Cervical Spondylosis - Qi-Blood Deficiency Pattern

TCM differentiation and treatment for cervical spondylosis

Cervical Spondylosis · Qi-Blood Deficiency Pattern

Updated: June 23, 2026

Reviewed by: Dr. Li Wei, DACM

Reading Time: 6 min

Body Area: Neck


Pattern Overview

Qi-Blood Deficiency is a chronic weakness pattern in cervical

spondylosis, characterized by **chronic weakness with poor blood supply,

dull pain, fatigue, and dizziness**. The core pathogenesis is

insufficient Qi and Blood to nourish the cervical spine and brain,

leading to chronic pain, dizziness, and fatigue.


Key Symptoms and Differentiation Points

Differentiation Dimension Manifestations
Primary Symptoms

concentration |

Associated Symptoms

palpitations, poor sleep |

Tongue and Pulse

and weak pulse |

Pathogenesis

spine and brain |

Etiology Chronic illness, overwork, poor nutrition

Acupuncture Point Prescription

Point Location Function
ST36 Zusanli

the tibial crest | Strengthens Spleen and Stomach; tonifies Qi and Blood

|

SP6 Sanyinjiao 3 cun above the medial malleolus

Blood and Yin; regulates the Spleen and Kidney |

GB20 Fengchi Depression below the occipital bone

head and treats neck pain |

BL23 Shenshu Lower back, 1.5 cun lateral to L2

Qi and Essence |

Clinical Recommendation: Filiform needle, reinforcing method;

moxibustion may be applied to Zusanli and Shenshu to warm and tonify Qi

and Blood.


Herbal Formula

Base Formula: Ba Zhen Tang (八珍汤)

Composition:

Ginseng (Ren Shen), Atractylodes (Bai Zhu), Poria (Fu Ling), Licorice

(Gan Cao), Angelica (Dang Gui), Chuanxiong (Chuan Xiong), White Peony

(Bai Shao), Rehmannia (Shu Di)

Action: Supplements Qi and Blood, strengthens the Spleen and

Stomach.

Modifications

Associated Symptoms Additions/Subtractions
Severe fatigue Add Huang Qi to enhance Qi supplementation
Poor sleep Add Suan Zao Ren, Yuan Zhi to calm the spirit
Dizziness Add Tian Ma, Gou Teng to calm Liver Wind

Western Mechanism Reference

Chronic weakness with poor blood supply, reduced cerebral perfusion, and

impaired tissue nourishment. Qi-Blood Deficiency corresponds to cervical

spondylosis with chronic fatigue and cognitive symptoms, where

inadequate blood supply to the brain contributes to dizziness and poor

concentration.


References

1. Textbook Standard.

2. WHO. (2023). Musculoskeletal pain. World Health Organization.


Explore More

Personalized herbal protocols and acupressure tools for neck pain

relief.

research papers and clinical case studies on TCM spine health.


Last reviewed: June 2026 | Lead author: Dr. Li Wei, DACM | Content updated: Monthly

Disclaimer: This guide is for educational purposes only and does not constitute medical advice. Consult a licensed healthcare provider before starting any treatment.