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MENTAL MODEL · M2833

Stiff Neck and Back / Xiang Bei Qiang Ji Ji

Stiff Neck and Back / Xiang Bei Qiang Ji Ji
TechnicalmediumTraditional Chinese Medicine
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Updated 2026-08-02

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INTRODUCTION

English translation pending.

CORE DEFINITION

A pattern in traditional Chinese medicine, written in pinyin as xiang bei qiang ji ji. The neck and upper back are stiff and difficult to turn, as if the wings were bound. It belongs to the Taiyang stage, where wind and cold bind the exterior so that channel qi is obstructed and fluids cannot be lifted to nourish the sinews. Treatment raises fluids and relaxes the sinews, classically with Pueraria decoction, together with herbs that release the exterior and disperse cold. Resolution shows as a softened neck and back with sweating.

SCAFFOLDING EFFECT

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- Blockage read: see stiffness as a frozen channel with fluid failing to arrive, not as local damage. - Lever choice: lift fluids to the site instead of only working the sore area. - Whole-pattern check: read the neck together with chills, fever, and sweating to confirm the stage.

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Wind and cold constrict the exterior, so the channel supplying the back is obstructed and fluid cannot rise to moisten the sinews. Sinews that receive no supply stiffen and resist movement. Raising fluids while releasing the exterior restores supply, which is why the stiffness eases once sweating occurs.

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Source support: Explicit

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    cloudtcm.comhttp://cloudtcm.com/dic/16307ZH · Explicit
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