摘要
目的 运用古今医案云平台(版本号:2.3.7)分析针灸推拿治疗儿童青少年假性近视的选穴规律.方法 检索中国期刊全文数据库(CNKI)、万方数据库(Wanfang)、维普数据库(VIP)、中国生物医学文献服务系统(SinoMed)4 个数据库自 2000 年以来针灸推拿治疗假性近视的文献,建立处方数据库,应用古今医案云平台对数据进行统计分析、关联分析、社团分析、复杂网络分析和聚类分析,探究针灸推拿治疗假性近视的选穴规律及应用特点.结果 最终共纳入文献 62 篇,涉及腧穴 70 个,应用总频次共 535 次.应用频次前 5 的腧穴分别是攒竹(47 次)、睛明(45 次)、四白(42 次)、太阳(42 次)、丝竹空(33 次);应用穴对前 5 位的是太阳-攒竹(36 次)、四白-睛明(34 次)、四白-攒竹(34 次)、丝竹空-攒竹(31 次)、风池-睛明(29次);经络以足太阳膀胱经、足少阳胆经和足阳明胃经为主;腧穴部位以头面部为主;聚类分析将出现频次≥10 次的穴位分为 4 大类,主要核心处方为睛明、风池、四白、攒竹、太阳.结论 针灸推拿治疗假性近视主要以眼睛局部及足太阳膀胱经穴位为主.
Abstract
Objective To mine the acupoint selection rules of acupuncture,moxibustion,and tuina in the treatment of pseudomyopia in children and adolescents based on the Ancient and Modern Medical Case Cloud Platform(version 2.3.7).Methods The articles about the treatment of pseudomyopia with acupuncture,moxibustion,and tuina that were published after the year 2000 were retrieved from the China National Knowledge Infrastructure(CNKI),Wanfang Data,VIP,and SinoMed,and a prescription library was established.The Ancient and Modern Medical Case Cloud Platform was used for the statistical analysis,association analysis,community analysis,complex network analysis,and cluster analysis of the data,on the basis of which the acupoint selection rules of acupuncture,moxibustion,and tuina in the treatment of pseudomyopia were mined.Results A total of 62 articles were included,involving 70 acupoints,with the total frequency of 535.The top 5 acupoints in terms of application frequency were Cuanzhu(BL2)(47),Jingming(BL1)(45),Sibai(ST2)(42),Taiyang(EX-HN5)(42),and Sizhukong(TE23)(33).The top 5 acupoint pairs were Taiyang(EX-HN5)-Cuanzhu(BL2)(36),Sibai(ST2)-Jingming(BL1)(34),Sibai(ST2)-Cuanzhu(BL2)(34),Sizhukong(TE23)-Cuanzhu(BL2)(31),Fengchi(GB20)-Jingming(BL1)(29).The acupoints were mainly located along the foot greater yang bladder meridian,foot lesser yang gallbladder meridian,and the foot yang brightness stomach meridian.The acupoints were mainly on the head and face.The cluster analysis classified the acupoints with the frequency≥10 into 4 categories,and the key acupoints were Jingming(BL1),Fengchi(GB20),Sibai(ST2),Cuanzhu(BL2),and Taiyang(EX-HN5).Conclusion The acupoints around eyes and along the foot greater yang bladder meridian were mainly applied in acupuncture,moxibustion,and tuina for treating pseudomyopia.
基金项目
甘肃省中医药管理局科研课题(GZKG-2022-55)