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Cervical Spondylosis

How Chinese medicine differentiates cervical spondylosis, the four patterns you'll actually meet in practice, and the points for each. Acupuncture only — no herbs.

This page is educational, for practitioners and students — it is not a diagnostic tool and does not replace a proper in-person assessment. Numbness, weakness, or dizziness with neck symptoms needs medical evaluation to rule out nerve or vascular compression; acupuncture is a complementary, not a replacement, approach.
General Acupuncture Points

Acupuncture points traditionally used for cervical spondylosis — 9 key points, used across most of the patterns below rather than tied to just one.

PointKey action
Huatuojiaji (EX-B-2)Local paraspinal points; unblock the channel along the spine. No dedicated location page on this site.
G.B.-20Expels exterior Wind. Clears Heat. Benefits the head and neck.
L.I.-4Expels exterior Wind, stops pain, removes obstructions from the channel.
LR-3Subdues Liver-Yang, promotes the smooth flow of Liver-Qi, invigorates Blood.
Du-14Clears Heat. Releases the Exterior and expels exterior Wind.
L.I.-11Clears Heat from the Yangming channels. Cools Blood.
SP-9Regulates the Spleen, resolves Dampness, opens the Water passages.
ST-40Resolves Phlegm and Dampness throughout the body.
SP-10Cools Blood, invigorates Blood and eliminates stasis.
Du-20Raises Yang. Lifts the Mind. Benefits the Brain.
The Four Patterns

reinforcing   reducing   even method — technique below follows standard Excess/Deficiency treatment principle for each pattern, not tied to a specific point-by-point source.

1. Qi and Blood Stagnation

Clinical manifestations: Fixed, stabbing pain in a single spot in the neck; pain that worsens at night and with pressure or touch; irritability or chest tightness; brought on by stress, anger, cold weather, or prolonged static postures; eased by gentle neck stretches, heat application, light massage, or stress reduction.
Tongue: Dark purple with stasis spots, distended sublingual veins, thin white coating. Pulse: Wiry, Choppy.
Treatment principle: Move Blood and relieve pain, invigorate Qi and Blood circulation.
Huatuojiaji G.B.-20 L.I.-4 LR-3
Note: no moxa. This site's "Liver-Blood stasis" slide is gynecological/hepatic-framed with no neck or local-pain content, so no pattern link is given here.

2. Painful Obstruction due to Damp-Heat in Channels

Clinical manifestations: Burning pain in the neck and shoulders; redness and warmth to the touch; pain relieved by cold and aggravated by heat; a heavy, aching sensation in the limbs; thirst with a desire for cold fluids; irritability and restlessness; brought on by warm weather, hot showers, spicy or greasy food, alcohol, or a damp environment; eased by cold compresses, rest, cooling foods, and gentle stretches.
Tongue: Red, possibly slightly swollen, yellow greasy coating. Pulse: Slippery, Rapid.
Treatment principle: Clear Heat and drain Dampness, unblock the channels and relieve Painful Obstruction.
Note: no moxa. No deck slide anywhere on this site combines Damp-Heat with a joint- or channel-specific presentation, so no pattern link is given here.

3. Phlegm in the Channels, Joints and Muscles

Clinical manifestations: Persistent numbness or a heavy sensation in the neck and arms; hard swelling or nodules around the cervical joints; chest tightness and excessive phlegm or mucus; a purplish discoloration of the skin around affected joints; fixed, stabbing pain that feels deep and heavy; brought on by a damp or humid environment, prolonged static postures, or heavy, greasy, cold foods; eased by gentle movement and stretching, warm dry weather, and light cooked foods.
Tongue: Purple with stasis spots, white greasy coating, distended sublingual veins. Pulse: Wiry and Choppy, or Wiry and Slippery.
Treatment principle: Transform Phlegm and open the channels, invigorate Blood to remove stasis.
Huatuojiaji ST-40 SP-10 Du-14
Note: no moxa. No deck slide on this site combines Phlegm with a joint- or muscle-specific presentation, so no pattern link is given here.

4. Liver-Yang Rising View full pattern →

Clinical manifestations: Dizziness or vertigo triggered by head movement; a throbbing or distending headache at the temples; tinnitus; irritability and a quick temper; a flushed face and red eyes; a dry mouth and throat; brought on by stress, anger, sudden head movements, alcohol, spicy food, or overwork; eased by rest in a quiet dark room, a cool compress on the forehead, gentle neck stretches, or slow deep breathing.
Tongue: Red with redder sides, thin dry yellow or scanty coating. Pulse: Wiry, forceful at the left Guan position, possibly Fine and Rapid.
Treatment principle: Subdue Liver-Yang and anchor upward-surging energy, nourish Liver-Yin, calm internal Wind.
Note: no moxa.
Related conditions

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