Cervical spondylosis, also known as neck and shoulder syndrome, is caused by pathological changes in the cervical spine and its surrounding soft tissues such as the intervertebral disc, posterior longitudinal ligament, ligamentum flavum, and crestal myelin membrane, resulting in compression or stimulation of the cervical nerve roots, cervical medulla, vertebral artery, and sympathetic nerves. It is a common, multi-morbidity and difficult to treat disease in the elderly. It is equivalent to “vertigo”, “paralysis” and “impotence” in Chinese medicine, and is divided into carotid, nerve root, visceral and cremaster type in Western medicine. The treatment cannot be separated from activating blood circulation, removing blood stasis and relieving pain. The symptoms are: strong pain in the neck, unfavorable rotation, accompanied by headache, shoulder pain, pain in the four feet, sweating, cold and wind, generalized tightness, floating and tight pulse, white fur, and the formula is Gui Zhi plus Ge Gen Tang with reduction. Qi stagnation and blood stasis, stay connected to the tendons and bones type Main symptoms: head, neck, shoulder, back and limbs pain and numbness, the pain is mostly pinprick-like pain site fixed insomnia at night or even can not sleep more hands people small fissure muscles ginger contraction dry skin does not Ze, heart bothered with the same or the face is not flushed, tiredness and weakness, purple tongue with dark bruises, the pulse is thin and astringent. The formula gives the body pain and blood stasis soup plus or minus. Liver and kidney deficiency type Main symptoms: dizziness, dizziness and tinnitus, mental depression, memory loss, heavy and vague pain in the shoulders and back, numbness of both upper limbs, if Yang deficiency is favored, the limbs are not warm, the tongue is light, the pulse is sunken and thin; if Yin deficiency is favored, the heart is troubled and hot, the tongue is red, the pulse is stringent and thin, commonly used prescriptions: from peony, papaya, hen’s blood vine, wei ling xian, kudzu root, rehmannia, epimedium, nutmeg, Chuan break, bone marrow, if Yang deficiency is favored, add cow knee, bacopa monniera, if Yin deficiency is favored, add tortoise board, bacopa monniera, bacopa monniera. For yin deficiency, add Radix Bupleurum and Radix Lycii.