Objective：To investigate and analyze the characteristics of Meridian Sinew（Jingjin） syndrome in patients with whiplash-associated disorders（WAD）.Methods：From August 2010 to September 2011,313 WAD cases from New ...Objective：To investigate and analyze the characteristics of Meridian Sinew（Jingjin） syndrome in patients with whiplash-associated disorders（WAD）.Methods：From August 2010 to September 2011,313 WAD cases from New York and California states were collected.The survey mostly collects the information of ＂Sinew Knotted Points＂ and symptoms of four types of Meridian Sinew differentiation—Taiyang,Shaoyin,Shaoyang and Yangming.Results：Among the cases which are on the average of medium injury level,the higher frequency of ＂Sinew Knotted Points＂ tenderness were found on Jianwaishu（SI 14）,Jianzhongshu（SI 15）,Tianchuang（SI 16）,C3-6 Spinous Process,Dazhui（GV 14）,Fengchi（GB 20）,Tianliao（SJ 15） and Tianding（LI 17）.The most commonly presented symptoms were widespread spasm and tenderness in the neck（Taiyang）,difficulty in lateral flexion（Shaoyang）,problems of extension and flexion（Taiyang）,and stiffness and pain during neck movement（Yangming）.Among the cases,237 cases（75.72%） were related to Taiyang Meridian Sinew syndrome,82 cases（26.20%） to Shaoyin syndrome and 175（55.91%） and176（56.23%） cases to Shaoyang and Yangming syndrome respectively.The most of cases presented in a combination format.The syndrome distribution under Grade Ⅰ,Ⅱ and Ⅲ reflected that more combination of the Meridian Sinew syndromes in the whiplash injury patients which is resulted from more severity of injury.Conclusion：It is practical to identify the location of abnormality through Meridian Sinew differentiation,considering both ＂Sinew Knotted Points＂ tenderness and corresponding symptoms,for the local neck symptoms of WAD.展开更多
The TCM philosophy of a meridian and associated channels pertains to the specific function of one or more organs. We define the <span style="font-family:Verdana;">Lung Primary Meridian (LUM) together w...The TCM philosophy of a meridian and associated channels pertains to the specific function of one or more organs. We define the <span style="font-family:Verdana;">Lung Primary Meridian (LUM) together with the </span><span style="font-family:Verdana;">Lung Sinew (LUSC), Divergent (LUDC), Luo-connecting (LULCC) Channels as a system of routes plus some parts of the body (such as muscles) to fulfil respiration, as a main function under different situations. There is very limited information about the Lung associated channels in classical literature of TCM. With a clear focus on the function of respiration, we have carried out a detailed analysis of the biomedical consequence of stimulating the LUM, analysed the roles played by LUSC, LUDC, and LULCC. The updated LUM and LUDC include acupoints of other meridians, serving the same purpose of performing satisfactory respiration starting from checking the quality of the inflow through the nose. The LUSC includes the respiratory muscles (plus the associated connective tissues) extending to various parts of the body. The muscles of the limb (as part of the LUSC) embrace the nerves that provide routes for somatosensory reflexes and play the role of locomotion, providing voluntary respiration via the pectoralis muscles. The muscles of LUSC are bounded by stiff connective tissue layers, forming compartments, and are part of the pulley system for various body locomotions. Within a compartment, the interstitial fluid, blood, lymph flows must be potent to protect the associated nerves related to LUM;the healthy state of the LUSC also provides freedom of various types of locomotion. The LULCC exists because the vagus nerve has a part of it passing through the spinal cords all the way down to the sacrum domain, with exiting nerve innervating two-third of the large intestine. The crucial steps of our deductions </span><span style="font-family:Verdana;">are supported by experimental evidence based on modern neurophysiology and kinesiology. We discover that all the four channels stated above work as a unit system to allow respiration to be possible under various postures/conditions. </span><span style="font-family:Verdana;">The complexity of structures and processes is eased off by providing 29 figures and 13 tables for the relevant muscles and nerves. In addition to respiration, the Lung system in TCM context includes interaction of this system with the sweat gland and neuroendocrine system;such aspects will be left to another study.</span>展开更多
目的:观察关节腔注射联合“经筋”手法治疗早中期冻结肩的临床疗效及安全性。方法:选择62例早中期冻结肩患者,按照治疗方法不同分为观察组和对照组,每组31例。对照组予以口服美洛昔康片,外用温性经筋通贴膏、经筋通凝胶剂,观察组予以关...目的:观察关节腔注射联合“经筋”手法治疗早中期冻结肩的临床疗效及安全性。方法:选择62例早中期冻结肩患者,按照治疗方法不同分为观察组和对照组,每组31例。对照组予以口服美洛昔康片,外用温性经筋通贴膏、经筋通凝胶剂,观察组予以关节腔注射联合“经筋”手法治疗,分别于治疗前后比较疼痛视觉模拟量表(visual analogue score,VAS)评分、肩痛和功能指数(shoulder pain and function index,SPADI)、Fugl-Meyer肩关节活动范围量表评分和Constant-Murley肩功能评分,并对临床疗效及不良反应进行评价。结果:治疗后,两组VAS、SPADI评分较治疗前降低(P<0.01),Fugl-Meyer及Constant-Murley评分均较治疗前降低(P<0.01);且观察组与对照组比较,差异有统计学意义(P<0.05);随着时间的变化,两组VAS及Fugl-Meyer评分无明显变化,但观察组SPADI及Constant-Murley评分在治疗后3个月时与治疗后1周时比较,差异有统计学意义(P<0.05)。观察组SPADI及Constant-Murley评分总有效率均高于对照组,但差异无统计学意义(P>0.05)。观察组不良事件发生率[22.6%(7/31)]低于对照组[45.2%(14/31)](P<0.05)。结论:关节腔注射联合“经筋”手法治疗早中期冻结肩疗效明显,安全性好。展开更多
基金Supported by the Innovative Team Project of Beijing University of Chinese Medicine(No.2011-CXTD-08)Research Base Development Project of Beijing University of Chinese Medicine(No.2011-JDJS-09)the 111 Project of China Ministry of Education(No.B07007)
文摘Objective：To investigate and analyze the characteristics of Meridian Sinew（Jingjin） syndrome in patients with whiplash-associated disorders（WAD）.Methods：From August 2010 to September 2011,313 WAD cases from New York and California states were collected.The survey mostly collects the information of ＂Sinew Knotted Points＂ and symptoms of four types of Meridian Sinew differentiation—Taiyang,Shaoyin,Shaoyang and Yangming.Results：Among the cases which are on the average of medium injury level,the higher frequency of ＂Sinew Knotted Points＂ tenderness were found on Jianwaishu（SI 14）,Jianzhongshu（SI 15）,Tianchuang（SI 16）,C3-6 Spinous Process,Dazhui（GV 14）,Fengchi（GB 20）,Tianliao（SJ 15） and Tianding（LI 17）.The most commonly presented symptoms were widespread spasm and tenderness in the neck（Taiyang）,difficulty in lateral flexion（Shaoyang）,problems of extension and flexion（Taiyang）,and stiffness and pain during neck movement（Yangming）.Among the cases,237 cases（75.72%） were related to Taiyang Meridian Sinew syndrome,82 cases（26.20%） to Shaoyin syndrome and 175（55.91%） and176（56.23%） cases to Shaoyang and Yangming syndrome respectively.The most of cases presented in a combination format.The syndrome distribution under Grade Ⅰ,Ⅱ and Ⅲ reflected that more combination of the Meridian Sinew syndromes in the whiplash injury patients which is resulted from more severity of injury.Conclusion：It is practical to identify the location of abnormality through Meridian Sinew differentiation,considering both ＂Sinew Knotted Points＂ tenderness and corresponding symptoms,for the local neck symptoms of WAD.
文摘The TCM philosophy of a meridian and associated channels pertains to the specific function of one or more organs. We define the <span style="font-family:Verdana;">Lung Primary Meridian (LUM) together with the </span><span style="font-family:Verdana;">Lung Sinew (LUSC), Divergent (LUDC), Luo-connecting (LULCC) Channels as a system of routes plus some parts of the body (such as muscles) to fulfil respiration, as a main function under different situations. There is very limited information about the Lung associated channels in classical literature of TCM. With a clear focus on the function of respiration, we have carried out a detailed analysis of the biomedical consequence of stimulating the LUM, analysed the roles played by LUSC, LUDC, and LULCC. The updated LUM and LUDC include acupoints of other meridians, serving the same purpose of performing satisfactory respiration starting from checking the quality of the inflow through the nose. The LUSC includes the respiratory muscles (plus the associated connective tissues) extending to various parts of the body. The muscles of the limb (as part of the LUSC) embrace the nerves that provide routes for somatosensory reflexes and play the role of locomotion, providing voluntary respiration via the pectoralis muscles. The muscles of LUSC are bounded by stiff connective tissue layers, forming compartments, and are part of the pulley system for various body locomotions. Within a compartment, the interstitial fluid, blood, lymph flows must be potent to protect the associated nerves related to LUM;the healthy state of the LUSC also provides freedom of various types of locomotion. The LULCC exists because the vagus nerve has a part of it passing through the spinal cords all the way down to the sacrum domain, with exiting nerve innervating two-third of the large intestine. The crucial steps of our deductions </span><span style="font-family:Verdana;">are supported by experimental evidence based on modern neurophysiology and kinesiology. We discover that all the four channels stated above work as a unit system to allow respiration to be possible under various postures/conditions. </span><span style="font-family:Verdana;">The complexity of structures and processes is eased off by providing 29 figures and 13 tables for the relevant muscles and nerves. In addition to respiration, the Lung system in TCM context includes interaction of this system with the sweat gland and neuroendocrine system;such aspects will be left to another study.</span>
文摘目的:观察关节腔注射联合“经筋”手法治疗早中期冻结肩的临床疗效及安全性。方法:选择62例早中期冻结肩患者,按照治疗方法不同分为观察组和对照组,每组31例。对照组予以口服美洛昔康片,外用温性经筋通贴膏、经筋通凝胶剂,观察组予以关节腔注射联合“经筋”手法治疗,分别于治疗前后比较疼痛视觉模拟量表(visual analogue score,VAS)评分、肩痛和功能指数(shoulder pain and function index,SPADI)、Fugl-Meyer肩关节活动范围量表评分和Constant-Murley肩功能评分,并对临床疗效及不良反应进行评价。结果:治疗后,两组VAS、SPADI评分较治疗前降低(P<0.01),Fugl-Meyer及Constant-Murley评分均较治疗前降低(P<0.01);且观察组与对照组比较,差异有统计学意义(P<0.05);随着时间的变化,两组VAS及Fugl-Meyer评分无明显变化,但观察组SPADI及Constant-Murley评分在治疗后3个月时与治疗后1周时比较,差异有统计学意义(P<0.05)。观察组SPADI及Constant-Murley评分总有效率均高于对照组,但差异无统计学意义(P>0.05)。观察组不良事件发生率[22.6%(7/31)]低于对照组[45.2%(14/31)](P<0.05)。结论:关节腔注射联合“经筋”手法治疗早中期冻结肩疗效明显,安全性好。
