Traditional Chinese Medicine Definition

Cervical Disc Herniation, known in traditional Chinese medicine as "Neck and Shoulder Pain" or "Stiff Neck and Pain," falls under the category of orthopedic diseases. According to the records in "Internal Medicine of Traditional Chinese Medicine," this condition refers to the herniation of the cervical intervertebral disc due to degenerative changes or injury, leading to the rupture of the annulus fibrosus, extrusion of the nucleus pulposus, compression of the nerve roots or spinal cord, and causing symptoms such as neck and shoulder pain, stiffness, and restricted movement.

颈椎间盘突出在中医临床中，其核心病机为肝肾亏损、筋骨失养，加之风寒湿邪侵袭或跌扑损伤，导致气血瘀滞，筋脉拘挛。常见诱因包括长期姿势不当、劳累过度、受寒等。在辨证时，需注意区分寒热虚实：

1. 风寒湿邪证：表现为颈肩酸痛，僵硬，活动不利，可伴有肢体麻木、畏寒等症状。
2. 气滞血瘀证：表现为颈部刺痛，固定，夜间加重，可伴有头痛、眩晕等症状。

整体调理方向提示：中医临床中，治疗颈椎间盘突出多采用祛风散寒、除湿通络、活血化瘀、理气止痛等方法。通过调整脏腑功能，恢复气血运行，达到缓解症状、改善功能的目的。传统中医认为，治疗时应结合患者体质和具体病情，灵活运用针灸、推拿、中药等治疗方法。

Common Syndrome Types and Key Points of Differentiation

风寒湿邪证

Main Manifestations：颈肩酸痛,僵硬,活动不利

Management Approach：祛风散寒,除湿通络

气滞血瘀证

Main Manifestations：颈部刺痛,固定,夜间加重

Management Approach：活血化瘀,理气止痛

The above syndrome information is based on traditional Chinese medicine textbooks and clinical standards. Specific differentiation should be completed by a practicing traditional Chinese medicine physician in person.

Physician's Clinical Insights

颈椎间盘突出患者多伴气血瘀滞，活血化瘀、通络止痛是治疗关键。

— 唐玉兰中医执业医师（师承）

Reviewed by：唐玉兰（中医执业医师（师承））｜ 2026-07-08 ｜ Version 2

Guidance for Nearby Treatment

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This page is for the popular science of traditional Chinese medicine knowledge and does not constitute medical advice. Specific diagnosis should be completed by a licensed traditional Chinese medicine practitioner in person.

参考文献：《中医内科学》（十三五规划教材）、《中医病证诊断疗效标准》(ZY/T001.1-94)、《中医病证分类与代码》(GB/T 15657-2021)

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