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Torticollis

How Chinese medicine differentiates torticollis (wry neck) — involuntary neck-muscle contraction twisting or tilting the head — into the six patterns you'll actually meet in practice, and the points for each. Distinct from this site's own Neck Pain and Stiff Neck pages. 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. Torticollis in an infant, or sudden-onset torticollis with fever or after trauma, needs prompt medical evaluation before assuming a simple pattern.
General Acupuncture Points

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

PointKey action
LR-3Subdues Liver-Yang. Extinguishes interior Wind.
G.B.-20Expels exterior Wind. Extinguishes interior Wind. Subdues Liver-Yang. Clears Heat.
LR-2Drains Liver-Fire and subdues Liver-Yang. Extinguishes interior Wind.
ST-40Resolves Phlegm and Dampness. Calms the Mind and opens the Mind's orifices.
SP-6Strengthens the Spleen. Nourishes Blood and Yin.
BL-10Extinguishes Wind and subdues Liver-Yang. Expels exterior Wind. Clears the brain.
DU-14Clears Heat. Releases the Exterior and expels exterior Wind.
SP-10Cools Blood. Invigorates Blood and eliminates stasis.
ST-36Tonifies Qi and Blood. Tonifies the Stomach and Spleen.
KI-3Tonifies the Kidneys (both Yin and Yang). Strengthens the lower back and knees.
The Six Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Liver Wind Agitating Internally Due to Liver Fire View full pattern →

Clinical manifestations: Forceful neck spasms and head twisting, intense irritability and agitation, red face and bloodshot eyes, bitter taste and dry mouth, worsens with emotional stress, spicy/greasy foods, alcohol, heat, overwork.
Tongue: Red body with redder sides, stiff or trembling, yellow dry coating. Pulse: Wiry, rapid, forceful.
Treatment principle: Calm the Liver, drain Fire, extinguish internal Wind.
Note: no moxa. Matched to this site's own Liver-Fire-generating-Wind slide — its tremor/spasm, irritability, and red-face-and-eyes presentation lines up closely, the same match used for Apraxia's analogous pattern last batch.

2. Phlegm in the Channels, Joints and Muscles

Clinical manifestations: Heavy, stiff neck with a sensation of thickness, fixed stabbing or dull pain in neck muscles, palpable hard knots or nodules, purplish or dark skin discoloration, chest tightness and excessive phlegm.
Tongue: Purple body with stasis spots, white greasy coating, distended sublingual veins. Pulse: Wiry and choppy, or wiry and slippery.
Treatment principle: Transform Phlegm-Dampness, dry Dampness, calm the channels.
Note: no moxa. This site has no Phlegm-in-the-channels/joints/muscles slide on any deck, a gap confirmed absent many times over — no pattern link is given here; points still link fine individually.

3. Wind-Cold

Clinical manifestations: Sudden onset after cold exposure, neck pain and stiffness worsening with cold, chills and strong aversion to cold, no sweating, headache and body aches.
Tongue: Normal or slightly pale body with thin white moist coating. Pulse: Floating and tight.
Treatment principle: Release the exterior, dispel Wind-Cold, relax neck and upper back muscles.
Note: moxa applicable on BL-10. This site has no organ-nonspecific Wind-Cold Bi-syndrome slide, a gap confirmed absent many times over (most recently Aversion to Cold) — no pattern link is given here; points still link fine individually.

4. Blood Stagnation View full pattern →

Clinical manifestations: Fixed, stabbing neck pain that doesn't shift location, worse at night and with pressure, palpable hard lumps or knots in neck muscles, dark or purplish lips, nails, or facial complexion.
Tongue: Dark purple or dusky body with stasis spots and distended dark sublingual veins. Pulse: Choppy, sometimes wiry.
Treatment principle: Invigorate Blood, dispel stasis, move Qi.
Note: no moxa. Direct match with this site's own Liver-Blood-stasis slide.

5. Qi and Blood Deficiency

Clinical manifestations: Persistent dull neck stiffness worsening with fatigue, overwhelming fatigue and weakness, pale or sallow complexion, dizziness or lightheadedness, heart palpitations, poor appetite.
Tongue: Pale body, may be thin with teeth marks on the edges, thin white coating. Pulse: Fine and weak, lacking force.
Treatment principle: Tonify Qi and Blood, strengthen the Spleen to nourish sinews.
Note: moxa applicable on ST-36/SP-6. This site has no combined Qi-and-Blood-deficiency slide, a gap confirmed absent many times over — no pattern link is given here; points still link fine individually.

6. Kidney and Liver Yin Deficiency View full pattern →

Clinical manifestations: Spasms worse at night or with fatigue, dizziness and ringing in the ears, dry eyes and blurred vision, sore lower back and weak knees, heat in the palms, soles and chest.
Tongue: Red, thin body with cracks and dry surface, scanty or absent coating. Pulse: Fine, rapid, wiry, weak at the left Chi (Kidney) position.
Treatment principle: Deeply nourish Yin and extinguish internal Wind.
Note: no moxa. Matched to this site's own Kidney-and-Liver-Yin-deficiency slide.
Related conditions

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