Cervical spondylosis in traditional Chinese medicine is classified based on syndrome differentiation, guiding individualized treatment. From modern medical perspective, patients with the same type—root-type, vertebral artery type, or spinal cord type—may have different causes, symptoms, and pulse patterns, thus belonging to different TCM types, requiring distinct therapeutic principles and herbal formulas.
1. Traumatic Type: Promote qi flow, activate blood, relax tendons, relieve pain. Formula: Turmeric 10g, Licorice 10g, Qianghuo 15g, Acanthopanax bark 12g, Angelica 15g, Red Peony Root 12g, White Atractylodes 12g, Stretching Grass 15g, Ligusticum 12g, Cinnamon Twig 10g. Decoct and take orally. Add frankincense and myrrh for severe pain; add Polygonum multiflorum and Lycium berry for chronic deficiency. For post-traumatic cold exposure or pre-existing wind-cold, use Ma Gui Warm Meridian Decoction: Red Peony Root 12g, Ephedra 10g, Cinnamon Twig 12g, Safflower 6g, White芷 15g, Fine Sinew 3g, Peach Kernel 12g, Licorice 10g. Decoct and take orally.
2. Wind-Cold-Damp Bi Syndrome, Blocked Meridians: Expel wind, remove dampness, warm meridians, activate circulation. Formula: Qianghuo 10g, Du Huo 15g, Borneol 10g, Saposhnikovia 15g, Licorice 10g, Ligusticum 12g, Fructus Viticis 10g. Decoct and take orally. If hand numbness predominates, indicating qi deficiency, use Ginseng Qi-tonifying Decoction: Astragalus 20g, Fried Licorice 10g,升Ma 10g, Schisandra 15g, Bupleurum 12g, Raw Licorice 10g, Ginseng 5g, White Peony Root 12g. Decoct and take orally.
3. Liver-Kidney Deficiency, Qi-Blood Deficiency: Tonify liver and kidney, nourish qi and activate blood. Formula: Du Huo 15g, Taxillus 15g, Gentiana 10g, Saposhnikovia 15g, Fine Sinew 3g, Angelica 15g, White Peony Root 12g, Ligusticum 15g, Rehmannia 15g, Eucommia 12g, Achyranthes 15g, Codonopsis 20g, Poria 12g, Fried Licorice 10g, Cinnamon Twig 15g. Decoct and take orally. For severe limb weakness, use Modified Siwu Decoction: Angelica 15g, Prepared Rehmannia 12g, White Peony Root 10g, Ligusticum 12g, Schisandra 10g, Ophiopogon 12g, Codonopsis 20g, Phellodendron 10g, Coptis 15g, Anemarrhena 10g, Eucommia 12g, Achyranthes 15g, Atractylodes 12g, Astragalus 20g. Decoct and take orally.
4. Phlegm-Damp Obstruction, Meridian Stagnation: Regulate qi, transform phlegm, unblock meridians. Formula: Ginger-processed Pinellia 6g, Tangerine Peel 10g, Poria 12g, Fried Licorice 10g. Decoct and take orally. If patient has qi deficiency, add Codonopsis, White Peony Root, Astragalus; if limbs feel heavy and numb, add Saposhnikovia, Schizonepeta, Gastrodia, Gentiana, etc. If hands and feet numb with eye sensitivity, blurred vision, eye pain, use Shenxiao Huangqi Decoction: Fructus Viticis 10g, Tangerine Peel 10g, Ginseng 5g, Fried Licorice 10g, White Peony Root 15g, Astragalus 20g. Decoct and take orally.
5. External Fumigation and Washing Formula: Formula: Du Huo, Gentiana, Saposhnikovia, Mugwort, Bone-penetrating Herb, Liu Jiniu, Su Mu, Red Peony Root, Safflower, Shell of Turtle, Herba Clematidis, Plum, Papaya, each 9g. Decoct and apply hot fumigation/washing to affected area.
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