落枕中醫治療探討

The Review of Stiff Neck Treatment by Chinese Medicine

落枕是一般常見的症狀，以西醫方面來看可能是纖維肌疼痛、急性斜頸、肌筋膜疼痛、肌腱炎等病症造成；就中醫而言，落枕又稱為失枕，好發於青壯年，以冬春多見，與睡枕及睡眠姿勢有密切關係。落枕可分為風寒痺阻、氣血瘀滯兩證型。臨床診斷審慎分析患者落枕的病因病機，配合中藥、針灸及傷科手法治療，並衛教正確睡姿及選擇好的睡枕，可達極佳的療效。

In western medicine, stiff neck is a kind of common symptom which could be caused by fibromyalgia pain, acute wry neck, myofascial pain or tendinitis. In TCM Chinese medicine, stiff neck is also called stiffneck, most patients are the young and middle-aged, which is a disease related to pillows and sleeping pose, especially during winter and spring seasons. Stiff neck can be subdivided into two types: qi stagnancy and blood stasis, wind-cold obstruction. With the careful clinical analysis of the disease cause and pathogenesis, the application of Chinese herbs, acupuncture and traumatologic manipulation, and the health education of correcting sleeping pose and choosing good pillows, the wonderful therapeutic effects can be achieved.