Symptom families: Back and Neck Stiffness and Discomfort, Joint Symptoms, Shoulder Issues
Parent symptom: Joint Stiffness
Stiffness in the neck, shoulder, and upper back refers to a condition characterized by difficulty in moving these areas, often accompanied by pain and discomfort. This stiffness restricts normal range of motion, impacting daily activities. It can stem from various factors such as muscular tension, prolonged static postures, or underlying health conditions.
This symptom is commonly experienced by individuals engaged in desk jobs or those who frequently use electronic devices, leading to what is often termed as 'tech neck' or 'text neck.'
Traditional Chinese Medicine (TCM) perceives stiffness in the neck, shoulder, and upper back as a manifestation of disharmony within the body's energetic system. TCM focuses on the flow of Qi (vital energy) and Blood through meridians, connecting different body parts.
Stiffness is often seen as a blockage or imbalance in these pathways, potentially caused by external factors like wind or cold, or internal issues such as emotional stress or organ dysfunctions. TCM treatments aim to restore balance and ensure the smooth flow of Qi and Blood.
In TCM, stiffness in these areas is often attributed to the invasion of external pathogenic factors like Wind and Cold, leading to the obstruction of Qi and Blood flow. Prolonged exposure to such elements, especially in a weakened state, can cause this stiffness.
Internally, emotional stress and mental strain can lead to Liver Qi Stagnation, which in turn affects the smooth flow of Qi and Blood in the neck, shoulder, and upper back areas. TCM emphasizes addressing both the symptoms and the root causes, which may vary from external environmental factors to internal emotional and physical imbalances.
Explore below more details about what might cause Stiffness in neck, shoulder, and upper back according to TCM.
Qi Deficiency in TCM is like running low on battery power. Qi is the vital energy that powers every function in your body. When there's a Qi Deficiency, it means your body doesn't have enough of this essential energy. This can make you feel tired all the time, weak, or even cause shortness of breath. It's similar to how you feel when you haven't had enough sleep or nutritious food. Your body just doesn't have the energy it needs to perform at its best. Unlike modern medicine, which often focuses on specific physical causes for fatigue and weakness, TCM views Qi Deficiency as an overall energy depletion that affects your entire well-being, and it seeks to replenish and balance this vital energy.... see more
Pattern Name | Relevant Symptoms | Relevant Formulas |
---|---|---|
Painful Obstruction with Qi and Blood Deficiency | Stiffness in the neck shoulder and upper back, Feeling of heaviness, Limb numbness, Difficulty in moving, Stiffness in neck, shoulder, and upper back, Periarthritis of the shoulder, Rheumatoid arthritis... see more | Juan Bi Tang |
Blood Deficiency in TCM is like when your body's tank runs low on the vital energy that blood provides. It's not exactly the same as anemia in modern medicine, which is about having too few red blood cells. Instead, Blood Deficiency in TCM is about your body not having enough of the life-giving qualities that blood brings, like nourishment and moisture. This can make you feel tired, look pale, and even feel dizzy or have blurry vision. It's like a garden not getting enough water to stay lush and vibrant. TCM sees this as an imbalance where the body isn't being nourished as it should be, impacting overall health and well-being.... see more
Pattern Name | Relevant Symptoms | Relevant Formulas |
---|---|---|
Painful Obstruction with Qi and Blood Deficiency | Stiffness in the neck shoulder and upper back, Feeling of heaviness, Limb numbness, Difficulty in moving, Stiffness in neck, shoulder, and upper back, Periarthritis of the shoulder, Rheumatoid arthritis... see more | Juan Bi Tang |
Yang Excess in TCM refers to a state where there is an overabundance of Yang energy, leading to symptoms of heat and hyperactivity in the body. This pattern of disharmony often arises from factors like stress, excessive physical activity, overconsumption of spicy or heating foods, or an internal imbalance that causes Yang to flare up. Symptoms of Yang Excess include a feeling of heat, red face, irritability, restlessness, thirst, constipation, and a rapid, forceful pulse. Treatment in TCM for Yang Excess aims to cool down and subdue the excessive Yang while nurturing Yin energy to restore balance.... see more
Pattern Name | Relevant Symptoms | Relevant Formulas |
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Liver Yang Rising | Stiffness in the neck shoulder and upper back, Headaches, Dizziness, Tinnitus, Deafness, Blurry vision, Dry mouth, Dry throat, Insomnia, Irritability, Exhaustion, Anger, Stiff neck, Shoulder stiffness, Stiff upper back... see more | Liu Wei Di Huang Wan | Qi Ju Di Huang Wan | Tian Ma Gou Teng Yin | Ling Jiao Gou Teng Tang | Da Chai Hu Tang | Zhen Zhu Mu Wan | Zhen Xin An Shen Tang |
In TCM the Liver is viewed as the organ responsible for the smooth flow of Qi, Blood, and emotions throughout the body. It plays a key role in regulating mood, storing blood, supporting digestion, and ensuring the health of tendons and eyes. When the Liver malfunctions or is imbalanced in TCM, it can lead to a range of issues such as irritability, mood swings, menstrual irregularities, eye problems, and muscular stiffness or pain. A malfunctioning Liver in TCM reflects not only physical disturbances but also emotional and mental disharmony, emphasizing the holistic approach of TCM in addressing health and wellness.... see more
Pattern Name | Relevant Symptoms | Relevant Formulas |
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Liver Yang Rising | Stiffness in the neck shoulder and upper back, Headaches, Dizziness, Tinnitus, Deafness, Blurry vision, Dry mouth, Dry throat, Insomnia, Irritability, Exhaustion, Anger, Stiff neck, Shoulder stiffness, Stiff upper back... see more | Liu Wei Di Huang Wan | Qi Ju Di Huang Wan | Tian Ma Gou Teng Yin | Ling Jiao Gou Teng Tang | Da Chai Hu Tang | Zhen Zhu Mu Wan | Zhen Xin An Shen Tang |
TCM treatment for stiffness in these areas often involves herbal formulas designed to address the underlying patterns of disharmony. For instance, Juan Bi Tang, a formula that dispels Wind-Damp, is used to alleviate symptoms like stiffness and heaviness associated with Painful Obstruction with Qi and Blood Deficiency.
For conditions characterized by Liver Yang Rising, a common pattern associated with stress, formulas like Liu Wei Di Huang Wan, which nourish Yin and tonify Blood, are recommended. These treatments aim to restore the balance of Yin and Yang, ensuring the smooth flow of Qi and blood.
Explore below some TCM herbal formulas used to address stiffness in neck, shoulder, and upper back, organized by cause and by formula type.
Suitable for Qi Deficiency patterns that may cause stiffness in neck, shoulder, and upper back, such as Painful Obstruction with Qi and Blood Deficiency
Learn moreSuitable for Blood Deficiency patterns that may cause stiffness in neck, shoulder, and upper back, such as Painful Obstruction with Qi and Blood Deficiency
Learn moreSuitable for Yang Excess patterns that may cause stiffness in neck, shoulder, and upper back, such as Liver Yang Rising
Learn moreFormula | Patterns Suitable For |
---|---|
Liu Wei Di Huang Wan | Liver Yang Rising |
Qi Ju Di Huang Wan | Liver Yang Rising |
Tian Ma Gou Teng Yin | Liver Yang Rising |
Ling Jiao Gou Teng Tang | Liver Yang Rising |
Da Chai Hu Tang | Liver Yang Rising |
Zhen Zhu Mu Wan | Liver Yang Rising |
Zhen Xin An Shen Tang | Liver Yang Rising |
These formulas are suitable for some stiffness in neck, shoulder, and upper back-causing patterns like Liver Yang Rising.
One such formula is Liu Wei Di Huang Wan, with prepared rehmannia as a key herb.
Other formulas of this category are listed in the table below.
Formula | Patterns Suitable For (if applicable) |
---|---|
Liu Wei Di Huang Wan | Liver Yang Rising |
Qi Ju Di Huang Wan | Liver Yang Rising |
These formulas are suitable for some stiffness in neck, shoulder, and upper back-causing patterns like Liver Yang Rising.
One such formula is Tian Ma Gou Teng Yin, with gastrodia rhizome as a key herb.
Other formulas of this category are listed in the table below.
Formula | Patterns Suitable For (if applicable) |
---|---|
Tian Ma Gou Teng Yin | Liver Yang Rising |
Ling Jiao Gou Teng Tang | Liver Yang Rising |
These formulas are suitable for some stiffness in neck, shoulder, and upper back-causing patterns like Painful Obstruction with Qi and Blood Deficiency.
One such formula is Juan Bi Tang, with notopterygium root as a key herb.
These formulas are suitable for some stiffness in neck, shoulder, and upper back-causing patterns like Liver Yang Rising.
One such formula is Da Chai Hu Tang, with bupleurum root as a key herb.
These formulas are suitable for some stiffness in neck, shoulder, and upper back-causing patterns like Liver Yang Rising.
One such formula is Zhen Zhu Mu Wan, with mother of pearl as a key herb.
These formulas are suitable for some stiffness in neck, shoulder, and upper back-causing patterns like Liver Yang Rising.
One such formula is Zhen Xin An Shen Tang
TCM also employs acupuncture as a key treatment modality. Specific acupoints such as Zhongfu LU-1, located on the lateral aspect of the chest, can be targeted to alleviate stiffness. This point promotes the descending of Lung Qi and resolves Phlegm, which can contribute to easing tension in the upper body.
The selection of acupoints is tailored to individual symptoms and underlying TCM patterns, focusing on restoring balance and enhancing the body's natural healing abilities.
See more details below about Zhongfu LU-1, an acupoint used to address stiffness in neck, shoulder, and upper back.
On the lateral aspect of the chest, in the 1st intercostal space, 6 cun lateral to the midline, 1 cun inferior to Yunmen LU-2. Below the acromial extremity of the clavicle, slightly medial to the lower border of the coracoid process.