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基于数据挖掘探讨针刺治疗痉挛性斜颈选穴规律

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目的:基于数据挖掘技术探析针刺治疗痉挛性斜颈(ST)的选穴规律.方法:检索中国期刊全文数据库(CNKI)、维普期刊全文数据库(VIP)和万方数据知识服务平台(Wanfang)自建库至2023年5月关于针刺治疗痉挛性斜颈的相关文献,建立Excel处方数据库,利用古今医案云平台(V2.3.6)分析选穴规律.结果:本研究共纳入80篇文献,包含96条腧穴处方、122个腧穴,腧穴总使用频次为880次,其中风池使用频次最高,归经前3位为督脉、胆经和膀胱经,阳经腧穴使用较多,腧穴多分布于颈项部及头面四肢部,特定穴以交会穴与五输穴为主,关联规则分析得到印堂-百会、水沟-百会等15个穴对,聚类分析将常用腧穴分为3类.结论:针刺治疗痉挛性斜颈以通督调神、舒筋缓急和通阳益气为主要治疗原则,首选督脉、胆经腧穴,重用阳经腧穴,局部与远端取穴并用,注重交会穴、五输穴的使用,综合辨治、灵活配伍,以利于规范临床治疗方案.
Acupoints Selection Rules of Acupuncture in Treatment of Spasmodic Torticollis Based on Data Mining
Objective:To explore the acupoints selection rules of acupuncture in treatment of spasmodic torticollis(ST)based on data mining technology.Methods:Relevant literature on acupuncture treatment of ST were retrieved from CNKI,VIP and Wanfang from the establishment of the database to May 2023,and an Excel prescription database was established.Cloud Platform of Ancient and Modem Medical Case(V2.3.6)was used to analyze the acupoints selection rules.Results:A total of 80 articles were included in this study,including 96 prescriptions with 122 acupoints involved.The total frequency of acupoints used was 880 times,among which Fengchi(GB20)was used most frequently.The top three meridians were Du meridian,Gallbladder meridian and Bladder meridian.The acupoints of Yang meridians were mostly used.The acupoints were mainly distributed in neck,head,face and limbs.The specific acupoints were mainly confluent acupoints and five-Shu acupoints.The association rule analysis obtained 15 acupoint pairs,including Yintang(DU29)-Baihui(DU20)and Shuigou(DU26)-DU20 and so on.The cluster analysis divided the commonly used acupoints into three categories.Conclusion:Acupuncture treatment of ST is based on the main treatment principles of dredging Du meridian and regulating Shen,relaxing tendons and relieving spasms,and activating Yang and replenishing Qi.The acupoints of Du meridian and Gallbladder meridian are preferred.The acupoints of Yang meridians are emphasized.The local and distal acupoints are used together,and confluent points and five-Shu points are paid attention to.Taking into account the comprehensive treatment and flexible compatibility,which facilitates the clinical treatment plan.

Spasmodic torticollisAcupunctureRules of acupoints selectionData mining

张则润、杨继国、刘源香

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山东中医药大学第一临床医学院,山东济南 250355

山东中医药大学,山东济南 250014

痉挛性斜颈 针刺 选穴规律 数据挖掘

国家重点研发计划教育部学位与研究生教育主题案例项目(2022)山东省中医药科技重点项目山东省专业学位研究生教学案例库建设项目

2022YFC3500403ZT-221044104Z-2023019SDYAL21053

2024

针灸临床杂志
中华中医药学会 黑龙江中医药大学 中国针灸学会临床分会

针灸临床杂志

CSTPCD
影响因子:1.242
ISSN:1005-0779
年,卷(期):2024.40(5)
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