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Registered Acupuncturist in Downtown Vancouver

Acupoint Prescription for Wry Neck (Stiff Neck)

Acupoint Prescription for Wry Neck (Stiff Neck): BL10, SI3, GB39
落枕(急性頸部僵硬)配穴解析:天柱、後溪、懸鐘
Clinical Focus|臨床重點: This prescription is a highly effective combination for acute stiff neck, coupling a local point (BL10), a master point for the Du Mai (SI3), and a key distal point on the Gallbladder Meridian (GB39) to powerfully “unblock the channels and relax the sinews” (通經舒筋).
此配方是治療急性落枕的高效組合,結合了局部穴位(天柱)、督脈主穴(後溪),以及膽經的關鍵遠端穴位(懸鐘),以達到強效「通經舒筋」的目的。
Overview: Unblocking Channels and Relieving Stagnation (通絡止痛)

Wry Neck (落枕) is an acute condition often caused by improper sleeping posture or invasion of Wind-Cold (風寒), leading to stagnation of Qi and Blood in the channels (氣血瘀滯) in the neck region. The therapeutic strategy focuses on rapidly resolving the local stagnation and muscle spasm while addressing the neck’s major connecting channels (Du Mai and Gallbladder Meridian).

落枕是一種急性病症,通常由不良睡姿或風寒侵襲所致,導致頸部區域經絡**氣血瘀滯**。治療策略著重於快速解除局部瘀滯和肌肉痙攣,同時調理頸部的主要連接經絡(督脈和膽經)。

Mechanism Analysis by Functional Group
依功能分組的機制解析
I. Direct Local Relief and Channel Activation
I. 局部直接緩解與經絡激活
  • **Tianzhu (BL10):** A key point on the Bladder Meridian located directly in the posterior neck area. It is used to **relax the muscles and activate the flow of Qi and Blood** (舒筋活血) locally, effectively reducing pain and stiffness in the neck.
    **天柱(BL10):** 位於後頸部膀胱經上的關鍵穴位。用於**舒緩局部肌肉並激活氣血流通**,有效減輕頸部疼痛和僵硬。
II. Du Mai Control and Upper Body Channel Clearance (Distal)
II. 督脈控制與上體經絡疏通(遠端)
  • **Houxi (SI3):** The Master Point of the Du Mai (督脈主穴). Since the Du Mai runs up the spine and over the neck, needling SI3 has a profound **effect on releasing stiffness and pain along the entire posterior midline** (通利督脈). It is classically used for neck and back pain, often with **contralateral needling** (對側取穴).
    **後溪(SI3):** 通督脈,八脈交會穴之督脈主穴。由於督脈循行於脊柱和頸部,針刺後溪對**解除整個後正中線的僵硬和疼痛**具有深遠影響,常對側取穴以加強療效。
III. Tendon and Channel Harmonization (Distal)
III. 筋腱與經絡調和(遠端)
  • **Xuanzhong (GB39):** A key distal point on the Gallbladder Meridian, which runs across the side of the neck. It is used to **relax the sinews** (舒筋) and **activate the channel** (通絡) flow in the entire meridian, effectively addressing the restricted lateral movement (Shaoyang pain) often seen in wry neck.
    **懸鐘(GB39):** 膽經上的關鍵遠端穴位,膽經循行於頸部側面。用於**舒緩筋腱**並**激活經絡**的流通,有效解決落枕中常見的側向活動受限(少陽經疼痛)。
Clinical Conclusion

This three-point prescription is balanced and potent: BL10 provides local analgesic effect, SI3 governs the entire posterior midline (Du Mai) for systemic stiffness relief, and GB39 specifically addresses the lateral tension by harmonizing the sinews and the Gallbladder channel. This synergistic approach ensures rapid and comprehensive relief from the acute pain and restricted mobility of wry neck.

這個三穴配方平衡且強效:天柱提供局部鎮痛效果,後溪通過督脈治理整個後正中線的僵硬,而懸鐘則通過調和筋腱和膽經專門處理側面張力。這種協同方法確保了對落枕急性疼痛和活動受限的快速且全面緩解。

🔽 References|參考文獻(折疊) Click to expand|點擊展開
  1. 石學敏. **石學敏針灸學**. 中國中醫藥出版社; 2017. (關於天柱、後溪等穴位在頸椎病和落枕中的應用)
  2. 王雪苔. **針灸學**. 人民衛生出版社; 2010. (關於後溪穴作為督脈主穴在治療頸部僵硬中的經典應用)
  3. 高樹中. **針灸臨床應用與研究**. 人民衛生出版社; 2012. (闡述懸鐘穴在舒筋通絡治療肢體拘攣中的作用)

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