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基于数据挖掘探究针刺治疗平衡障碍选穴规律

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目的:应用数据挖掘技术探究针刺治疗平衡障碍的选穴规律.方法:以针刺治疗平衡障碍的相关文献为检索内容,对中国期刊全文数据(CNKI)、中国生物医学文献数据库(SinoMed)、万方学术期刊全文数据库(Wanfang)、维普中文科技期刊数据库(VIP)、PubMed中自建库至 2023 年 6 月的文献进行检索.将文献中符合条件的腧穴录入Microsoft Excel 2021 软件表格内,建立针刺治疗平衡障碍的腧穴频次频率、归经、特定穴、分布部位等信息的数据库.采用SPSS Modeler 18.0 Apriori算法、SPSS Statistics 25.0 及SPSS modeler 18.0 Web复杂网络对纳入的处方腧穴进行关联规则分析、Ward聚类分析并绘制树状图及高频腧穴与核心处方的Web网络图.结果:①共收录文献 132 篇,其中针刺处方178条,穴位196个,穴位使用总频次1735次;②腧穴使用频数位居前10的分别是风池、足三里、百会、合谷、三阴交、曲池、太冲、阳陵泉、风府、太溪;③使用频数位于前 5 的经脉分别是督脉、足少阳胆经、手阳明大肠经、足太阳膀胱经、足阳明胃经;④腧穴使用部位选择主要以头面颈项部及下肢部为主;⑤特定穴的使用频数最高的是交会穴;⑥针刺治疗平衡障碍的高频穴位是风池-完骨、风池-天柱和风池-完骨-天柱;⑦前 31 位高频腧穴(频率>15 次)可分为 7 个有效聚类群.结论:针刺治疗平衡障碍形成了以"通督调神,疏通经络"为主要治疗原则,以远近配穴为主体的配伍规律,并重视多气多血之阳经的应用,呈现出以风池、百会、足三里、曲池、合谷为核心的基础穴位处方.
Exploring the Point Selection Pattern of Acupuncture for Balance Disorders based on Data Mining
Objective:To explore the acupoint selection rules for acupuncture treatment of balance disorders by us-ing data mining technology.Methods:The literature on acupuncture treatment of balance disorders was searched from the self-built database to June 2023 in CNKI,SinoMed,Wanfang Academic Journal Database(Wanfang),VIP Chinese Science and Technology Journal Database(VIP),and PubMed.The acupoints that met the requirements in the litera-ture were entered into a Microsoft Excel 2021 software table to establish a database of acupoint frequency,meridians,specific acupoints,distribution sites,etc.for acupuncture treatment of balance disorders.SPSS Modeler 18.0 Apriori algorithm,SPSS Statistics 25.0 and SPSS modeler 18.0 Web complex network were used to perform association rule analysis and Ward cluster analysis on the included prescription acupoints,and a dendrogram and a Web network dia-gram of high-frequency acupoints and core prescriptions were drawn.Results:① A total of 132 articles were included,including 178 acupuncture prescriptions,196 acupoints,and a total frequency of acupoint use of 1735 times;② The top 10 acupoints in terms of frequency of use were Fengchi,Zusanli,Baihui,Hegu,Sanyinjiao,Quchi,Taichong,Yan-glingquan,Fengfu,and Taixi;③ The top 5 meridians in terms of frequency of use were Du Meridian,Foot Shaoyang Gallbladder Meridian,Hand Yangming Large Intestine Meridian,Foot Taiyang Bladder Meridian,and Foot Yangming Stomach Meridian;④ The acupoints used were mainly located in the head,face,neck,and lower limbs;⑤ The most frequently used specific acupoints were the intersection points;⑥ The high-frequency acupoints for acupuncture treat-ment of balance disorders were Fengchi-Wangu,Fengchi-Tianzhu,and Fengchi-Wangu-Tianzhu;⑦ The top 31 high-frequency acupoints(frequency>15 times)can be divided into 7 effective clusters.Conclusion:Acupuncture treatment of balance disorders has formed a combination rule with"unblocking the Governor Vessel to regulate the mind and dredge the meridians"as the main treatment principle,with the combination of distant and near acupoints as the main body,and attaches importance to the application of the yang meridians with more Qi and blood,presenting a basic acu-point prescription with Fengchi,Baihui,Zusanli,Quchi and Hegu as the core.

Balance disordersAcupunctureData miningAcupoint selection rules

纵艳平、王茎、曾永蕾、郭锦晨、高兵

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安徽中医药大学 安徽 合肥 230038

新安医学教育部重点实验室 安徽 合肥 230038

安徽中医药大学第二附属医院 安徽 合肥 230061

平衡障碍 针刺 数据挖掘 选穴规律

2024

中医药临床杂志
中华中医药学会

中医药临床杂志

影响因子:0.636
ISSN:1672-7134
年,卷(期):2024.36(12)