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Neck paralysis, also known as cervical spondylosis, is a disease with head and neck pain, limited movement, and shoulder and back pain as the main symptoms. Patients often experience numbness and pain on one or both sides of the limb, lightheadedness, and even weakness in the lower limbs, unsteady gait, or muscle atrophy. In traditional Chinese medicine, this disease belongs to the categories of "Bi syndrome", "impotence syndrome", "Xiang Qiang", "neck and shoulder pain" and so on. The occurrence of neck paralysis is related to a variety of factors, such as old age and physical decline, long-term strain, invasion of external evils or injuries caused by falls. The location of the disease is mainly in the neck, involving the meridians and tendons of the Du Pulse, the Foot Sun Bladder Meridian, the Hand Sun and the Hand Yang Ming Meridian. The basic pathogenesis is cold and dampness in the neck, which leads to qi stagnation and blood stasis or liver and kidney insufficiency, which in turn causes musculoskeletal and muscular dystrophy. In Western medicine, Xiang Bi is equivalent to cervical spondylosis. According to the clinical manifestations, cervical spondylosis can be divided into cervical, radiculological, vertebral artery, spinal, sympathetic and mixed. Different types of cervical spondylosis have different symptoms and methods. For example, cervical spondylosis is dominated by neck pain and stiffness, and is dominated by rest and physics; Cervical radiculopathy, on the other hand, presents with radiating pain and numbness in the upper extremities, requiring cervical traction and medications**. For the ** of Xiang Bi, both Chinese medicine and Western medicine have certain methods. Traditional Chinese medicine** is mainly based on acupuncture, massage, internal and external application of traditional Chinese medicine, etc., aiming to relax the muscles and activate the blood, warm the meridians and channels; Western medicine mostly uses drugs**, cervical traction, physical** and surgical**. The appropriate method should be selected according to the specific situation of the patient to achieve the best ** effect. 
[Dialectic].
Main symptoms
Pain in the headrest, neck, shoulders, upper limbs, etc., and progressive limb sensory and motor dysfunction.
(1) Distinguish the meridians
Pain in the neck and back occipital, stiffness and discomfort in the neck, which is evidence of the pulse and the sun of the foot;
The neck is uncomfortable and tender, and the pain may radiate along the ulnar side of the forearmThe 4th and 5th fingers are numb, for the hand sun scriptures;
Radiating pain and numbness in the neck, shoulders, and lateral side of the upper arm, and radial side of the forearm, may be accompanied by painNumbness in the thumb, index finger, and middle finger, for the hand Yang Ming Sutra.
(2) Syndrome differentiation
Lying in the wet wetland for a long time or sleeping at night with open shoulders causes strong spinal pain, soreness in the shoulders and arms, limited neck movement, and even numbness and cold pain in the arms, aggravated by cold, pale tongue, and tight pulseWind chill paralysis;
If there is neck, shoulder and arm pain after trauma, numbness of fingers, aggravation after exertion, stiffness or swelling of the neck, unfavorable movement, tenderness in the upper and lower fossa of the scapula and acromion, purple and dark tongue with petechiae, and astringent pulse, forblood stasis from strain;
Pain in the neck, shoulders and arms, numbness and weakness in the limbs, dizziness and tinnitus, soreness in the waist and knees, spermatozoa or irregular menstruation, red tongue and little lichen, weak pulse, forLiver and kidney deficiency
1.Basic**
Governing the law
Relax the muscles and bones, and pass through the meridians. Local acupuncture points and the sun meridian points of the hands and feet are the main points.
Main Cave
Neck spine, Ah is acupoint, Tianzhu, Houxi, Shen vein.
With acupuncture
Supervising the pulse and the foot of the yang meridian are matchedFengfu, Kunlun
Hand sun is certified to matchXiaohai, Shaoze
Hand Yang Ming has been matchedShoulders, curved pools, and valleys
Wind chill paralysis is blockedDamper, large vertebrae
Strain and blood stasisDiaphragm, Hegu
Liver and kidney deficiencyLiver Yu, kidney Yu
Dizziness and headache withBaihui, Wind Pool
Nausea and vomitingZhongguan, Neiguan
Tinnitus, deafnessListen to the palace, outside the gate
Fang Yi
Neck spine, Ah is acupoint, TianzhuIt is a local selection of acupoints, which can regulate the qi and blood of the neck, relax the muscles and bones, and pass through the meridians;
Houxi, ShenmaiIt belongs to the hand and foot sun meridian, and it is the intersection of the eight veins, the Houxi Tongdu vein, the Shen vein through the Yang stilt vein, the two acupoints are matched up and down, and the function is in the grooming item, scapula qi and blood.
Operation
Millineedle laxative or flat supplement laxative method。During neck spine acupuncture, the needle sensation is emphasized to be transmitted to the shoulder, dorsum and forearm of the affected side.
2.Other**
1) Acupoint injection method A is the acupoint. With lidocaine, or vitamin B12 injection, angelica injection, 1ml per acupoint injection each time.
2) Thorn cupping method large vertebrae, neck spine, heavenly pillar, shoulder well, Ah is acupoint. Needle pricking makes redness with a small amount of bleeding, then cupping.
Acupuncture** cervical spondylosis has significant effects, especially for cervical, radiculopathy, and vertebral artery cervical spondylosis, acupuncture can quickly relieve symptoms and reduce the pain of patients. For other types of cervical spondylosis, acupuncture can also play a certain role in improvement. In order to enhance the curative effect, it can be combined with traction, massage, external application and other methods. If the patient's neck pain is severe, it can be combined with the neck spine needle knife and thread lifting**, which can relieve the pain more quickly. For people who work at the desk or with their heads bowed for a long time, they should pay attention to the health care of the cervical spine. After 1 hour of work, you should get up and move your neck, or do a self-massage to relax your neck muscles. Usually, we should maintain a correct sleeping position and choose the right pillow so that the height of the pillow matches the physiological curvature of the neck. At the same time, we should also pay attention to the warmth of the neck to avoid the invasion of wind and cold. Modern studies have shown that the mechanism of action of acupuncture** cervical spondylosis is related to promoting local microcirculation, improving vertebral artery blood supply, coordinating the movement of muscles and ligaments around the intervertebral discs, and regulating nerve function. Improvements in these areas can help alleviate the symptoms of cervical spondylosis and improve the quality of life of patients.