Acupuncture in neck pain

1. Acupuncture In Neck Pain

2. Acupuncture Points Present In Head
and Neck
•Jingbailao (EX-HN 15 )
•Yiming(EX-HN14 )
•Yuye(EX-HN13 )
•Jinjin (EX-HN 12)
•Haiquan (EX-HN11)
•Juquan(EX-HN10)
•Shangyingxiang (EX-HN 8 )
•Neiyingxiang ( EX-HN9)
•Qiuhou (EX-HN7)
•Erjian(EX-HN6)
•Taiyang(EX-HN5)
•Yuyao (EX-HN4)
•Yintang(EX-HN3)
•Dangyang(EX-HN2)

3. Jingbailao (EX-HN 15 )
Location
2 cm superior to the lower border of the
spinous process of the 7th cervical vertebra
(C7) and 1 cm lateral to the midline.

4. Jingbailao (EX-HN 15 )
Regional Anatomy:
In the superficial layer, there are the
cutaneous branches of the 4th and 5th
cervical nerves. In the deep layer, there are
the branches of the posterior branches of
the 4th and 5th cervical nerve.
Function:
Nourishing the lungs, relieving spasm of the
tendons and dredging the collaterals.
Indications:
Cough, asthma, pulmonary tuberculosis, stiff-
neck, and whooping cough.
How to find
For locating C7, see 3.4.1.
➞ ➞
Du-14 (dazhui)
is located below the spinous process of C7.
From there, measure 2 cm in a superior and 1
cm in a lateral direction.
Needling
Vertically 0.5–0.8 cm for 5-10 min.

5. Yiming(EX-HN14 )
Regional Anatomy:
•In the superficial layer, there are the branches
of the great auricular nerve. In the deep layer,
there are the deep cervical artery and vein.
Location:
•Sit upright with one's head inclined slightly
forword; firstly, locate YifengTE17 (Yifeng
(TE17)), 1 cm posterior to YifengTE17 (TE17), on
the anteroinferior side of mastoid process.
Function:
•Improving eyesight and tranquilizing the mind.
Indications:
•Eye diseases, tinnitus, vertigo, and insomnia.
Needling
Depth:
0.5 - 1 cm.
Technique:
Puncture Perpendicularly

6. Yiming(EX-HN14 )

7. Others Acupuncture Points ( Not
Related To The Neck Problems )
•Yuye(EX-HN13 )
•Location: In the mouth,
on the vein in the right
side of the frenulum of
the tongue.
•Indications: Swelling of
tongue, intractable
vomiting, stiff tongue.
•Jinjin (EX-HN 12)
•Location: In the mouth,
on the vein in the left
side of the frenulum of
the tongue.
•Indications: Swelling of
tongue, intractable
vomiting, stiff tongue.

8. •Haiquan (EX-HN11)
•Location: In the mouth,
at the midpoint of the
frenulum of the tongue.
•Indications: Diabetes,
double tongue with
swelling pain, vomiting,
diarrhea.
•Juquan(EX-HN10)
•Location: In the mouth,
at the midpoint of the
dorsal midline of the
tongue.
•Indications: Stiff
tongue, flaccid tongue,
with aphasia, diabetes,
asthma, cough,
hypogeusestbesia.
Others Acupuncture Points ( Not
Related To The Neck Problems )

9. •Shangyingxiang (EX-HN 8 )
•Location: On the face, at
the junction of the alar
cartilage of the nose and
the nasal concha, near the
upper end of the nasolabial
groove.
•Indications: rhinorrhea with
turbid discharge, stuffy
nose, boil of nose.
•Neiyingxiang ( EX-HN9)
•Location: In the nostril, at
the junction between the
mucosa of the alar cartilage
of the nose and the nasal
con cha.
•Indications: Conjunct ival
congestion and swelling of
the eye(s), rhinopathy,
inflammation of the throat,
fever,heatstroke, dizziness.
•Prick to cause bleeding.
Prohibited on cases with
hemorrhagic diathesis.
Others Acupuncture Points ( Not
Related To The Neck Problems )

10. •Qiuhou (EX-HN7)
•Location: On the face, at the junction
of of the lateral fourth and medial
three fourth of the infraorbital
margin.
•Indications: Ophthalmic disorders.
•Push gently the eyeball upward and
then puncture perpendicularly and
slowly 0.5-1.2 cm along the
infraorbital margin. Strong twirling or
lifting and thrusting the needle is not
advisable.
•Method:Push the eyeball upward
gently ,then puncture
perpendicaularly 0.5-1.2 inches along
the orbital margin slowly without
movements of
lifting,thrusting,twisting and rotating.
•Erjian(EX-HN6)
•Location:above the apex of the ear
auricle,at the tip of the auricle when
the ear is folded forward.
•Indications:Conjunctival congestion
and swelling of the
eye(s),fever,nebula.
•Method:Puncture perpendicularly
0.1-0.2 inch or prick to cause
bleeding.Moxibustion is applicable.
Others Acupuncture Points ( Not
Related To The Neck Problems )

11. •Taiyang(EX-HN5)
•Location:At the temporal part
of the head,between the
lateral end of the eyebrow and
the outer canthus,in the
depression one finger breadth
behind them.
•Indications:Headache,ophthal
mic disorders,hemiparalysis of
face.
•Method:Puncture
perpendicularly 0.3-0.5 inch,or
prick to cause bleeding.
•Yuyao (EX-HN4)
•Location: On the forehead, at
the midpoint between the
eyebrows.
•Indications: Pain in the
supraorbitai bone, twitching of
eyelid(s),
blepharoptosis,nebula,
conjunctival congestion and
swelling of the eye(s).
•Method:Puncture
subcutaneously 0.3-0.5 inch.
Others Acupuncture Points ( Not
Related To The Neck Problems )

12. •Yintang(EX-HN3)
•Location: On the forehead,
at the midpoint between
the eyebrows.
•Indications: Headache,
heaviness sensation of the
head, epistaxis, rhinorrhea
with discharge, infantile
convulsion, pain in the
forehead, insomnia.
•Method:Puncture
subcutaneously 0.3-0.5
inch.Moxbibustion is
applicable.
•Dangyang(EX-HN2)
•Location : At the frontal
part of the head, directly
above the pupil, 1 cm above
the pupil, 1 cm above the
anterior or hairline.
•Indications: Dizziness,
ophthalmalgia, stuffy nose,
common cough, headache,
conjunctivitis, apoplectic
stroke.
Others Acupuncture Points ( Not
Related To The Neck Problems )

13. Causes of Chronic Neck
Pain
•Muscle strain:
•Overuse of the neck creates strain in the soft
tissues. It creates acute pain in the neck and
back. Poor posture and work habits sustain
the pain for long periods. Repeated overuse of
muscles creates pain particularly in the back
side of the neck.

14. •Cervical Foraminal Stenosis:
•Pain which develops very slowly over the years and
occurs after particular neck positions might be due to
Cervical Foraminal Stenosis. Wear and aging of the
vertebral joints in the neck or at the disc margins
creates this kind of pain. It is sometimes difficult to
distinguish this type of pain from muscle pain by
depending on Xray and CT scans. In such cases, an
injection called a medial branch block (MBB) is
performed. The injection confirms that the cause of
pain is facet joint.
Causes of Chronic Neck
Pain

15. •Cervical herniated disc:
•Cervical herniated disc is the main cause of neck
pain radiating down the arm in some cases to the
hands and fingers. Herniated disc or bone spur
compresses the spinal cord to cause the pain.
Symptoms of this type of pain can develop both
suddenly and slowly. If the pain is not responding
to conservative treatments (medication, physical
therapy or manipulations), surgery may be
needed.
Causes of Chronic Neck
Pain

16. •Disk injury:
•Discs control the motion of the neck. When discs are
stressed beyond their limits pain is experienced which
extends to the annulus (outer wall of the disc). An
example of this is whiplash injury. Muscles and
ligaments are inflamed or stressed by an accident.
Neck pain sometimes flares or gets worse. Pain is
increased by certain postures. In most cases it is
healed but for some people it creates pain in normal
activities. About one quarter of patients develop neck
pain due to disc injury.
Causes of Chronic Neck
Pain

17. The Use of Acupuncture to Treat Neck
Pain
•Acupuncture is part of the 2500 year old science
of natural healing called traditional Chinese
medicine. It also includes Asian bodywork
therapy as well as Chinese Herbal therapy. The
practice of acupuncture has turned out to be an
accepted treatment for neck pain worldwide.
Acupuncture needles are inserted into
empirically exact points, called an acupuncture
point, which are located along organ meridians,
to stimulate the smooth flow of Qi energy. Qi
energy is believed to be part of every living thing
that exists, as a kind of life force or spiritual
energy.

18. The Use of Acupuncture to Treat Neck
Pain
•Acupuncture aims to affect the central nervous
system, including the spinal cord, mid-brain and
hypothalamus-pituitary intricate. Studies have
also shown that acupuncture promotes
vasodilation and increases blood flow.
Concentrations of triglycerides, cholesterol and
phospholipids in the blood can decrease
following acupuncture treatments . Acupuncture'
is also reported to positively affect the immune
system. It is thought that this is due to
endprphins acting as mediators between the
central nervous system and the immune system.

19. The Use of Acupuncture to Treat Neck
Pain
•In twice blind scientific trails, acupuncture was proven
successful in treating chronic pain, 55% to 85% of
patients reported positive benefits. This compares
positively with the effectiveness of potent drugs, like
morphine, which helped in 70% of cases.
•Acupuncture is currently being used worldwide as part
of court-ordered drug withdrawal and detoxification
programs. In a remarkable study, 42% of alcoholics
remained alcohol free for three months following
acupuncture treatment, and an additional 28% drank
much less. These are extraordinary numbers when
compared with any other type of drug therapy.

20. Neck Stiffness
•[Introduction]
•Stiffness of neck is a commonly encountered damage of
cervical soft tissues due to high or low pillow or inva-sion
of wind-cold into the back that prevents the smooth
circulation of qi and blood in the meridians. The clinical
manifestations are unilateral or bilateral stiffness and
pain in the neck as well as restricted movement of the
neck due to worsened pain.
•[Syndrome differentiation]
•Stiffness and pain in the neck, aggravation in move-ment,
restricted movement, deviation of the head to the affected
side, pain involving the shoulder, back or head, and evident
local tenderness.

21. Treatment Of Neck Stiffness
•1. Body acupuncture
•Prescription: Ashi, Fengchi (GB 20) and Houxi (SI 3).
•Performance: Reducing needling technique is used and local
acupoints also can be moxibusted. When the needle is
inserted into Houxi (SI ,3), the patient is asked to move the
neck. After withdrawal of the needle, cupping is applied to
local acupoints.
•2. Ear acupuncture
•Prescription: Neck ( AHlz ), Cervical Vertebra (AH13) and
Tenderness points.
•Performance: Strong stimulation is used and the patient is
asked to move the neck during the treatment. The needles
are retained for 15 - 20 minutes.

22. Fengchi Point
•Location: On the nape, below the occipital
bone, on the level of Fengfu(DU16), in the
depression between the upper ends of the
sternocleidomastoid and trapezius muscles.
•Indications: Headache, dizziness, insomnia,
stiffness of the neck and nape, blurring of
vision, optic atrophy,conjunctivitis, tinnitns,
convulsion, infantile convulsion, epilepsy,
fever, common cold, stuffy nose, rbinorrhea
withturbid discharge.
•Method: Puncture 0.5-0.8 inch to wards the
tip of the nose. Moxibustion is applicable.
•Regional anatomy
•Vasculature: The branches of the occipital
artery and vein.
•Innervation: The branch of the lesser
occipital nerve.

23. •Location: At the junction of the red
and white skin along the ulnar border
of the hand. sit the ulnar end of the
distal paimar crease, proximal to the
5th metacarpophalangeal joint when a
hollow fist is made.
•Indications: Stiffness of the nape,
tinnitus and deafness, sore-throax,
manic-depressive psychosis, malarial
disease. sudden sprain in the lumbar
region, fever with night sweat,
numbness and contraction of the
fingers, pain in the shoulder andarm.
•Method:Puncture perpendicularly0.5-
0.7 inch.Moxibustion is applicable.
•Regional anatomy
•Vaxculature:The dorsal digital artery
and vein,the dorsal venous network of
the hand.
•Innervation;The dorsal branch derived
from the ulnar nerve.
Houxi Point

24. Acupressure of The Head and Neck
•Acupressure practitioners use their fingers, palms, elbows or feet,
or special devices to apply pressure to acupoints on the body's
meridians. Sometimes, acupressure also involves stretching or
acupressure massage as well as other methods.
•During an acupressure session, you lie fully clothed on a soft
massage table. The practitioner gently presses on acupressure
points on your body. A session typically lasts about one hour. You
may need several sessions for the best results.
•The goal of acupressure or other types of Asian bodywork is to
restore health and balance to the body's channels of energy and to
regulate opposing forces of yin (negative energy) and yang
(positive energy). Some proponents claim acupressure not only
treats the energy fields and body but also the mind, emotions, and
spirit. Some even believe that therapists can transmit the vital
energy (external qi) to another person.

25. Acupressure Points
•Points (A)-- Drilling Bamboo
•Location: In the indentations on
either side of where the bridge of the
nose meets the ridge of the
eyebrows.
•Benefits: Relieves neck pain,
headaches, hay fever, eye fatigue,
and sinus pain.
•Points (B)-- Wind Mansion
•Location: In the center of the back of
the head in a large hollow under the
base of the skull.
•Benefits: Relieves stiff neck, shoulder
and neckn pain; pain in the eyes, ears,
nose, and throat, as well as mental
problems, headaches, and vertigo.

26. Acupressure Points
•Points (C) -- Gates of Consciousness
Location: Below the base of the
skull, in the hollow between the two
vertical neck muscles.
Benefits: Relieves arthritis,
headaches (including migraines),
dizziness, stiff neck, neck pain,
neuromotor coordination problems,
eyestrain, and irritability .
Points (D) -- Window of Heaven
Location: In the indentation at the
base of the Skull, one to two inches
in back of the earlobe, depending on
the side of the head.
Benefits: Relieves stiff necks, neck
and shoulder pain , and headaches. .

27. Acupressure Points
Points (E)-- Heavenly Pillar
Location: One-half inch below
the base of the skull, on the
ropy muscles one-half inch
outward from the spine.
Benefits: Relieves stress,
burnout, exhaustion, insomnia,
heaviness in the head,
eyestrain, stiff necks, and sore
throats.
Points (F) -- Shoulder Well
Caution: Pregnant women
should press lightly on this
point. Location: On the muscle
at the highest point of the
shoulder, one to two inches out
from the side of the lower neck.
Benefits: Relieves shoulder
tension, nervousness,
irritability, and fatigue.