Effect of Cheng's Sancai Acupuncture Treatment on Cervical Shoulder Syndrome and Its Influence on the Range of Cervical Spine Movement in Patients/YANG Libai，LIU Yongtao， LIU Meizhang， ZHANG Chuqiong.//Medical Innovationof China，2025，22（18）： 108-112

[Abstract]Objective： To explore the effect of Cheng's Sancai acupuncture in the treatment of cervical shoulder syndrome and its impact on the range of cervical spine movement in patients.Method：A total of 90 patientswith cervical shouldersyndrome who were treated inHuai'an Hospitalof Traditional Chinese Medicine from March 2O22 to December 2023 were selected as the research objects.Acording to the random number table method，they were divided into the control groupand theobservation group，with 45 cases in each group.Based on the treatment of massage atthe origin and origin pointsof the neck and shoulder muscles，the control group was treated with common acupuncture，and the observation group was treated with Cheng's Sancai acupuncture method.The traditional Chinese medicine syndrome scores，cervical spine range of motion，and neck pain conditions [Northwick park questionnaire （NPQ），visual analoguescale （VAS）] before and after treatmentbetween thetwo groups were compared，andthe safetyof treatment were analyzed.Result：After thetreatment，the scores of local tenderness，nape strength，headache and inability to pitch in both groups were lower than those before thetreatment，and thoseinthe observation group were lowerthan those in thecontrol group，the diferences were statistically significant （ P lt;0.05）.After the treatment，the amplitudes of right flexion，left flexion，forward flexion and backward extension of the cervical vertebrae in both groups were increased compared with those before the treatment，and those in the observation group were allhigher than those in thecontrol group，the diferences were statistically significant （ P lt;0.05）. After treatment， the NPQ scores and VAS scores of both groups were lower than those before treatment，and those oftheobservation group were lower thanthoseof thecontrol group，the differences were statistically significant （ P lt;0.05）. No serious adverse events occurred in either group after the treatment.

Conclusion： The treatment efect of Cheng's Sancai acupuncture on patients with cervical shoulder syndrome is significant， which can effctively improve clinical symptoms，correct cervical spine movement amplitude，and alleviate neck pain，with a certain degree of safety.

[Key words] Cervical shoulder syndrome Cheng's Sancai acupuncture Warming acupuncture and moxibustion Range ofcervical spine movement Traditional Chinese medicine syndrome points Security

First-author'saddress：Acupuncture and Moxibustion Department，Huai'anHospital of Traditiona ：hineseMedicine.Huai’an2230o1.China

doi：10.3969/j.issn.1674-4985.2025.18.025

颈肩综合征属于慢性颈肩部疼痛性疾病，为软组织损伤病，严重时疼痛可向上肢、头部放射，表现为双侧或者一侧上肢麻木及耳鸣、头痛、头晕等症状，于肩背部与颈项部可有条索状或结节状压痛点，临床多表现为肌肉僵硬、酸痛不适、有压迫感等，在受凉、天气变化、起床后会加重，且易反复发作，而疼痛导致的情绪与睡眠变化对患者日常生活的影响不容小[1-2]。口服药物为西医常见治疗方案，但其缺乏针对性与特异性，导致部分患者倾向于非药物疗法。中医外治法注重通络止痛、活气行血，治疗方法包括刮痧、艾灸、拔罐、推拿、针灸等，其中针灸具有治疗副作用小、简单快捷、镇痛效果佳等优势，备受临床推崇[3-4]。其中，普通针刺手法可达病所，但采用提插捻转的行针手法难以使深层肌肉痉挛粘连完全解除，而程氏三才针法可有效弥补不足，利于缓解筋肌膜疼痛，是治疗颈肩综合征的一条有效、安全的新途径。鉴于此，本研究将程氏三才针法应用于颈肩综合征患者中，探讨其治疗效果及对颈椎活动幅度的影响，以为临床提供相关参考依据，现报道如下。

1资料与方法

1.1一般资料

选择2022年3月—2023年12月在淮安市中医院门诊接受治疗的90例颈肩综合征患者。纳人标准：（1）中医符合文献[5]《中药新药临床研究指导原则（试行）》内相关内容，为气滞血瘀型，病证包括颈部僵硬、肩部酸胀疼痛、肩颈活动不便等，舌苔薄白，舌暗红，脉弦涩；（2）西医符合文献[6]《颈肩部慢性疼痛治疗学》内相关内容；……