Objective To evaluate the effect and clinical significance of scraping and auricular point pressing therapy combined with celecoxib on pain scores in patients with cervical-shoulder syndrome of the qi-stagnation and blood-stasis type. Methods From January 2022 to December 2024, 219 patients were enrolled and randomly assigned to three groups: a Western medicine group treated with celecoxib, a traditional Chinese medicine group treated with scraping and auricular point pressing, and a combination group treated with both approaches (n=73 each). The treatment course lasted 4 weeks. Cervical pain was assessed using the visual analogue scale (VAS) and neck disability index (NDI). Levels of pain mediators [β-endorphin (β-EP) and cyclooxygenase-2 (COX-2)], cervical range of motion (ROM), traditional Chinese medicine (TCM) syndrome scores, Barthel index, clinical efficacy, and safety were also compared. Results The overall analysis showed no statistically significant differences in VAS and NDI scores among the three groups before treatment. As the treatment course progressed, the VAS and NDI scores in each group showed a gradual downward trend, with scores at 2 weeks and 4 weeks of treatment being lower than before treatment. Moreover, the scores in the combination group were lower than those in the Western medicine group and the traditional Chinese medicine group at all time points. After 4 weeks of treatment, compared with the Western medicine group and the traditional Chinese medicine group, the combination group showed an increase in β-EP levels, a decrease in COX-2 levels, significant improvement in ROM in all directions, lower traditional Chinese medicine syndrome scores, and higher Barthel Index scores, with all intergroup differences being statistically significant. The overall clinical effective rate of the combined group was significantly higher than that of the Western medicine group and the traditional Chinese medicine group. No serious adverse events were observed; only mild subcutaneous bruising occurred in a few patients. Conclusion Scraping and auricular point pressing therapy combined with celecoxib provides progressive relief of cervical-shoulder pain in patients with qi-stagnation and blood-stasis type syndrome. The therapy improves cervical mobility, enhances quality of life, and demonstrates good safety, supporting its clinical application.