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目的:探讨针灸和推拿疗法治疗颈源性头痛的临床疗效.方法:应用随机数字表法,40例患者被分成两组,即针灸配合推拿手法组(治疗组)和推拿配合穴位注射组(对照组),每组各20例.治疗组患者首先接受针刺治疗,以风池为主穴,然后接受推拿治疗.对照组患者先接受推拿治疗,然后在风池穴注射弥可保500μg.治疗前后,两组患者均用颈源性头痛评估量表进行评估.结果:治疗后治疗组和对照组患者的各个指标积分均显著提高(P＜0.01),而治疗后治疗组患者的头痛积分(13.1±3.02 vs 10.8±2.36,P＜0.01)、日常生活和工作积分(3.3±0.66 vs 2.6±0.79,P＜0.01)、心理及社会适应积分(3.1±0.85 vs 2.1±0.85,P＜0.05)以及症状总积分(24.6±4.36 vs 20.3±2.53,P＜0.01)均高于对照组.结论:针灸结合推拿治疗颈源性疼痛可以更有效地缓解疼痛,提高日常生活质量和社会适应能力.,Objective: To investigate the clinical effect of acupuncture therapy and Tuina therapy in treating cervicogenic headache. Method: Forty inpatients, were divided into acupuncture and Tuina group(experiment group, n= 20), and Tuina and acupoint injection group(controlled group, n = 20) with random number table. Patients in the experimental group were firstly needled Fengchi (GB 20, major acupoint), Taiyang (Ex-HN 5), Baihui (GV 20), Shuaigu (GB 8),and Jiaji (Ex-B 2) around the affected cervical vertebrae, and applied Tuina treatment.Patients in the controlled group were treated with Tuina treatment, and then injection in Fengchi (GB 20) with 500 μg of Methycobal. Before and after treatment, all patients in both groups were evaluated with Evaluation Scale for Cervicogenic Headache. Result: After treatment, score of each item of patients in both two groups were enhanced (P＜0.01), and compared with patients in the controlled group, patients in the experimental group had higher scores of headache(13.1±3.02 vs 10.8±2.36, P＜ 0.01), daily life and working (3.3±0.66 vs 2.6±0.79, P ＜ 0.01), mental state and social adjustment (3.1±0.85 vs 2.1±0.85, P＜ 0.05), and total points (24.6±4.36 vs 20.3± 2.53, P＜ 0.01). Conclusion: Acupuncture combining with Tuina had better effects than acupoint with Tuina, and could effectively relieve pain, and enhance quality of life and ability of social adjustment in patients with cervicogenic headache.