提要：以天柱、完骨和枕大神经皮下浅出点为主穴，顶枕部疼痛，配合后溪和昆仑穴； 顶颞部疼痛，配合中渚和丘墟穴，针刺治疗 56 例枕神经痛患者，结果临床治愈 31 例， 好转 24 例，无效 1 例，总有效率为 98.3％。 关键词：针刺疗法；按摩；推拿； 神经痛 Summary: The main points are Tianzhu (BL 10), Wangu (GB 12) and the emerging subcutaneous point of the greater occipital nerve. Add Houxi (SI 3) and Kunlun (BL 60) points if pain is in parieto-occipital area. Add the points of Zhongzhu (TE 3) and Qiuxu (GB 40) if pain is in the parietotemporal area. Fifty-six occipital neuralgia cases were treated with acupuncture. 31 cases were clinically cured, 24 cases improved and 1 case ineffective with a total effective rate of 98.3%.