Chen Ye-meng, Zhao Yan, Xue Xiao-lin, Zhang Qun-ce, Wu Xiu-yan, Li Hui, Zheng Xin, Zhao Joanna, He Frank D, Kong Jun-hui, Wang Tian-fang
New York College of Traditional Chinese Medicine, 155 First Street, Mineola, NY, 11501, USA.
Chin J Integr Med. 2015 Mar;21(3):234-40. doi: 10.1007/s11655-014-1955-7. Epub 2014 Dec 22.
To investigate and analyze the characteristics of Meridian Sinew (Jingjin) syndrome in patients with whiplash-associated disorders (WAD).
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.
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%) and 176 (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.
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.
探讨并分析挥鞭样损伤相关疾病（WAD）患者的经筋证候特点。
收集2010年8月至2011年9月来自纽约州和加利福尼亚州的313例WAD病例。调查主要收集“筋结穴”信息及太阳、少阴、少阳、阳明四种经筋辨证类型的症状。
在平均损伤程度为中度的病例中，“筋结穴”压痛频率较高的部位有肩外俞（SI 14）、肩中俞（SI 15）、天窗（SI 16）、C3 - 6棘突、大椎（GV 14）、风池（GB 20）、天髎（SJ 15）和天鼎（LI 17）。最常见的症状为颈部广泛痉挛和压痛（太阳经）、侧屈困难（少阳经）、屈伸问题（太阳经）以及颈部活动时僵硬和疼痛（阳明经）。其中，237例（75.72%）与太阳经筋证候相关，82例（26.20%）与少阴经筋证候相关，175例（55.91%）和176例（5%6.23%）分别与少阳经筋和阳明经筋证候相关。大多数病例呈现为组合形式。Ⅰ、Ⅱ、Ⅲ级损伤下的证候分布反映出挥鞭样损伤患者经筋证候的组合较多，这是由于损伤程度较重所致。
对于WAD患者的颈部局部症状，通过经筋辨证，结合“筋结穴”压痛及相应症状来确定异常部位是可行的。
