Occipital Neuralgia

Occipital neuralgia refers to pain in the occipital and upper cervical areas, caused by some infectious conditions, neck sprain, or changes in the cervical vertebrae from C1 to C4. Its main clinical manifestations are pain in the occipital and upper cervical areas. The pathology is often induced by a sudden awkward movement of the neck, sneezing, or cough. During the attack, the patient's movements in the neck will feel restricted. The pain will be mostly continuous or aggravated in paroxysmal attacks. There may also be some sharp pains even when the attack is over.


GB 20 Fengchi


The patient is in the sitting position.

A 5 ml syringe is used.

The injectable material is made up of 2 ml of vitamin B1, 2 ml of 0.5% lidocaine and 500 ug, and 1 ml of vitamin B12.

NOTE: the above instructions that read "2 ml of 0.5% lidocain and 500 ug," is taken directly from the book. It is unknown why two amounts are presented in the same sentence fragment or how this should be interpreted exactly.

Solution is injected at the site of acupoint GB 20 Fengchi bilaterally, with the needle directed toward the opposite ear and inserted at a depth of 2.5 cm. Once you reach this depth, pull the handle of the syringe to make sure that no blood comes out, then push out the fluid while withdrawing the needle. Usually one injection on each side is enough. if you don't get good results, repeat after 2-3 days.


91 cases were treated with this method. 69 cases were completely cured, 20 cases were markedly improved after 1-3 treatments, 2 cases showed no effect after more than 3 treatments.


Zhang xx, male 48 years old, had pain in the posterior head and neck for one month. The pain occurred while turning his head or when coughing. He took many Western medicines without effect. Tenderness of the Fengchi (GB 20) point was found during the examination. Diagnosis is occipital neuralgia. He was treated by this method and was completely cured after three treatments.


GB 20 Fengchi is very rich in nerve supply, located close to important muscles of the neck, head and main intracranial vessels and nerves. Acupuncture or point injection improves the flow of Qi and Blood around GB 20 Fengchi thus alleviating aches and pains.

Source: Diseases Treated by Single Point of Acupuncture and Moxibustion. Written by Chen Decheng. English Text Revised by Linda Gale Sampson, Cynthia J. Chan. Published by Foreign Languages Press, Beijing.






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occipital.neuralgia.2.shtml was last modified Sep 27 2008.