[Manifestations and distribution rules of lesions in neck-type cervical spondylosis].

OBJECTIVE

To explore the manifestations of (sinews/fascia) lesions and summarize their distribution rules in the patients with neck-type cervical spondylosis so as to provide the evidences for the development of clinical diagnosis and treatment scheme of acupuncture for cervical spondylosis.

METHODS

A total of 120 patients with neck-type cervical spondylosis were collected. The meridian diagnostic method was used to examine the upper back of each patient, the manifestation category of lesions, locations and the affected muscle regions of twelve meridians were recorded.

RESULTS

(1) The punctate lesions of were detected in 15 regions, and the highest frequency of lesion occurred in the region from the inner upper corner of the scapula to Quyuan (SI 13) (113 cases, 94.2% of lesion frequency). The lesion frequency of 10 regions was ≥50.0%. The punctate lesions were mainly distributed in the muscle regions of hand- (349 cases) and foot- (333 cases). (2) The linear lesions of were detected in 10 regions, and the highest frequency of lesion occurred in the region from the inner upper corner of the scapula to Quyuan (SI 13) (77 cases, 64.2% of lesion frequency). The lesion frequency of 2 regions was ≥50.0%. The linear lesions occurred mainly in the muscle region of foot- (251 cases). (3) Eight regions were examined to be the planar lesions of , and the highest frequency of lesion was found in the site of Jianjing (GB 21) (84 cases, 70.0% of lesion frequency). The lesion frequency of 3 regions was ≥50.0%. The muscle region of foot- (260 cases) was predominated in the planar lesions. (4) The distribution of all of the punctate, linear and planar lesions of was analyzed statistically. It was found that 25 regions were involved and those with the high lesion frequency were distributed in the area from the inner upper corner of the scapula to Quyuan (SI 13), the sites of Jianjing (GB 21) and Dazhui (GV 14), transverse processes of C to C and the area from the lateral border of the scapula to the teres minor, separately. The muscle regions of foot-, hand- and hand- were involved in various kinds of lesions.

CONCLUSION

lesions in patients with neck-type cervical spondylosis can be divided into three categories, namely, punctate, linear and planar lesions; of which, the punctate lesions are dominated. A majority of lesions is related to the muscle region of foot-, and the lesion frequency is higher compared with the lesions to the muscle regions of hand- and hand-. lesions are commonly distributed in the area from the inner upper corner of the scapula to Quyuan (SI 13).