In clinical practice, patients experience a rustling sound in the cervical spine when they shake their heads. The reason for this is that when the patient shakes his head, the supraspinous ligaments or small joints of the cervical spine rub together, resulting in a rustling sound. If the patient has no other abnormal sensation after the rattling, it is a normal physiological rattling sound and can be observed regularly without special treatment. If the patient feels pain in the cervical spine after the rustling sound, or has limited cervical movement, this is a pathological sound. It may be a condition such as supraspinous ligamentitis, interspinous ligamentitis or loosening of the small joints of the cervical spine, and symptomatic treatment should be taken. The patient should be instructed to rest in bed and given a cervical brace or collar to fix the neck, and herbal fumigation can also be used to reduce or alleviate the clinical phenomenon.