The main symptom is acute neck muscle spasm, tonicity, soreness, pain and rotation failure, which is self-healing in a few days in light cases, but delayed for weeks in heavy cases, affecting work and life. If the pillow is a simple muscle spasm, it is often a precursor symptom of cervical spondylosis in adults who have frequent occurrences. 1. Diagnosis 1.1 Clinical manifestations 1.1.1 Symptoms: Generally, the main symptoms are spasm of the sternocleidomastoid muscle on one or both sides of the neck, stiffness, pain, and limitation of neck function. In severe cases, it can spread to the trapezius and scapular muscles. The patient’s head is tilted to the affected side, the jaw is turned to the healthy side, and the neck movement is significantly restricted, especially to the affected side, and in some cases the pain involves the head, upper back and upper arm. There is muscle tension and obvious pressure pain in the affected area. 1.1.2 Signs 1.1.2.1 Pressure pain: Spastic muscles such as sternocleidomastoid, trapezius and scapularis often have obvious pressure points and a coarse and hard feeling. 1.1.2.2 Restriction of functional activity: dysfunction of cervical movement. 1.1.2.3 Negative pressure and percussion test. 1.2 Diagnostic criteria 1.2.1 Pressure pain: spastic muscles such as sternocleidomastoid, trapezius, scapularis, often have obvious pressure pain points and a coarse and hard feeling. 1.2.2 Restriction of functional activity: dysfunction of cervical movement. 1.2.3 Except for external bone lesions and trauma. This disease is usually due to weakness, overexertion, uncomfortable pillow height during sleep, poor lying posture and other factors, which cause one muscle group to be in an overstretched state for a long time, resulting in spasm. Some patients have painful spasms because their shoulders are exposed during nighttime sleep and the neck and shoulders are exposed to the wind, which causes wind and cold, stagnation of qi and blood, and paralysis of the meridians. A few patients have spasms due to sudden twisting of the neck or carrying heavy objects on the shoulder, resulting in spasm of some muscles. 3.1 Treatment 3.1 Treatment principle: relax the tendons and activate blood, warm the meridians and channels, and regulate the tendons. 3.2 Technique: one-finger meditation pushing, kneading, pointing, pressing, holding, pulling, pulling and stretching. 3.3 Acupuncture points: Fengchi, Wufen, Shujing, Tianzong. 3.4 Operation: With the patient seated, use gentle kneading and one-finger meditation pushing on the affected side of the neck and shoulders with gentle forward flexion, backward extension and left-right rotation of the head. The patient is treated with gentle kneading and one-finger zen pushing on the neck and shoulder with gentle forward flexion, backward extension and left-right rotation of the head. The treatment is performed with light to slightly heavy strokes for 3 minutes to gradually relax. Then use the shaking and wrenching method to operate on the neck. When doing the wrenching method, it should be steady and fast, and the amplitude of rotation should be within the patient’s tolerance limit. Finally, rubbing method can be added to the affected area to the extent of heat penetration. 3.5 Other treatments 3.5.1 Acupuncture: It is very effective for the early pain treatment of this disease. 3.5.2 Physiotherapy: It has a certain auxiliary effect on the treatment of this disease. 3.5.3 Closure: It is effective for the treatment of pain of this disease. 3.5.4 Drug patching: commonly used are dog skin paste, Qizheng pain relief patch, Doc’s self-heating patch, blood-vitalizing bone patch, etc. Massage treatment of the pillow effect is very good, generally after 1-2 times massage can be cured. If the pain is very much, you can first press and rub the Tianzong and Houxi points for 2-3 minutes, and ask the patient to gently turn the neck, when the pain is slightly reduced, then use the above method to treat. If after massage with the above method, the patient’s neck function is basically restored, only the forward flexion is limited. At this time, pay attention to check the patient’s third and fourth thoracic spine, there are often pressure points here. When pressing this painful point, the patient’s limitation of forward flexion function is reduced, indicating that this thoracic spine posterior joint disorder. Treatment with the thoracic spine confrontation reset method, the symptoms can be relieved.