基于“经络学说”探讨神经根型颈椎病患者的临床症状特点及经脉循行规律

Exploring the Clinical Symptom Features and Meridian Circulation Patterns of Patients with Cervical Spondylotic Radiculopathy Based on the “Theory of Meridians”

摘要: 目的：探讨神经根型颈椎病(Cervical Spondylotic Radiculopathy, CSR)患者的临床症状特点及经脉循行规律。方法：选取296例CSR患者为研究对象，利用问卷调查收集患者信息，统计患者的临床症状特点，对比患者疼痛区域的经络偱行特点；将患者按照不同年龄、中医证型进行分组，统计不同年龄段和中医证型的患者的经脉循行规律。结果：CSR患者临床症状特点以麻痛为主，疼痛部位多在颈肩部，常伴有上肢及手指麻木感，可有多种诱发因素，休息后疼痛缓解并不明显，并有夜间加重的趋势。患者疼痛区域多有经络偱行，出现频率最高的经络为手少阳三焦经、手阳明大肠经。将不同年龄和中医证型的CSR患者进行分组，结果发现偱行经络频次虽有一些差异，但差异并不大，出现频率最高的仍是手少阳三焦经、手阳明大肠经。结论：CSR患者临床症状特点以麻痛为主，疼痛部位多为颈肩部，常伴有上肢及手指麻木感，可有多种诱发因素，休息后疼痛缓解并不明显，并有夜间加重的趋势，循行经脉中手少阳三焦经、手阳明大肠经最多见。

Abstract: Objective: To investigate the clinical symptom characteristics and meridian circulation of cervical spondylotic radiculopathy (CSR) patients. Methods: 296 patients with CSR were selected as the research objects. Questionnaire survey was used to collect patient information, analyze the clinical symptoms of patients, and compare the characteristics of patients’ meridian circulation in pain regions. The patients were grouped according to different ages and TCM syndrome types, and the meridians of patients of different ages and TCM syndrome types were counted. Results: The clinical features of CSR patients are characterized by numbness and pain, which is primarily located in the neck and shoulders, often accompanied by numbness in the upper limbs and fingers. There are various triggering factors, and pain relief after rest is not obvious, with a tendency to worsen at night. The pain area of CSR patients often follows the path of meridians, with the hand Yangming Large Intestine Meridian and the hand Shaoyang Sanjiao Meridian appearing most frequently. When CSR patients of different ages and TCM syndromes were divided into groups, although there were some differences, the differences were not significant, and the hand Sanjiao Meridian and the hand Yangming Large Intestine Meridian still appeared most frequently. Conclusion: The main clinical symptoms of patients with CSR are numbness and pain, mostly in the neck and shoulders, often accompanied by numbness in the upper limbs and fingers, which can be induced by a variety of factors. The pain relief is not obvious after rest, and tends to worsen at night. Among the meridians following the meridian, the Shaoyang Sanjiao Meridian of the hand and Yangming Large Intestine Meridian are the most common.