中西医结合治疗椎动脉型颈椎病,疗程短,复发率低,副作用小。包括针刺(常规针刺、电针疗法、耳针)、灸法(温针灸、直接艾炷灸)、穴位注射、中药、推拿手法、小针刀、埋线、手术等。针刺取穴多以颈夹脊穴和督脉穴位为主,体现“经脉所过,主治所及”选穴原则。目前发病机理研究尚不全面深入,虽临床报告多,按科研规范严格设计少,病例(样本)偏小,国内外手术治疗报道少。综合疗法,尤其是中西医结合应是今后方向。 Integrative Medicine treatment of cervical vertebral artery disease, short course, low recurrence rate, side effects. Including acupuncture (conventional acupuncture, electroacupuncture, ear acupuncture), moxibustion (warm acupuncture, moxibustion direct Ai), acupuncture points, traditional Chinese medicine, massage, small needle knife, embedding, surgery and so on. More acupoints acupoints Jiaji acupoints and points of the main meridians, reflecting the “meridians have been, attending to the” acupoints principle. The pathogenesis of the study is not yet comprehensive, although more clinical reports, according to strict norms of scientific research design, small cases (samples), less surgical reports at home and abroad. Combination therapy, especially the combination of Chinese and Western medicine should be the future direction.