Patient: description of the condition (onset time, main symptoms, hospital visited, etc.): cervical spine CT: cervical 4/5 6/7 disc protrusion to the posterior, hard ink sac compression, spinal canal intact, yellow ligament is not thick, cervical vertebrae part of the vertebral body edge osteophytes, physiological curvature slightly straightened, the rest no special! Cervical spine front and side position / cervical spine open mouth position: physiological curvature straightened, cervical 4 vertebral body edge slight osteophytes, each vertebral space is not significantly narrowed, cervical 4, 5 hook protrusion become sharp, open mouth position shows dentate basically centered, both sides of the atlanto-lateral joint gap is basically symmetrical, dentate base is intact, almost a month or so, the treatment is not satisfactory, now still dizzy. I’m taking medication and Chinese medicine, can I do acupuncture? Lu Di, Department of Orthopedic Surgery, Zhejiang Tongde Hospital: 1. Theoretically, the clinical signs of your MRI report findings should be numbness in the fingers or radiating pain in the shoulder and arm, but you didn’t mention any of these symptoms. 2, from your signs should belong to the vertebral artery type of cervical spondylosis (of course, it may also be a mixed type, because there is no physical examination is difficult to diagnose), theoretically speaking, the vertebral artery type of cervical spondylosis MRA should show the phenomenon of flexion and compression of the vertebral artery, but in fact, this typical imaging is rare clinically, many typical patients with vertebral artery type of cervical spondylosis treated with this type of treatment method Many patients with typical cervical spondylosis can be basically relieved after treatment of this type, but the symptoms are not shown on the MRA, plus the MRA examination takes longer, about three times as long as the MRI, but the charges are about the same, so now all major hospitals do not have this program. You can go for a cranial Doppler test first when dizziness or headache strikes, which is still more sensitive and cheaper. 3, small needle knife treatment vertebral artery type of cervical spondylosis is very effective. Many people mistakenly believe that small needle knife treatment of vertebral artery type of cervical spondylosis is to use small needle knife directly to loosen the vertebral artery, in fact, even when we are in the operating room under direct vision open line surgery treatment try to avoid, not directly expose the vertebral artery so as not to damage it, not to mention the small needle knife is in the treatment room for closed treatment. The most common adverse reactions are dizziness and anesthetic reactions, which are often individual differences and not common in clinical practice, and are all transient. Of course, it is best to be accompanied by someone when coming for treatment, and to stay in the hospital for 15-30 minutes after treatment, and it is best not to drive yourself back on the same day. You should wash your hair before the visit and not wash it for three days after the treatment to prevent infection. In addition, after acupuncture treatment, early treatment should be combined with medication to improve microcirculation, and later it is best to combine with Chinese herbal medicine to reduce the chances of reoccurrence.