| Purpose:Explaining the essence in Handy Meridian tendon syndrome for peri-arthritis from theoretical research perspective, and having systematic study for tendons disease mechanism, and relationship between tendons disease and Zang-fu syndrome differentiation, and shoulder function scores regularity, in order to have a preliminary exploration for meridian tendon syndrome differentiation theory system for periarthritis, to provide a solid theoretical foundation for treating periarthritis by using meridian tendons therapy in clinical,and enrich the academic content of the meridian tendons theory.Material and method:1.The main contents of this study collected clinical cases, including 100 patients with periarthritis, adopting hand palpation observation method(hand palpation observation method: According to meridian tendon circulation around shoulder joint to check meridian tendon tissue around the shoulder joint and find out meridian tendon that was characterized by pain, nodules or abnormal reaction piont, in order to assess severity of the disease lesion. Collecting lesions of tendon nodes in affected part for patients and storing in excel, and having statistics for frequency data and count the frequency in every meridian tendon and frequency rate. 2. Clinical periarthritis case questionnaire was designed. Diagnosis was made in form of muscle meridian focus and muscle meridian type, according to shoulder active and passive rotation, feeling of muscle soreness, tingling, fullness and pain, as well as the checked bands, nodes and block during the palpation. 3.Using Constant-Murley Shoulder joint function assessment, and score shoulder joint function activity in patients from pain, ADL, ROM,MMT four aspects,comparing the levels of shoulder joint function activity single the meridian tendon type, tow meridian tendon type, three median tendon type and all meridian tendon type patients and analyze. the relationship between different meridian tendons syndrome and shoulder joint function activity.Results:1.Checked-out frequent muscle meridian focus of scapulohumeral periarthritis patients are sub-LI15(63%), sub-LI16(60%), sub-GB21(52%), sub-SJ13(59%), sub-SJ12(55%), sub-SJ14(52%), sub-SI11(87%), sub-SI9(85%),sub-Shoulder Pain Point(82%), sub-LU3(40%), sub-LU1(37%), sub-Shoulder Lifting(37%). 2.The frequency rate of hand Tai Yang meridian tendon was much higher,namely81%, the frequency rate of hand Yang Ming and Shaoyang hand three yin meridian tendon syndrom was less than That, namely 61% and 59%,the frequency rate of hand three yin meridian tendon was the least, namely 43%; the frequency rate of two meridian tendon type and three meridian tendon type was higher, namely 35% and 38%;then all meridian tendon type was18%;single the meridian tendon type was the least,namely9%. 3.The total score for shoulder joint function: single meridian tendon group was compared with two meridian tendon group,p﹤0.05 and difference was statistically significant;Compared with three meridian tendon group, p<0.05 and difference was statistically significant; Compared with all meridian tendon group, p<0.05,and difference was statistically significant; three meridian tendon group was compared with all meridian tendon groupe, p < 0.05,difference was statistically significant.Conclusion:1. Checked-out frequent Checked-out frequent muscle meridian focus of scapulohumeral periarthritis patients are sub-LI15, sub-LI16, sub-GB21, sub-SJ13, sub-SJ12, sub-SJ14, sub-SI11, sub-SI9, sub-Shoulder Pain Point, sub-LU3, sub-LU1, sub-Shoulder Lifting.2.To summarize inspecting method based on meridian tendon syndrome differentiation for periarthritis and ideas for syndrome differentiation, and to provide a theoretical basis for meridian tendon treatment method in clinic. By palpating focal meridian tendon nodes for periarthritis and analyzing the meridian tendon syndrome differentiation, and summarizing the syndrome differentiation regularity for the common meridian tendon syndrome. 3. Explaining the correlation between each meridian tendon syndrome differentiation and shoulder joint function assessment scores. In general, shoulder joint function assessment scores has downward tendency with the increasing of the number of meridian tendon lesion, showing the number of meridian tendon lesion playing a important role in severity for disease. It will be a guiding significance in determining the treatment ideas and medicine, acupuncture and physical therapy for treating periarthritis in clinical. |