The traditional Chinese medicine syndrome differentiation and treatment of cervical spondylosis requires selecting corresponding treatment plans based on the syndrome types. Common syndrome types include wind cold dampness bi type, qi stagnation and blood stasis type, liver and kidney deficiency type, phlegm dampness obstructing collaterals type, and qi and blood deficiency type. The treatment methods include oral Chinese medicine, acupuncture and moxibustion and massage, cupping and scraping, functional exercise and other comprehensive interventions.

1. Wind cold dampness type
is often caused by the invasion of wind cold dampness pathogens on the neck, manifested as aggravated neck and shoulder pain and unfavorable lateral rotation when exposed to cold. Ge Gen Tang can be used with modifications to dispel wind and cold, combined with moxibustion at the Dazhui acupoint to warm the meridians and dispel cold. Avoid direct air conditioning in daily life and wear a scarf to keep warm. A typical formula such as Guizhi Jia Ge Tang contains 15 grams of Ge Gen and 10 grams of Guizhi.
2. Qi stagnation and blood stasis type
is common in individuals with long-term poor posture, characterized by stabbing pain, worsening at night, and dark purple tongue. The combination of Xuefu Zhuyu Tang and acupuncture at Fengchi acupoint can promote blood circulation and remove blood stasis. Massage uses rolling method to loosen adhesions. Traditional Chinese patent medicines and simple preparations Rujingfukang Granule contains Qiang Huo, Chuanxiong and other ingredients, which is suitable for blood stasis syndrome.
Thirdly, liver and kidney deficiency type
is more common in middle-aged and elderly patients, with symptoms such as dizziness, tinnitus, and soreness and weakness of the waist and knees. The modified Liuwei Dihuang Pill combined with suspended moxibustion at the Kidney Shu acupoint can nourish the liver and kidneys, and Du Zhong Zhu Gu Tang can be used as a dietary supplement. Be careful to avoid long-term vision damage and blood loss. You can practice the Eight Section Brocade to strengthen the foundation and cultivate the element. Typical formulations such as Zhuanggu Joint Pills contain ingredients such as Fructus Psorale and Dipsacus.

4. Phlegm dampness obstruction type
is more likely to occur in overweight individuals, manifested as a heavy head and tired limbs. The combination of modified Wendan Tang and Fenglong acupoint acupuncture can help to reduce phlegm and unblock meridians, while scraping the bladder meridian helps to eliminate dampness. The diet needs less fat and sweet taste. Coix seed Congee is recommended to strengthen the spleen and remove dampness. Banxia Baizhu Tianma Tang contains 12 grams of Banxia and 10 grams of Tianma.
5. Qi and blood deficiency type
is often accompanied by pale complexion, fatigue, and palpitations. Guipi Tang combined with ginger separated moxibustion at Zusanli can nourish qi and blood, and neck hot compress can improve circulation. Tonic Diet such as ass hide glue cake can assist in recuperation to avoid overwork. Commonly used traditional Chinese patent medicines and simple preparations, such as Yiqi Congming Pill, contains astragalus, dangshen and other tonic ingredients. During traditional Chinese medicine treatment, it is necessary to maintain a correct sitting posture, move the neck every 30 minutes, and use buckwheat skin pillows for sleep. During the acute phase, avoid vigorous head turning and engage in soothing exercises such as rice exercises. If there is upper limb radiating pain or unstable walking, timely re examination is necessary, and modern medical imaging examination should be conducted to rule out serious lesions. The diet should be gentle and easy to digest. For wind cold syndrome types, ginger jujube tea can be consumed in moderation. Those with liver and kidney deficiency often eat black sesame paste.

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