Pediatric myotonic squint is also known as “congenital squint” and “sternocleidomastoid contracture squint”, commonly known as “crooked neck”. In Chinese medicine, it is believed that poor blood flow and stagnation of qi and blood is the mechanism for the occurrence of myotonic squint. The common symptom is that the child’s head is tilted to one side and the face is rotated to the other side a few days after birth. If the child is forced to turn and correct, it will cause the child to cry and turn back to the original position soon. During examination, a mass can be felt in the sternocleidomastoid muscle on one side, which is pike shaped or irregular in shape and can move with the muscle. If the mass is not palpable, the muscle on one side can also be felt as a striated hardness, and the sternocleidomastoid muscle on the affected side is contracted and shortened when compared to the two sides. If the disease is prolonged, the face and eyes of the affected side may be smaller than those of the healthy side. In severe cases, secondary scoliosis deformity of the thoracic spine can occur. Cao Yun of the Acupuncture Department of Nantong Traditional Chinese Medicine Hospital There are generally three causes of squamous neck: First, pregnant women sit for a long time when they are pregnant, causing the fetus’ head to deviate to one side for too long; second, birth injury, i.e., improper force during birth, resulting in muscle damage on one side of the baby; third, poor sleeping posture, old skew to one side, resulting in muscle development on one side strong and one side weak; these three causes of squamous neck are different in terms of treatment techniques and recovery effects: for The first kind of congenital squint, the sternocleidomastoid muscle on the side of the squint is particularly thick and stiff, and the massage is stronger, and the crying reaction of the child is also large, but it is generally difficult to achieve the ideal effect of non-surgical treatment for this kind of squint; the second kind of squint, the sternocleidomastoid muscle is stiff and thick to a lesser extent, and the massage technique should be gentle, mainly to loosen the muscle, through 5-10 minutes of massage to make the muscle Loosen the muscle, then stretch the muscle several times, generally 2-3 weeks to see results, within a month can be cured; the third type of squint, sternocleidomastoid muscle spasm of the muscle is not obvious, behind the lower part of the neck muscle is flabby, no strength, massage to promote the development of the lower part of the neck muscle is the main, the technique is more gentle, the effect is also faster. The child’s neck will cause poor sleeping posture, and then appear flat head, size of the face, neckline bifurcation and other symptoms, these symptoms can be eliminated through massage, but should be treated as early as possible. 3 weeks of age, the child’s muscles have not yet developed, the efficacy of the treatment is better; on the contrary, the child after the age of 3 weeks to receive treatment, the effect is not good! Note to parents: (1) Massage treatment for oblique neck, usually 1 time a day. (2) When massaging, the technique should be gentle. When using kneading and pinching techniques, we should use more talcum powder and other media to avoid rubbing the skin of the child. When using pulling and shaking techniques, it is appropriate to start from light to heavy, the amplitude from small to large, do not suddenly use violence and exceed the normal physiological limits. (3) Parents should intentionally turn the child’s head to the healthy side when nursing, carrying and sleeping to help correct the deformity. (4) Physical therapy such as local warmth or infrared light can be used to promote blood circulation and help the mass to be absorbed. (5) If surgery is needed, it is best to perform it before the age of 8 to 10. If surgery is performed after the age of the child, it will be difficult to correct the deformity of the head, face and neck.