Xu Yang, Zhao Ying-kai, Cheng Jian-bin
Institute of Medicinal Plant Development, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100094, China.
Zhongguo Zhen Jiu. 2007 May;27(5):379-82.
Neck-shoulder pain syndrome is a commonly-seen disease clinically. Modern medicine has had no better therapy for it yet. Acupuncture and moxibustion have a better therapeutic effect, but improper treatment easily induces protracted course. For the treatment, detailed syndrome differentiation, paying attention to pulse-taking, in combination with local palpation diagnosis and channel palpation, selection of proper acupoints should first be carried out; for manipulation of needling, do not seek first for arrival of qi, but waiting for arrival of qi is important, and warming needle treatment should be combined; for the patient with yang-qi not reaching the four limbs, firstly warming reinforcing yang of the spleen and kidney, then opening the 4 gates, Hegu (LI 4) and Taichong (LR 3) are carried out to promote yang-qi going, and then acupuncture is given at the neck-shoulder based on syndrome differentiation.
颈肩痛综合征是临床常见疾病。现代医学对此尚无更好的治疗方法。针灸治疗效果较好，但治疗不当易导致病程迁延。治疗时，应先进行详细的辨证，注重切脉，结合局部触诊诊断和经络触诊，选取合适的穴位；针刺操作时，不必先求气至，但候气很重要，应结合温针治疗；对于阳气不达四肢的患者，先温补脾肾之阳，再开四关，即针刺合谷（LI 4）和太冲（LR 3）以促进阳气运行，然后根据辨证在颈肩部进行针刺。
