Cervical spondylosis, also known as cervical spine syndrome, is a series of symptoms that occur due to nerve and vascular compression caused by cervical sprain or intervertebral disc degeneration and degenerative changes in the vertebrae. Cervical spondylosis is a common and prevalent disease among middle-aged and elderly people. Its incidence rate is about 3.8%~17.6%. There is no significant difference between men and women, and the incidence gradually increases with age. Another epidemiological survey results further confirmed that cervical spondylosis affects a wide range of people, from 21 to 83 years old can be affected, with a prevalence rate of more than 64.52%. 40 to 60 years old is the high incidence age, and the prevalence rate after 70 years old reaches 90%. And recent studies show that the prevalence of cervical spondylosis is on a younger trend, with more people in their 20s having their first attack. The prevalence of cervical spondylosis in certain special groups such as cadres, technicians and accountants is 78.83%, 74.21% and 58.70%, respectively, of which 59.75% are those who work intensely and work long hours. Many scholars believe that degenerative changes of the cervical spine, chronic strain and trauma to the head and neck are the main factors, and incorrect posture, emotional stress, humidity and fatigue are the main triggers for the development of cervical spondylosis. Trauma is a direct factor in the development of cervical spine, degenerative changes of cervical spine is an intrinsic factor in the development of cervical spine, chronic strain, cold, fatigue can accelerate the degeneration of cervical spine. Improper work posture, such as low head and fixed posture work, due to long-term low head caused by the strain on the muscles and ligaments of the back of the neck, in the flexed neck state, the internal pressure of the intervertebral disc is much higher than the normal body position is also prone to cause strain on the neck, resulting in cervical degeneration. In addition, poor sleep posture also has an important influence on the increase in the prevalence of cervical spondylosis. It is believed that poor sleep position (such as high, medium pillow position, 80.03% of the survey) for a long time, the resting brain can not be adjusted in time, will inevitably cause imbalance of the paravertebral muscles, ligaments and joints, the side of the tension is easy to fatigue and lead to varying degrees of strain, and the imbalance outside the spinal canal and the intervertebral foramen and intravertebral tissue, thus accelerating the degeneration process. The pathology of cervical spondylosis is divided into five types according to the pathology of cervical spondylosis, and the symptoms are divided into the acute attack period and the chronic remission period depending on the severity of the symptoms. Cervical cervical spondylosis is caused by improper sleeping, wind and cold in the neck or strong twisting of the neck, resulting in misalignment of the neck muscles, fascia and small joints of the cervical spine. If the cervical spine degenerates, the cervical muscles are tense for a long time, and the fascia adheres to the muscles, squeezing the blood vessels and sympathetic nerves, it is sympathetic cervical spondylosis; if the bone proliferates into the spinal canal, the intervertebral disc protrudes into the spinal canal, or there is a small bone block in the spinal canal, and foreign objects such as tumors compress, it is spinal cervical spondylosis; sometimes all the symptoms of each type are present, and the performance is mixed cervical spondylosis. Generally, cervical and neurogenic cervical spondylosis are more frequent, accounting for about 40% to 60%, vertebral artery type accounts for 20% to 30%, sympathetic type 10% to 15%, and spinal cord type accounts for 5% to 10%. In the early stage of cervical spondylosis, only the neck is uncomfortable, accompanied by the upper limbs soreness and weakness, or after sleeping, the neck is fixed in a certain part, unable to move, the neck muscles are tense and sore, rotation is unfavorable, and the head cannot be lowered for too long. Later on, the neck and shoulder pain is gradually felt, accompanied by numbness, pain, soreness and weakness in a certain area of the upper limb. When pressing the pressure point of the neck, there is radioactive numbness and pain to the upper limb, or radiation to the inner scapula. In the vertebral artery type, there is inability to turn the head and neck laterally, dizziness and lightheadedness, fatigue and distension, blurred vision or blurred eyes, and lack of thinking about eating and drinking. In the sympathetic type, there are nausea, erratic, lack of desire to eat, insomnia and dreaminess, chest and abdomen stuffiness, neck and shoulder fever or local sweating and numbness, finger weakness, sweaty palms, impatience and irritability, or sullenness, and dry mouth and throat. The typical symptoms are progressive weakness of the upper limbs, inability to move or hold things, and limpness of the lower limbs, all of which are progressively aggravated without intermittent periods; there is usually a history of cervical spondylosis for several years or even decades; the spinal cord is compressed in the spinal canal as seen in X-ray imaging, and CT films can confirm the diagnosis. The symptoms of mixed cervical spondylosis can occur regardless of the type. According to the pathological anatomy of cervical spondylosis, cervical spondylosis is divided into three stages: pre-cervical spondylosis, cervical intervertebral disc disease, and osteogenic cervical spondylosis. The first stage (pre-cervical spondylosis) refers to the early abnormal changes of the intervertebral disc before the symptoms of cervical spondylosis appear, so the X-ray is not easy to detect because there are no clinical symptoms in this stage. The second phase (cervical disc disease phase): due to degenerative changes in the intervertebral disc caused by the expansion of the annulus fibrosus and nucleus pulposus prolapse. At this time, the physiological curvature can be seen to be straightened on X-ray. The intervertebral space is narrowed anteriorly and widened posteriorly or the intervertebral space is narrowed; instability of the vertebral body is also seen. Due to the degeneration of the intervertebral disc, the X-ray shows local rotation of the vertebral body, the posterior edge of the vertebral body and the small intervertebral joints show the “bilateral biconvex sign”, and the loosening of the fibrous ring causes the loss of the normal correspondence between the anterior and posterior edges of the corresponding vertebral body, resulting in anterior and posterior misalignment and a “trapezoidal change” of the vertebral body. “This is called “slipped vertebrae”, which is more obvious on the X-ray functional position film (hyperextension and hyperflexion), and both slipped vertebrae and prolapsed disc can cause the internal diameter of the spinal canal to become smaller, i.e. spinal stenosis. The third stage (osteogenic cervical spondylosis stage): this stage is mainly osteophytes, of which the incidence of cervical C4-6 osteophytes accounts for 86.7%. Most scholars believe that the mechanism of osteophyte formation is due to the degeneration of the nucleus pulposus, which increases the pressure in the intervertebral disc, resulting in traction on the surrounding anterior longitudinal ligament and posterior longitudinal ligament. This traction can directly stimulate the local formation of “bone spurs”, coupled with the outer fibers of the annulus fibrosus due to the centrifugal force generated by the degenerated nucleus pulposus and tear the edge of the vertebral body, through local bleeding, mechanization, and then calcification, osteophytes appear, and the surrounding ligaments become hypertrophic due to increased load, and then calcification. The osteophytes may be located behind the vertebral body and compress the spinal cord, causing symptoms mainly of motor impairment. If the osteophytes are formed in the hook vertebral joint, the hook vertebral joint is less than 1mm away from the vertebral artery, so the osteophytes can compress the vertebral artery and cause symptoms; in X-ray orthopantomographs, the hook vertebral joint becomes hard and sharp; in double oblique views, the intervertebral foramen becomes narrower and smaller, and if the osteophytes are formed on the lateral posterior side, they cause ipsilateral nerve root symptoms; if the osteophytes are extensive, all edges of the vertebral body can be involved, and in severe cases, they can compress the esophagus and cause symptoms of swallowing. If the osteophytes are extensive, all edges of the vertebral body can be involved. In Chinese medicine, cervical spondylosis is mainly found in the categories of “paralysis”, “vertigo” and “neck and shoulder pain”. The four types of Chinese medicine are wind, cold and damp, qi stagnation and blood stasis, phlegm and dampness blocking the ligaments, liver and kidney deficiency, and qi and blood deficiency. Clinical herbal treatment includes internal and external herbal treatment. The internal treatment of Chinese medicine is mainly based on the identification of the symptoms, and the treatment is based on ancient, special, experimental or self-prepared prescriptions with addition and subtraction, as well as the application of various kinds of pills, tablets, punch, combination, capsules, etc.; the external treatment of Chinese medicine includes ointment, ion introduction, ironing, pillow, application, etc. Through the analysis of 46 prescriptions for the treatment of this disease, it was found that there were as many as 150 kinds of single medicine commonly used in clinical practice. Among the 25 internal prescriptions, the frequency of single-flavored drugs was 76% for Pueraria lobata, 64% for Paeonia lactiflora, 56% for Radix et Rhizoma Chuanxiong and Glycyrrhiza glabra, 52% for Radix Angelicae Sinensis, 44% for Astragalus membranaceus, 36% for Morus alba, 32% for Scorpion, 28% for Radix et Rhizoma ginger, Gui Zhi, Tao Ren, Tian Ma and Danshen; among the 21 external prescriptions, 33% for Qiang Wu, Wei Ling Xian and Cao Wu, 28% for Musk, Hong Hua and Dou Wu, and 23% for Danshen, Lactuca sativa, Chuan Wu and Chuanxiong 23%. In recent literature, the total efficiency of Chinese herbal medicine for the treatment of this disease is >90% when used internally and externally. The pharmacological effects of Chinese medicine in the treatment of this disease are mainly: (1) improve microcirculation: manifested by the improvement of microbleeding, so that the slow flow of microbleeding is accelerated; microvascular spasm is released, the stagnation and pooling of red blood cells in the microcirculation is reduced; capillary permeability is reduced, so that the perivascular leakage of blood is reduced or disappeared. (2) Anti-inflammatory and analgesic: mainly related to its excitation of the pituitary-adrenocortical system, promoting the secretion of adrenocorticotropic hormone. (3) Calcium antagonism: that is, to prevent the flow of calcium ions from outside the cell into the cell, thereby preventing and reducing its secondary damage. (4) Scavenging free radicals. Traction and acupressure Traction and acupressure is an important tool in the treatment of this disease, which not only has obvious symptomatic treatment effect, but also has certain etiological pathological treatment effect. The angle, time and weight of traction and the strength, amplitude and direction of traction techniques are the main factors that determine the effect of traction and tui-na. There are many schools of traction and massage, each with its own characteristics. In clinical practice, most of them use bone manipulation (fixed-point rotational manipulation) and tendon manipulation (soft tissue massage) under traction or before and after traction, and the total efficiency can reach 95% to 100%, and the cure rate is about 60%. The application of traction and massage treatment of this disease is safer for most patients, but because the cervical spine is the most mobile segment of the spine, anatomical and physiological functions are complex, there are important blood vessels and nerve tissue adjacent, itself is more likely to cause trauma. If the traction and massage is inappropriate or the indications are not grasped, it may cause adverse consequences. Therefore, the indications and contraindications should be strictly controlled. Acupuncture treatment A comprehensive analysis of the clinical observation reports in recent years shows that acupuncture treatment for cervical spondylosis has the advantages of remarkable efficacy, simple operation, low cost and small side effects, and is favored by the general public. In terms of acupuncture points, local cervical spine acupuncture points are the main points, and auxiliary points are often selected according to the pathological subtypes, such as the cervical type with the old age and Houxi; the nerve root type with Fengchi, Tianzhu, shoulder k, arm moon need, Quchi, hand Sanli, Waiguan, old age and eight evil; the vertebral artery type with Fengchi, Tianzhu, Wanbei, Sishencong and Sun; the spinal cord type with Qihai Yu, Large Intestine Yu, Guangyuan Yu, Yinmen, Guizhong and Chengshan; the sympathetic type with Neiguan, Foot Sanli, Sanyinjiao, Taichong, Taichong and Taiyuan. San Yin Jiao, Tai Chong and Tai Xi. The treatment methods include acupuncture, electroacupuncture, warm acupuncture, water acupuncture, head acupuncture and a combination of 2-4 different acupuncture methods. The clinical efficiency rate is 70.3%~100%, and the clinical control rate is 20%~88%. We have previously compared the clinical efficacy of hydroacupuncture and acupuncture in the treatment of neurogenic cervical spondylosis [22]. Water acupuncture treatment group: 2-4 ml of wild papaya injection was injected into the Huatuo pinch point of the neck, or according to the diseased cervical vertebra or pressure pain point suggested by X-ray. The acupuncture treatment can be combined with Fengchi, Tianzhu, Dazhi, Lijiao, Quchi, Waiguan and Hegu points. The treatment was carried out once a day, 5 times as a course of treatment, with 2 days of rest, for 5 consecutive courses of treatment. Acupuncture treatment group: The main acupuncture point of Hua Tuo Jie Ji in the neck was treated by using the lifting and twisting technique, and the acupuncture point was retained for 20-30 minutes after obtaining Qi. The acupuncture points were the same as in the water acupuncture group. The treatment was carried out once a day for 5 times, with 2 days of rest, and 5 consecutive courses of treatment. The results showed that the water acupuncture group of 50 cases in the cure 44 cases, improved 4 cases, invalid 2 cases, the total effective rate of 96%; acupuncture group of 50 cases in the cure 29 cases, improved 7 cases, invalid 14 cases, the total effective rate of 72%. The efficacy of the water-acupuncture group was significantly better than that of the acupuncture group. Behavioral interventions Cervical spondylosis is a common disease with multiple causative factors, and prevention of cervical spondylosis should start from multiple aspects. Some studies have shown [23] that the occurrence of cervical spondylosis can be reduced through community behavioral interventions, so that the role of community nursing can be brought into full play. Through a period of intervention, the intervention target not only learns to master the causes of cervical spondylosis, neck health care in daily life, cervical spine health care, gymnastics and other knowledge, but also learns to adjust their psychological state and remove stressful factors to reduce the occurrence of cervical spondylosis.