目的 基于多软件协同数据挖掘技术,从"异病同治"角度探讨近5年针灸治疗神经性皮炎及带状疱疹后遗神经痛的选穴规律.方法 交叉检索中英文数据库(中国知网、万方数据知识服务平台、维普网、Medline、Embase、Web of Science),2018年1月1日—2022年12月31日发表的关于针灸治疗神经性皮炎及带状疱疹后遗神经痛的期刊文献.依据纳排标准筛选文献,用Zotero 6.0.26管理原始文献,用Microsoft Excel 16.54建立针灸处方数据库并对录入的针灸处方进行数据清洗、统计分析及可视化处理.结果 本研究纳入神经性皮炎针灸处方31个、带状疱疹后遗神经痛针灸处方34个.腧穴使用频次均以阿是穴为首,除阿是穴外其他腧穴集中分布于足太阳膀胱经,且五输穴在特定穴中占比最高.神经性皮炎及带状疱疹后遗神经痛针灸处方共有的核心腧穴为"阿是穴-血海-三阴交",共有核心穴对为"血海-阿是穴".对高频腧穴进行聚类分析,分别聚为3类,其中阿是穴在2种疾病针灸处方中均单独成类.结论 针灸治疗神经性皮炎和带状疱疹后遗神经痛所选腧穴具有高度一致性,与"异病同治"理论相符,但在腧穴配伍上又存在一定差异,说明2种疾病在病机上各有侧重,临床应结合实际情况辨证治疗,加减选穴.
Acupoint selection rules in acupuncture and moxibustion treatment for neurodermatitis and postherpetic neuralgia from the perspective of"treating different diseases with same method"
Objective To explore the rules of acupuncture point selection in treating neurodermatitis and postherpetic neuralgia with acupuncture from the perspective of"treating different diseases with same method"in the past 5 years based on multi-software collaborative data mining technology.Methods Cross-searching Chinese and English databases(CNKI,Wanfang,VIP,Medline,Embase,Web of Science),the articles published from January 1,2018,to December 31,2022,in journal literature related to acupuncture treating neurodermatitis and postherpetic neuralgia.The literature was screened according to the inclusion and exclusion criteria,Zotero 6.0.26 was used to manage the original literature,Microsoft Excel 16.54 was used to create a database of acupuncture prescriptions and to clean the data entered,and various software was used to perform statistical analysis and to visualize the data.Results In this study,31 acupuncture prescriptions for neurodermatitis and 34 acupuncture prescriptions for postherpetic neuralgia were included,respectively.Both disease acupoints were topped by the frequency of using Ashi,and both disease acupoints were concentrated on the bladder meridian of foot-taiyang except Ashi and the five-shu points had the highest percentage of specific acupoints.Both diseases shared the core acupuncture point"Ashi-Xuehai(SP10)-Sanyinjiao(SP6)"and the core paired acupoint was"Xuehai(SP10)-Ashi".Clustering analysis of high-frequency acupoints in both diseases was performed and each was clustered into three categories,with Ashi clustered into a single category in both diseases.Conclusion High consistency of acupoints selected in the acupuncture treatment of neurodermatitis and postherpetic neuralgia was consistent with the theory of"treating different diseases with same treatment",but there are some differences in the compatibility of acupoints,indicating that the two diseases have their own special emphasis in pathogenesis,and the clinically it should be considered with the actual situation to add or reduce the selection of acupoints.
Treating different diseases with same methodneurodermatitispostherpetic neuralgiadata miningacupoint selection rules
NETL
NSTL
万方数据
