(1) Key points: Divide into 2 groups. 1, 4 ~ 7 to clamp the spinal neck; 2, dumb 1 ~ 4, Fengchi, Tianzhu, Dazhui. Acupoint matching: nerve root type plus shoulder well, scapular suture, meandering pool, Hegu, Houxi and pension; Vertebral artery type: Jiabaihui, Sishencong, Taiyang, Head Position, Sanyinjiao, Taixi and Intermittent; Sympathetic plus Baihui, Sishencong, Xinshu, Ganshu, Danshu and Taichong; Spinal cord type plus Zusanli, Taiyang, Waiguan, Weizhong, Yanglingquan and Huantiao. Location of dumb 1 ~ 4: dumb 1, dumb 2 and dumb 4 are located on the Du meridian, dumb 1 is between the spinous processes of the 2nd and 3rd cervical vertebrae (under the dumb door 1 inch), dumb 2 is between the spinous processes of the 3rd and 4th cervical vertebrae, and dumb 4 is between the spinous processes of the 6th and 7th cervical vertebrae. Dumb 3 is 0.5 inches (on both sides) next to Dumb 2. Location of scapula suture point: tenderness point at the inner edge of scapula. (2) Select 1 group main points for treatment, which can be selected by turns. In the 1 group, generally, 5 ~ 6 acupuncture points on the spine and neck are selected, and if the neck and shoulders are numb to the wrists and fingers, all of them can be selected; In the second group, only 1 of the dumb (1 ~ 4) points is selected at a time, and the rest points are selected at 1 ~ 2 points. According to different syndromes, choose 2 ~ 4 acupoints. Jiaji point operation: Take a 28 ~ 30 # 1.5 ~ 2 inch millineedle, pierce it in the direction of spine at an angle of 75 degrees or open Jiaji point at an angle of 45 degrees, and then return the needle for 5 points until the needle tip is resistant. Lifting and inserting combined with small-amplitude torsion are adopted to promote needle sense conduction. If the pain is severe, lift it tightly and slowly. If the limbs are numb and cold, lift it tightly and slowly. Generally, reinforcing and reducing methods are used. Dumb point 1, 2, 4 are straight points 1 ~ 2 inches, repeatedly inserted, without twisting. Dumb 3-needle method is the same as Jiaji point. Need to choose accurate points. Gently insert it for 3 ~ 5 minutes or tamp the needle for 2 ~ 3 minutes after getting angry. It is required that the feeling of dumb 3 needles is electric shock to the upper limbs, and the rest points should reach electric shock to the limbs. Acupuncture induction is gradually obtained from weak to strong, and no sharp needling is allowed. If the needle feel is not satisfied, you can adjust the direction. If you still don't feel the needle on it, you don't have to force it. Take out the needle slowly, and then press the acupoint for a while. Dazhui point, fast needle insertion, slow needle insertion to a depth of 1.5 inch. The needle tip is slightly upward when the needle is inserted and slightly downward when the needle is inflated. Then pinch the needle handle with thumb and forefinger, and twist it quickly and slightly, so that the patient feels sore and numb, descend along the Du meridian, and then twist the needle body rhythmically from top to bottom (that is, thumb up and forefinger down), and transport the needle for half a minute. Retract the needle under the skin, then point the needle tip to the affected side and twist it for 1 min, so that the acid and numbness can reach the shoulder arm without leaving the needle. Fengchi point, the needle is about 1.5 inches to the tip of the nose, so that the needle sensation radiates to the head and neck, and Tianzhu point is slightly inclined to the spine, so it is appropriate to release the needle sensation to the neck. All methods are used for reinforcing diarrhea. The reinforcing and reducing method is also used after matching points and taking qi by acupuncture. Among them, it is advisable to inject 3 ~ 5 points into scapula points to have local soreness; When the elderly take acupuncture points, the palm of their hands faces the chest, the needle tip pierces inward, and the needle sensation radiates to the shoulders, elbows and wrists. All the above points are kept for 20 minutes except those without needles. Every day or every other day 1 time, 10 ~ 12 times is a course of treatment, and the interval of treatment is 3 ~ 5 days.