The treatment of cervical spondylosis can be divided into non-surgical treatment and surgical treatment. At present, most medical experts advocate non-surgical treatment of cervical spondylosis, and only a few cases need surgical treatment. Non-surgical therapy is a comprehensive therapy combining traditional Chinese and western medicine, and one or two or three methods can be selected according to different situations and implemented at the same time. The following are introduced respectively: ▲ Manual massage therapy is the main method of treating cervical spondylosis in traditional Chinese medicine, and it is also a more effective treatment measure for cervical spondylosis. Its therapeutic effect is to relieve the tension and spasm of neck and shoulder muscles, restore the activity of cervical vertebrae, relieve the adhesion between nerve roots and soft tissues, and relieve symptoms. ▲ Cervical traction therapy This is a more effective and widely used treatment for cervical spondylosis. This therapy is suitable for all kinds of cervical spondylosis, and it is more effective for early cases. ▲ Physical Therapy In the treatment of cervical spondylosis, physical therapy can play a variety of roles. It is generally believed that the acute phase is feasible due to ion penetration, ultrasound, ultraviolet light or intermittent current; After the pain was relieved, ultrasound, iodine ion penetration, induction electricity or other hyperthermia were used. ▲ Warm and hot compress can improve blood circulation, relieve muscle spasm, reduce swelling and relieve symptoms, and help stabilize the affected vertebra after manual treatment. This method can be applied locally with hot towels and hot water bottles, and it is best to smoke and wash with traditional Chinese medicine. Warm and hot compress is not suitable for acute patients with severe pain symptoms. ▲ Drug therapy drugs can play an auxiliary role in the symptomatic treatment of this disease. You can choose to use painkillers, sedatives, vitamins (such as B 1, B 12), vasodilators, Chinese herbal medicines, etc., which have certain effects on relieving symptoms. In addition, while treating cervical spondylosis by manipulation, TCM syndrome differentiation and treatment can improve the curative effect, shorten the course of treatment and relieve the pain of patients. Common clinical types and experience are introduced as follows. (1) TCM syndrome differentiation: cold-dampness blocking collateral type (this type is more common in cervical spondylosis and nerve root type): headache or occipital pain, stiff neck, unfavorable lateral rotation, soreness, pain and numbness on one or both sides of shoulders, arms and fingers; Or headache involves upper back pain, wet and cold skin, fear of cold and love of heat, and soft tissue swelling nodules can be touched beside the cervical vertebra. The tongue is red, the fur is thin and white, and the pulse is slender. The main treatments are warming channels and promoting blood circulation, dispelling cold and removing dampness, dredging collaterals and relieving pain. Prescription: Ramulus Cinnamomi, Notopterygii Rhizoma, Radix Clematidis, Radix Gentianae Macrophyllae, Rhizoma Chuanxiong, angelica tail, Radix Puerariae, Rhizoma Gastrodiae, Carapax Trionycis, Massa Medicata Fermentata, and Radix Paeoniae Rubra. Notopterygii Rhizoma, Radix Clematidis, Rhizoma Gastrodiae and Radix Gentianae Macrophyllae are used in the prescription to dispel cold, remove dampness and relieve pain. Chuanxiong rhizome and gastrodia tuber treat headache. Ramulus Cinnamomi, Rhizoma Chuanxiong, Radix Angelicae Sinensis, Radix Paeoniae Rubra and Carapax et Plastrum Testudinis warm meridians, promote blood circulation and dredge collaterals; Pueraria lobata spasms, medicated leaven strengthens the spleen and stomach, and licorice harmonizes various drugs. (2) TCM syndrome differentiation: Qi and blood deficiency with blood stasis (this type is more common in cervical spondylosis of vertebral artery type): dizziness, dizziness, blurred vision or pain, fatigue, anorexia, neck pain or shoulder pain. The tongue is reddish or chubby, with teeth marks on the edge. Moss is thin, white and wet. The pulse is heavy and weak. Treatment is to replenish qi and nourish blood, refresh the mind and soothe the nerves, promote blood circulation and dredge collaterals. Prescription: Gastrodia elata, Radix Astragali Preparata, Radix Glycyrrhizae Preparata, Radix Codonopsis, fried atractylodes, Radix Rehmanniae Preparata, Fructus Amomi, Radix Angelicae Sinensis, Radix Paeoniae Alba and Caulis Spatholobi. In the prescription, Radix Astragali Preparata, Radix Glycyrrhizae Preparata, Radix Codonopsis and fried atractylodes are used for invigorating qi; Radix Rehmanniae Preparata, Rhizoma Chuanxiong, Radix Paeoniae Alba and Radix Angelicae Sinensis nourish blood; Gastrodia elata, Ligusticum Chuanxiong and Spatholobus Spatholobus have the functions of calming the nerves, strengthening the brain, promoting blood circulation, dredging collaterals, regulating qi with Amomum villosum, regulating stomach and relieving depression. (3) TCM syndrome differentiation: deficiency of both qi and yin with blood stasis (this type is common in cervical spondylosis of vertebral artery type and sympathetic nerve type): Vertigo occurs repeatedly, even dozens of times a day, even if you stay in bed, you will see things rotate, accompanied by nausea, vomiting, fatigue, unstable walking, or palpitation, shortness of breath, irritability, dry throat and bitter taste, poor sleep and dreaminess. The tongue is red, the coating is thin and white or yellowish and dry, or there is no coating on the tongue surface, and the sublingual collaterals are swollen. The pulse is thin and counted, or the number of chords. Treatment means benefiting qi and nourishing yin, calming the nerves and refreshing the brain, and harmonizing qi and blood. Prescription: Rhizoma Gastrodiae, Rhizoma Chuanxiong, Flos Chrysanthemi, Fructus Lycii, Radix Adenophorae, Radix Glycyrrhizae Preparata, Semen Ziziphi Spinosae, Semen Platycladi, Radix Polygalae Preparata, Radix Paeoniae Alba, Radix Salviae Miltiorrhizae, Lumbricus and Caulis Polygoni Multiflori. Radix Glycyrrhizae Preparata, Radix Adenophorae, Radix Paeoniae Alba and Fructus Lycii in the prescription can benefit qi and nourish yin; Gastrodia elata, Flos Chrysanthemi, Semen Ziziphi Spinosae, Semen Platycladi, Cortex et Radix Polygalae, and Caulis Polygoni Multiflori for refreshing brain and improving intelligence; Chuanxiong, Salvia Miltiorrhiza and Lumbricus promote blood circulation, dredge collaterals and relieve pain. (4) TCM syndrome differentiation: Yang deficiency of spleen and kidney with blood stasis (this type is more common in postoperative sequelae of cervical spondylotic myelopathy or those who have not been cured for a long time); Quadriplegia (hard paralysis or flaccid paralysis), incontinence, aversion to cold and warmth, normal diet or poor appetite. The tongue is red, the fur is thin and white or slightly greasy, and the pulse is heavy or thin. The treatment is to tonify kidney and spleen, warm channels and help yang, and strengthen tendons and bones. Prescription: Radix Rehmanniae Preparata, Jujube Peel, Rhizoma Zingiberis Preparata, Colla Plastri Testudinis, Colla cornus Cervi, Tortoise Shell, Semen Sinapis Albae, Eucommiae Cortex, Achyranthis Radix, Rhizoma Dioscoreae, Massa Medicata Fermentata, Radix Paeoniae Alba, Ramulus Cinnamomi and Radix Glycyrrhizae Preparata. Radix Rehmanniae Preparata, parched Eucommiae Cortex and Achyranthis Radix are used for tonifying kidney and nourishing blood. Colla cornus Cervi and Colla Plastri Testudinis are used to replenish marrow, strengthen tendons and bones; Jujube peel supplements liver and kidney and stops astringency; Ramulus Cinnamomi and Cortex Cinnamomi warm meridians and regulate yang; Dried ginger, yam, roasted licorice, fried Massa Medicata Fermentata, spleen and stomach strengthening, warming yang and benefiting qi; White mustard seed can resolve phlegm and dissipate stagnation; Artillery armor beads are soft and firm, activating meridians. First, the prevention of cervical spondylosis (1) Read books about cervical spondylosis and master scientific means to prevent and treat diseases. (2) Stay optimistic, establish the idea of fighting against diseases, and cooperate with doctors to reduce recurrence. (3) Strengthen the exercise of neck and shoulder muscles. At work or after work, doing flexion, extension and rotation of the head and upper limbs can not only relieve fatigue, but also develop muscles and enhance toughness, thus contributing to the stability of the cervical spine and enhancing the adaptability of the neck and shoulders to sudden changes in the neck. (4) Avoid the bad habit of sleeping on a high pillow. The high pillow bends the head forward, which increases the stress of the lower cervical spine and may accelerate the degeneration of the cervical spine. (5) Pay attention to keep the neck and shoulders warm, avoid heavy objects on the head and neck, avoid excessive fatigue, and don't doze off when riding. (6) Early and thorough treatment of soft tissue strain of neck, shoulder and back to prevent it from developing into cervical spondylosis. (seven) to prevent flash and contusion when working or walking. (8) Those who work at their desks for a long time should change their head position regularly and do neck and shoulder muscle exercises on time. (9) Pay attention to the correct posture of head, neck, shoulders and back, and don't shrug, talk or look straight when reading. Keep your spine upright. (10) Chinese medicine believes that walnut, dogwood, rehmannia root and black sesame have the functions of tonifying kidney and promoting marrow. If eaten in a reasonable amount, it can strengthen bones and muscles and delay the degeneration of kidneys and joints. Second, the beds of patients with cervical spondylosis have their own advantages and disadvantages, which are related to their personal residence, climate, living habits and economic situation. However, from the perspective of preventing cervical spondylosis, it is better to choose a bed that is conducive to the stability of the disease and the balance of the spine. Therefore, it is best to choose an elastic Simmons mattress on the bed board. It can be adjusted with the physiological curve of the spine. Three, cervical spondylosis patients pillow is the main tool to maintain the normal position of the head and neck. This "normal" position refers to maintaining the physiological curve of the head and neck section itself. This weight curve not only ensures the external muscle balance of the cervical spine, but also maintains the physiological and anatomical state in the spinal canal. Therefore, the ideal pillow should meet the requirements of physiological curvature of cervical spine, with soft texture and good air permeability, especially the middle and low-end ingot shape. Because this shape can maintain the physiological curvature of the cervical spine by using the concave part in the middle, it can also play a relative role in braking and fixing the head and neck, which can reduce the abnormal activities of the head and neck during sleep. Secondly, the choice of pillow core content is also very important. Commonly used are: ① Buckwheat skin: cheap and breathable, and the height of the pillow can be adjusted at any time. ② Pu Rong: Soft texture and good air permeability, which can be adjusted at any time. ③ Mung bean shell: not only breathable, but also cool and relieve summer heat. It would be better to add a proper amount of tea or mint, but it is mainly used in summer. Others, such as duck feathers, are also good, but the price is higher. The pillow should not be too high or too low, and it is best to relax at the back. Generally speaking, the height of the pillow is 8 ~ 15 cm, or calculated according to the formula: (shoulder width-head width) ÷2. Cervical pillow can also play a preventive or therapeutic role. Diet for cervical spondylosis: 60g old mulberry branches, hen 1 hen (about 1000g), and a little salt. Methods: 1. Wash chicken and cut into pieces; 2. Put it into the pot with the old mulberry branches; 3. Add appropriate amount of soup and seasoning. Efficacy: tonify kidney, replenish essence and dredge meridians. It is suitable for cervical spondylotic radiculopathy. Usage: Eat chicken with soup. Cervical spondylosis is a general term for cervical osteoarthritis, hyperplastic cervicitis, cervical nerve root syndrome and cervical disc herniation. It is mainly due to long-term strain of cervical vertebra, hyperosteogeny, or disc herniation, ligament thickening, compression of cervical spinal cord, nerve root or vertebral artery, leading to a series of clinical syndromes of dysfunction. This disease belongs to the category of arthralgia syndrome in traditional Chinese medicine. Clinical syndrome differentiation is mainly divided into two types: liver and kidney deficiency and wind-cold-dampness arthralgia.