Ms. Zheng has been suffering from frequent attacks of toothache in recent years, and each attack is so severe that she has to vomit, and the toothache can only be relieved after vomiting. After many visits to the dentist, it was said that there was nothing wrong with the tooth itself. The doctor also said that if the tooth pain is odontogenic, it is not so bad that vomiting is required to relieve the pain, but it may be caused by other reasons, but he could not say exactly. After many treatment, tried western medicine, acupuncture, massage and other methods, are not effective. The doctor found a pressure point in front of the left transverse process of the fifth cervical vertebra of Ms. Zheng, and when pressed, the pain was launched to the left side of the lower alveolar area, and the patient felt a toothache and the pain increased significantly. After localized massage and plucking treatment, Ms. Zheng’s toothache was greatly reduced. After about ten times of massage treatment, Ms. Zheng’s toothache and vomiting disappeared, and the original accompanying neck discomfort and pain also disappeared. Ms. Zheng was suffering from sympathetic cervical spondylosis. Cervical spondylosis is divided into cervical cervical spondylosis, sympathetic cervical spondylosis, vertebral artery cervical spondylosis, neurogenic cervical spondylosis, and mixed cervical spondylosis. Sympathetic cervical spondylosis is a relatively rare type of cervical spondylosis. This type of cervical spondylosis is caused by stimulation of the sympathetic ganglion in the neck, resulting in cervical and occipital pain, dizziness, dullness, migraine, panic, chest tightness, cold limbs, low skin temperature, etc. There are three sympathetic ganglia in the neck, namely the superior cervical ganglion, the middle cervical ganglion and the inferior cervical ganglion. The three ganglia are connected to each other by a traffic branch. However, the cervical sympathetic nerve does not directly innervate the teeth. The teeth are innervated by the maxillary and mandibular branches of the trigeminal nerve, which travels a short and hidden distance in the neck and is usually not affected by cervical degeneration, so most cervical spondylosis does not affect the teeth and cause toothache. The abnormal stimulation was transmitted from the middle cervical ganglion and the traffic branch of the upper cervical sympathetic ganglion to the spinal nucleus of the trigeminal nerve, and then from the mandibular branch of the trigeminal nerve to the alveolus, causing severe pain in the left lower teeth, while the teeth themselves were not diseased; once the tension of the sympathetic nerve was relieved after vomiting, the pressure of the trigeminal nerve is also relieved, and the toothache is relieved or disappears again. By relaxation manipulation treatment for the transverse process attachment of cervical spondylosis, the lateral cervical muscles were relaxed and the pressure on the sympathetic nerve was relieved, so the tooth pain was eliminated.