P: Superficial and tight
Treatment Principle
  • Release the Exterior
  • Transform congested Fluids (Thin Mucus)
  • Transform Phlegm
  • Warm the Lungs
  • Descend Qi
  • Relieve wheezing and coughing
  • Stop pain and stiffness
Herb Formulas
Points
Clinical Manifestations
  • Chills and fever
  • Anhidrosis
  • Stiff and rigid neck, shoulders and upper back
  • Intolerance of Wind
  • Dislike of Cold
  • Inflammation
  • Vomiting
  • Muscle spasms
  • Mucosal swelling
  • Nasal congestion
  • Sensitivity to dust
  • Headache
  • Wind-Cold Bi (few joints affected, intense but short lived, changes over days or weeks)
  • Inflammation
  • T: Normal
  • C: Thin and white
  • P: Floating and tight
Treatment Principle
  • Releases Wind-Cold in the Exterior and muscle layer
  • Generates Fluids
  • Relieves muscle-ache of the neck
Herb Formulas
Points
Clinical Manifestations
  • Acute, burning neck pain with stiffness
  • Aggravation of the pain on exposure to warmth
  • Alleviation of the pain on exposure to Cold
  • Aversion to Wind
  • Slight chills
  • Cough with thick, sticky, yellow sputum
  • Sore, red, swollen throat
  • Thirst with a desire to drink cold liquids
  • Runny or blocked nose with thick, yellow discharge
  • Fever with perspiration
  • Headache
  • Maybe dyspnea with flared nostrils
  • Maybe chest pain
  • T: Red tip
  • C: Thin and yellow
  • P: Superficial and rapid
Treatment Principle
  • Expel Wind
  • Clear Heat
  • Harmonize the collaterals
  • Alleviate pain
Herb Formulas
Points
Clinical Manifestations
  • Neck pain
  • Fever
  • Aversion to Cold
  • Sore throat
  • Thirst
  • White-colored, hard, swollen lymph nodes on both sides of the neck
  • Red, swollen maybe ulcerated nodes in severe cases
  • T: Red
  • C: Yellow
  • P: Wiry and rapid
Treatment Principle
  • Clear Heat
  • Dispel Wind
  • Transform Phlegm
  • Unblock the channels
Herb Formulas
Points
Clinical Manifestations
  • Neck stiffness
  • Inhibited ability to look left and right
  • Heavy, painful head
  • Heavy, painful joints
  • Generalized sensation of heaviness
  • Back pain
  • Generalized pain or muscle ache
  • Difficulty bending or rotating trunk
  • Mild fever
  • Slight aversion to Wind and Cold
  • Foggy-headedness
  • Dizziness
  • Anorexia
  • Anhidrosis
  • Sciatica
  • Chest oppression
  • Chills
  • No perspiration
  • Aversion to Cold
  • Lassitude
  • Scanty urination
  • T: Pink
  • C:White or Greasy and white
  • P: Superficial or Superficial and slow or Superficial and soft or Superficial and tight
Treatment Principle
  • Dispel Wind
  • Overcome Dampness
Herb Formulas
Points
Clinical Manifestations
  • Neck pain
  • A feeling of heaviness in the neck and body
  • Worse in rainy, windy, cold weather
  • Aversion to Cold
  • Cold rheumatic pain
  • A preference for warmth
  • Pain relieved by massage
  • Headache
  • Stiffness
  • Muscle tightness
  • Better with Heat
  • Maybe worse at night
  • May feel Cold to the touch
  • Stiffness and pain which is temporarily worse after immobility or on awakening
  • Stiffness eases with movement
  • T: Normal
  • C: Greasy and white
  • P: Floating and slippery
Treatment Principle
  • Expel Wind-Cold-Damp
  • Move Qi
  • Invigorate the Blood
  • Warm the channels
  • Alleviate pain
Herb Formulas
Points
Clinical Manifestations
  • Early stage: Early morning stiffness, heaviness, numbness and/or restricted movement
  • Joint pain, especially in the wrist, ankle, knee and elbow
  • Excruciating sharp, stabbing joint pain
  • The affected joints may feel Cold
  • Muscle pain
  • There may be numbness and heaviness in the limbs
  • The pain is worse with Cold and better with warmth
  • The pain is aggravated by Wind
  • The pain aggravated by Dampness
  • Pain with fixed location
  • The joints cannot be flexed or extended
  • No local redness or Heat
  • Painful area often feels cold to the touch
  • Pain worse at night and better during the day
  • Pain mostly affects low back and lower extremities
  • Muscle weakness
  • Numbness of the muscles and skin
  • Hemiplegia, especially of the upper limbs
  • Slight muscle edema
  • Heaviness of the joints
  • Aversion to Cold
  • The pain worse at night
  • Local inflammation
  • Deviation of the eyes and mouth
  • Spasm of the limbs
  • Ankylosis (stiffness) of joint
  • Aversion to Cold
  • Maybe chills with a slight fever
  • Anhidrosis
  • Frequent nocturnal urination
  • T:Pink or Pale or Slightly purple or purple spots
  • C: Thick and white or Thin and white (thicker than for Wind-Bi)
  • P: Slippery or Slightly superficial or slightly rough or Slow and Soft or Wiry and tight or Floating and wiry or Superficial and tight
Treatment Principle
  • Relieve Wind
  • Dredge the channels
  • Relieve Cold
  • Resolve Dampness
Herb Formulas
Points
  • DU-14, DU-16, GB-20, SI-3, SJ-5, UB-12
    With nasal congestion: + LI-20
    With nausea: + PC-6, REN-12
    For neck pain along the Bladder Channel: + UB-10, UB-60
    For neck pain along the Large Intestine Channel: + LI-10
    For neck pain along the Small Intestine Channel: + SI-11, SI-13
    For neck pain along the San Jiao Channel: + SJ-15
    For neck pain that prevent backward bending of the head: + REN-24
    For neck pain that prevent forward bending of the head: + DU-26
    For neck pain that involves the upper back and shoulders: + LI-15, SJ-15
Clinical Manifestations
  • Pain and stiffness in the neck which is worse on windy days
  • Rigidity of the neck
  • Aversion to Wind
  • Fever which is not relieved by sweating
  • Feels worse in Dry weather
  • Pain can move up and down or from side to side
  • Headache
  • Heavy headedness
  • Body aches
  • T: Normal
  • C: White
  • P: Floating
Treatment Principle
  • Expel Wind
  • Move Qi
  • Invigorate the Blood
Herb Formulas
Points
Clinical Manifestations
  • Neck pain
  • Damp rheumatic pain
  • Stiffness
  • Heaviness
  • Maybe generalized body aches
  • Symptoms worse on Damp, muggy days
  • Better in dry weather
  • Stiffness and pain which is worse after immobility
  • Stiffness eases with movement
Treatment Principle
  • Expel Wind and Dampness
  • Move Qi
  • Invigorate the Blood
Herb Formulas
Points
Clinical Manifestations
  • Chills and fever (more chills than fever)
  • Anhidrosis
  • Headache
  • Stiff neck
  • Generalized aches and pains
  • Slight thirst
  • A bitter taste in the mouth
  • T: Normal
  • C: White
  • P: Floating
Treatment Principle
  • Induce sweating
  • Expel Wind-Cold
  • Dispel Dampness
  • Drain Interior Heat
Herb Formulas
Points
Clinical Manifestations
  • Pain and stiffness of the head and neck
  • High fever accompanied by severe chills and shivering
  • Aversion to Cold
  • Pain worse at night
  • Difficult movement
  • Local inflammation
  • Migratory pain
  • Soreness and pain of the extremities
  • Nasal congestion with sonorous breathing
  • Anhidrosis
    Focal distention and fullness of the chest and diaphragm
  • A productive cough
  • May have numbness and heaviness in the limbs
  • Body aches
  • Nasal obstruction
  • Cough with sputum
  • Stuffy nose
  • Joint pain
  • Pain worse with Cold and better with warmth
  • Pain aggravated by Wind
  • Pain aggravated by Dampness
  • Pain is stabbing
  • Muscle weakness
  • Pain alleviated by movement
  • Slight muscle edema
  • Heaviness of the joints
  • Cold joints
  • Headache
  • Dizziness
  • T: Pale or Slightly purple or Purple spots
  • C: White or thin, white, greasy
  • P: Slippery or Slightly superficial or Superficial and soft or Slightly rough or Slow and Soft or Wiry and tight or Superficial and rapid that is forceless under pressure
Treatment Principle
  • Release the Exterior
  • Augment Qi
  • Remove Wind-Cold-Damp
  • Eliminate Painful Obstruction
  • Circulate Qi and Blood
  • Stop pain
Herb Formulas
Points
Clinical Manifestations
  • Neck pain and stiffness
  • Painful joints
  • Heavy and painful sensations at fixed locations in lower back and extremities with weakness and stiffness or hypertonicity and immobility
  • Aversion to Cold
  • Attraction to warmth
  • Palpitations
  • Pain in the midline and back during pregnancy
  • Pain worse at night
  • General coldness
  • Sallow complexion
  • Wandering pain
  • Pale complexion
  • Shortness of breath
  • May be paresthesia and numbness
  • Cold pain in the low back and knees
  • Limited movement
  • Soreness, weakness and numbness of the joints
  • Tinnitus
  • Muscle spasms
  • Dizziness
  • T: Pale
  • C: Thin and white or White and moist
  • P: Thin, weak and slow or Deep, thready and weak or slippery
Treatment Principle
  • Disperse Wind-Dampness
  • Scatter Cold
  • Stop Bi pain
  • Tonify the Kidneys and Liver
  • Tonify Qi
  • Nourish the Blood
Herb Formulas
Points
Clinical Manifestations
  • Excruciating hot Bi pain and stiffness in the neck
  • Unbearable pain on light pressure
  • Local redness with Heat sensations
  • Symptoms worse in Heat
Treatment Principle
  • Expel Wind-Damp and Heat
  • Move Qi
  • Invigorate the Blood
Herb Formulas
Points
Clinical Manifestations
  • Pain occuring at the front of the neck and referring to the sides
  • Fever
  • Throat pain, redness and swelling
  • Difficulty swallowing
  • Coughing
  • Formation of pus in the throat or tonsils
  • Thirst
  • Constipation
  • T: Red
  • C: Yellow and dry
  • P: Rapid and forceful
Treatment Principle
  • Clear Heat
  • Remove toxins
  • Reduce swelling
  • Relieve pain
Herb Formulas
  • Liang Ge San  modified
  • Chinese Patent Medicine:
    Wei Te Ling
Points
Clinical Manifestations
  • Neck pain
  • Palpitations
  • Stabbing pain in the anterior region over the Heart
  • Suffocating sensation in the chest
  • Maybe drawing pain down the internal aspect of arm (especially the left arm)
  • Pain (in chest and/or arm) tends to be severe and intermittent
  • Severe cases:
    Cold limbs
    Cyanosis of lips and nails
  • T: Dark red with purple spots or Purple body
  • C: Little
  • P: Minute (scarcely perceptible) and thready or Knotted
Treatment Principle
  • Clear Yang
  • Invigorate the Blood
  • Transform Stagnation
Herb Formulas
Points
Clinical Manifestations
  • Neck pain
  • Palpitations
  • Shortness of breath
  • Excessive perspiration (daytime)
  • Above symptoms worse after exertion or when tired
  • Cold limbs
  • Fatigue
  • Weakness
  • Maybe chills
  • Cyanosis
  • Suffocating sensation in chest
  • Depression
  • Facial pallor
  • T: Pale and swollen
  • C: White
  • P: Thready and weak or Knotted or Intermittent
Treatment Principle
  • Warm and Clear Heart Yang
Herb Formulas
Points
Clinical Manifestations
  • Spasm, tension and pain at one side or both sides of the neck
  • Neck and shoulder stiffness
  • Pain in the occipital and temporal regions
  • The pain moves up and down
  • The pain is related to the emotional situation
  • Symptoms worse with stress, upset or anger
  • Symptoms better with massage and relaxation
  • Irritability
  • Flushed head or upper body
  • Sometimes worse in the afternoon or evening
  • Red eyes
  • Blurred vision
  • Possible heavy head with fogginess
  • Poor concentration
  • Distention and pain in the sides or flanks
  • Suffocating sensation in the chest
  • Tendency to sigh
  • Melancholy
  • Depression
  • Headache
  • Inappropriate anger
  • A bitter taste in the mouth
  • Insomnia
  • Irregular menses
  • Dysmenorrhea
  • Breast distention and pain before and during menses
  • T: Dark or Purplish
  • C: Thin and white
  • P: Wiry
Treatment Principle
  • Soothe the Liver
  • Harmonize the Gallbladder
  • Clear Stagnation
  • Stop pain
Herb Formulas
Points
Clinical Manifestations
  • Neck and upper back stiffness
  • Abdominal distention and pain
  • Gas
  • Borborygmus
  • Diarrhea
  • Distention and pain in the sides or flanks
  • Suffocating sensation in the chest
  • Tendency to sigh
  • Melancholy
  • Depression
  • Irritability
  • Inappropriate anger
  • Women:
    Irregular menses
    Dysmenorrhea
    Breast distention and pain before and during menses
  • T: Pink
  • C: White and greasy
  • P: Slippery and wiry
Treatment Principle
  • Soothe the Liver
  • Invigorate the Spleen
Herb Formulas
Points
Clinical Manifestations
  • Neck and shoulder tension
  • Epigastric pain (worse when emotionally upset)
  • Belching with acid regurgitation
  • Nausea
  • Vomiting
  • Anorexia
  • Epigastric distention
  • Distention and pain in the sides or flanks
  • Suffocating sensation in the chest
  • Tendency to sigh
  • Melancholy
  • Depression
  • Irritability
  • Inappropriate anger
  • Irregular menses
  • Dysmenorrhea
  • Breast distention and pain before and during menses
  • T: Pink
  • C: Thin and white
  • P: Wiry
Treatment Principle
  • Soothe the Liver
  • Harmonize the Stomach
Herb Formulas
Points
Clinical Manifestations
  • Spasms, pain and rigidity of the neck
  • A burning sensation in the neck
  • Stiffness
  • Maybe one-sided
  • Symptoms worse with stress, upset or anger
  • Symptoms better with massage and relaxation
  • Irritability
  • Flushed head or upper body
  • Sometimes worse in the afternoon or evening
  • Red eyes
  • Blurred vision
  • Possible heavy head with fogginess
  • Poor concentration
  • Dizziness
  • Impaired vision
  • Night blindness
  • Tinnitus
  • Irascibility
  • Throbbing headache with distended feeling
  • Flushed face
  • Red, dry eyes with feeling of grit in eye
  • Dry mouth and throat with bitter taste in mouth
  • Palpitations
  • Headache
  • Nervousness
  • Insomnia with much dreaming
  • Dry throat
  • Thirst
  • Five Sole Heat (palms, soles and center of chest)
  • Night sweats
  • Light or late menses or
  • Amenorrhea
  • T: Red and dry
  • C: Little or None
  • P: Thready and wiry or Wiry and rapid (when Yang is Rising and Excess, pulse is forceful) or Thready and rapid when Yang is not prominent
Treatment Principle
  • Nourish Yin
  • Pacify the Liver
  • Subdue Yang
  • Stop pain
Herb Formulas
Points
Clinical Manifestations
  • Neck pain
  • Stiffness
  • Maybe one-sided
  • Symptoms worse with stress, upset or anger
  • Symptoms better with massage and relaxation
  • Irritability
  • Flushed head or upper body
  • Sometimes worse in the afternoon or evening
  • Red eyes
  • Blurred vision
  • Possible heavy head with fogginess
  • Poor concentration
  • Severe, splitting headaches with dizziness
  • Sudden tinnitus or
  • Sudden deafness
  • Flushed face
  • Red, swollen, painful eyes
  • Irascibility with violent angry outbursts
  • Dry mouth
  • Bitter taste in mouth
  • Thirst
  • Vomiting sour or bitter liquid
  • Insomnia
  • Restlessness
  • Constipation or dry stools
  • Maybe rib pain
  • T: Red tip and edges
  • C: Thick, yellow, dry and rough
  • P: Wiry, Excess and rapid
Treatment Principle
  • Clear the Liver
  • Purge Fire
  • Stop pain
Herb Formulas
Points
Clinical Manifestations
  • Chronic slight neck pain that is worse on exertion
  • Stiff neck, worse with overwork or fatigue
  • Weakness in the neck
  • Inability to lift the head
  • Lumbago: low back feels cold, weak and aching
  • Weakness in the knees
  • Feeling chilled
  • Aversion to Cold
  • Cold limbs
  • General debility
  • Pale face
  • Urinary frequency with abundant, clear urine or
  • Oliguria with edema
  • Maybe nocturia
  • Lassitude
  • Withdrawn, subdued behavior
  • Knees feel cold and aching
  • Fatigue
  • Dizziness
  • Tinnitus
  • Impotence
  • Spermatorrhea
  • Premature ejaculation
  • Low libido
  • Female infertility ("uterus cold and infertile")
  • Maybe anorexia
  • Maybe loose stools
  • Maybe chronic diarrhea or "cock crow" diarrhea
  • T: Pale and swollen
  • C: Thin and white
  • P: Deep and thready - maybe slow
Treatment Principle
  • Warm and Reinforce Kidney Yang
  • Benefit the bones
Herb Formulas
Points
Clinical Manifestations
  • Stiffness and tightness of the neck and upper back
  • Constipation
  • Abdominal discomfort, distention or pain which is relieved by a bowel movement
  • Irritability
  • Depression
  • Moodiness
  • Fullness and tightness in the chest and hypochondrium
  • Poor appetite
  • Frequent belching
  • Frequent sighing
  • Premenstrual syndrome
  • Irregular menstruation
  • Breast tenderness
  • T: Normal or Dark
  • C: White
  • P:Wiry
Treatment Principle
  • Regulate and move Liver and Large Intestine Qi
  • Eliminate Stagnation
  • Descend Qi
Herb Formulas
Points
Clinical Manifestations
  • Stiff neck
  • Restricted movement of the neck
  • Pricking pain in the neck
  • T: Purple, possible purple or red spots
  • C: White
  • P: Choppy or Wiry and choppy
Treatment Principle
  • Move Qi
  • Invigorate the Blood
  • Unblock the channels
Herb Formulas
Points
Clinical Manifestations
  • Stiffness, cramps or spasms of the muscles of the neck, limbs and back
  • Fatigue
  • Lethargy
  • Weakness
  • Loose stools
  • Poor appetite
  • Dizziness
  • Light-headedness
  • Pale face
  • Weak voice
  • Shortness of breath
  • Reluctance to speak
  • Sweating with little or no exertion
  • Palpitations
  • Insomnia
  • Dry skin
  • Dry hair
  • Poor memory
  • Paleness
  • Scanty periods
  • T: Pale or Pale, thin and dry
  • C: Thin and white
  • P: Weak or Thin and choppy or Thready and wiry
Treatment Principle
  • Tonify Qi
  • Nourish the Blood
Herb Formulas
Points
Clinical Manifestations
  • Stabbing, fixed pain at the neck
  • Occurs mostly along the midline of the back
  • Worse at night
  • Stiffness and spasms of the neck, back and occasionally the extremities
  • Difficulty with movement
  • Dislike of pressure
  • Often occurs after cervical surgery
  • Maybe a history of physical trauma
  • Torticollis
  • Maybe convulsions
  • Sever, localized, progressive headache
  • Double vision
  • Loss of vision
  • Dark, sallow, ashen or purple complexion
  • Dark or purple lips and conjunctiva
  • Spider naevi
  • Emaciation
  • T: Purple with brown or purple stasis spots
  • C: Little or None
  • P: Thready and choppy or Wiry
Treatment Principle
  • Invigorate the Blood
  • Circulate Qi
  • Expel Stagnant Blood
  • Nourish the tendons
  • Stop spasms
  • Unblock the channels
  • Alleviate pain
Herb Formulas
Points
Clinical Manifestations
  • Spasms, cramps and stiffness in the limbs, neck and back
  • Convulsions
  • Diffuse headache
  • Heaviness
  • Fogginess or fullness in the head
  • Visual disturbances
  • Double vision
  • Loss of sight
  • Dizziness
  • Vertigo
  • Fullness and discomfort in the chest and epigastrium
  • Nausea
  • Vomiting
  • T: Normal
  • C: Greasy and white
  • P: Soft, slippery and/or wiry
Treatment Principle
  • Expel Wind
  • Disperse Phlegm
  • Move Qi
  • Stop spasms
Herb Formulas
Points
Clinical Manifestations
  • Neck stiffness
  • Hypertonicity of the limbs
  • High fever
  • Irritability
  • Anxiety
  • Clenched jaws
  • Abdominal fullness
  • Constipation
  • Scanty, dark urination
  • Severe cases:
    Opisthotonis
    Possible clouded Spirit in severe cases
    Delirious speech
  • T: Red
  • C: Dry and yellow
  • P: Wiry and rapid
Treatment Principle
  • Clear Internal Heat
  • Nourish Yin
Herb Formulas
Points
Clinical Manifestations
  • Neck pain
  • A history of trauma (whiplash, sprain, poor posture in sedentary work, repeated sprain)
  • Sudden onset
  • Acute pain
  • Stiffness
  • Limited movement
  • Rigidity
  • Maybe bruising
  • No improvement with rest
  • Worse with movement
Treatment Principle
  • Regulate Qi
  • Invigorate the Blood
  • Stop pain
Herb Formulas
Points
Clinical Manifestations
  • Neck pain, often with a weight-bearing sensation which radiates to the upper back
  • The pain is worse on movement of the neck
  • The pain is worse on deep breathing, coughing or sneezing in severe cases
Treatment Principle
  • Soothe the sinews
  • Unblock the channels
Herb Formulas
Points
  • GB-39, SI-3, SI-7, UB-62
    With nasal congestion: + LI-20
    With nausea: + PC-6, REN-12
    For neck pain along the Bladder Channel: + UB-10, UB-60
    For neck pain along the Large Intestine Channel: + LI-10
    For neck pain along the Small Intestine Channel: + SI-11, SI-13
    For neck pain along the San Jiao Channel: + SJ-15
    For neck pain that prevent backward bending of the head: + REN-24
    For neck pain that prevent forward bending of the head: + DU-26
    For neck pain that involves the upper back and shoulders: + LI- 15, SJ-15
Clinical Manifestations
  • Sudden onset of pain in the neck after sleep
  • Pain on one or both sides of the neck
  • Pain is more severe when the neck moves
  • Pain inhibits neck movement
  • Pain may involve the upper back and shoulders
Treatment Principle
  • Unblock the channels
  • Alleviate pain
Herb Formulas
Points
  • DU-16, GB-20, SI-3, SI-14, Luozhen
    (If Luozhen is used, needle it alone and mobilize or massage the neck while the needle is in place, stimulating the needle every so often.)
    For aversion to Wind and Cold: + SJ-5
    For a fever: + DU-14
    With nasal congestion: + LI-20
    With nausea: + PC-6, REN-12
    For neck pain along the Bladder Channel: + UB-10, UB-60
    For neck pain along the Large Intestine Channel: + LI-10
    For neck pain along the Small Intestine Channel: + SI-11, SI-13
    For neck pain along the San Jiao Channel: + SJ-15
    For neck pain that prevent backward bending of the head: + REN-24
    For neck pain that prevent forward bending of the head: + DU-26
    For neck pain that involves the upper back and shoulders: + LI- 15, SJ-15
Clinical Manifestations
  • Neck stiffness with hypertonicity following an incised would
  • Clenched jaws
  • Aversion to Cold
  • Fever
  • Headache
  • irritability
  • Agitation
  • Facial grimace like a wry smile
  • Spasms of the limbs
  • Opisthotonis in severe cases
  • P: Wiry and tight
Treatment Principle
  • Dispel Wind
  • Settle tremors
Herb Formulas
Points