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基于可视化网络分析探讨古籍针灸治疗癫痫的选穴规律

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目的:分析古籍中针灸治疗癫痫的病证及选穴特点,为临床针灸治疗癫痫提供选穴依据和思路.方法:检索并筛选第5版《中华医典》中针灸治疗癫痫的条文,对针灸处方中的腧穴使用频次、归经、分布部位、特定穴、对应的癫痫分型及对应的刺灸法进行统计分析,运用Apriori算法对筛选出的组穴进行关联规则分析,并对高频腧穴及其对应分型与治法进行复杂网络分析.结果:共筛选出205条针灸处方,古籍中针灸治疗痫证善以不同分型论治,分型主要为癫痫、风痫和五痫,使用频次较高的腧穴有百会、鸠尾、神门、神庭、心俞,治疗侧重选用督脉、膀胱经及任脉的腧穴,多取头面部联合四肢腧穴,善用五输穴及交会穴,最常用的腧穴处方为神门-百会、神庭-百会、心俞-神门,可视化网络分析显示百会-神庭、百会-神门、百会-照海是古籍中针灸治疗癫痫的核心腧穴组合,治疗方法侧重灸法或针灸并用.结论:古籍中针灸治疗癫痫选穴少而精,常选用百会、鸠尾、神门、神庭、心俞等穴,以定痫醒神、舒筋缓急、养心安神为主.
Acupoint selection patterns for epilepsy in ancient texts based on visual network analysis
Objective To analyze the disease patterns and acupoint selection characteristics of acupuncture for epilepsy in ancient acupuncture texts,providing references and ideas for clinical acupuncture treatment of epilepsy.Methods Texts from the Chinese Medical Classics (5th edition) regarding acupuncture for epilepsy are reviewed.The frequency of acupoints,meridian association,distribution,specific points,corresponding epilepsy subtypes,and needling techniques are statistically analyzed.The Apriori algorithm is used for association rule analysis,and a complex network analysis is conducted for high-frequency acupoints and their corresponding subtypes and treatments.Results A total of 205 acupuncture prescriptions are identified.Ancient texts favored differentiation-based treatments for epilepsy,primarily classified into epilepsy,wind epilepsy,and five epilepsy.Commonly used acupoints include Baihui (GV20),Jiuwei (CV15),Shenmen (HT7),Shenting (GV24),and Xinshu (BL15),with a focus on the acupoints of the governor vessel,the bladder meridian,and the conception vessel.The acupoints on the head,face are combined with the acupoints on the limbs,with skillful use of the five-shu points and intersection acupoints.The most frequent combinations are Shenmen (HT7)-Baihui (GV20),Shenting (GV24)-Baihui (GV20),and Xinshu (BL15)-Shenmen (HT7).Visual network analysis revealed that Baihui (GV20)-Shenting (GV24),Baihui (GV20)-Shenmen (HT7),and Baihui (GV20)-Zhaohai (KI6) are core acupoint combinations.Treatment mainly involved moxibustion or combined acupuncture and moxibustion.Conclusion The acupoint selection for epilepsy treatment in ancient texts is precise,frequently using Baihui (GV20),Jiuwei (CV15),Shenmen (HT7),Shenting (GV24),and Xinshu (BL15),etc.,with emphasis on calming epilepsy,awakening the spirit,relaxing tendons,and nourishing the heart.

epilepsyacupuncture and moxibustionChinese Medical Classicsacupoint selection pattern

杨文韬、崔华、王超杰、王轩、程为平

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黑龙江中医药大学研究生院,哈尔滨150040

黑龙江中医药大学附属第一医院针灸二科,哈尔滨150040

癫痫 针灸 《中华医典》 选穴规律

2025

中国针灸
中国针灸学会 中国中医研究院针灸研究所

中国针灸

北大核心
影响因子:1.652
ISSN:0255-2930
年,卷(期):2025.45(1)