首页|基于中医传承辅助平台分析肥胖症穴位贴敷选穴及用药规律

基于中医传承辅助平台分析肥胖症穴位贴敷选穴及用药规律

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目的:基于中医传承辅助平台进行数据挖掘,分析穴位贴敷治疗肥胖症的选穴及用药规律.方法:计算机检索中国知网、万方数据、维普中文科技期刊数据库、PubMed、Cochrane Library、Embase等数据库中穴位贴敷治疗肥胖症的临床疗效观察及经验总结等相关文献,将检索词设置为"肥胖""贴敷"等进行检索,筛选有效选穴及用药处方,检索时间为自建库之日至2022年7月30日.采用中医传承辅助平台统计穴位及药物频次,分析穴位及药物之间的关联规则和核心穴位及药物组合.结果:穴位贴敷治疗肥胖症使用频次最高的穴位为神阙穴、中脘穴、天枢穴;任脉、胃经的使用频次最多;选穴部位以胸腹部为主;临床常用的穴位组合为中脘穴-关元穴、中脘穴-气海穴、中脘穴-天枢穴;以中脘穴为中心,联合关元穴、气海穴、水道穴、天枢穴是穴位贴敷治疗肥胖症的选穴组方核心;使用频次最高的药物为茯苓、大黄、白术;用药的四气五味中温、甘、苦、辛比例最高,药物归经以脾经、肝经、胃经居多;常用药物组合有白术-茯苓、陈皮-茯苓等;以白术为中心,联合茯苓、泽泻、大黄、莪术、山楂、陈皮是穴位贴敷治疗肥胖症组方用药的核心.结论:穴位贴敷治疗肥胖症选穴以任脉、胃经穴位为主,以胸腹部穴位居多;用药以健脾祛湿为主,行气化瘀为辅.
An analysis of acupoint selection and medication rule of plaster strapping on obesity based on the Traditional Chinese Medicine Inheritance Support System
Objective:To analyze the acupoint selection and medication rule of plaster strapping on obesity,based on the Traditional Chinese Medicine Inheritance Support System.Methods:Studies on the clinical efficacy observation and experience summary of plaster strapping in the treatment of obesity were searched in CNKI,Wanfang data,VIP database,PubMed,Cochrane Library,Embase and other databases,and the key words were set as obesity and plaster strapping to retrieve literature.The effective acupoints and prescriptions were selected for the period from the establishment of the database to July 30,2022.Acupoints and drug frequency were counted by the Traditional Chinese Medicine Inheritance Support System,and the correlation between acupoints and drugs,core acupoints and drug combinations were analyzed.Results:The acupoints used most frequently in the treatment of obesity were Shenque acupoint(RN8),Zhongwan acupoint(RN12)and Tianshu acupoint(ST25),while Ren(任)channel and stomach meridian were used most frequently.The selected points were mainly in the chest and abdomen.The commonly used clinical acupoint combinations were Zhongwan acupoint-Guanyuan acupoint(RN4),Zhongwan acupoint-Qihai acupoint(RN6),Zhongwan acupoint-Tianshu point.Taking Zhongwan acupoint as the center,combined with Guanyuan acupoint,Qihai acupoint,Shuidao acupoint(ST28)and Tianshu acupoint were the core of acupoint selection for the treatment of obesity.The most frequently used drugs are Fuling(Poria),Dahuang(Radix et Rhizoma Rhei),Baizhu(Rhizoma Atractylodis Macrocephalae).Among the four Qi(气)and five flavors of the medicine,the proportion of warm,sweet,bitter and pungent was the highest.The spleen meridian,liver meridian and stomach meridian were the most common meridians of drugs.The common drug combinations were Baizhu-Fuling,Chenpi(Pericarpium Citri Reticulatae)-Fuling.Taking Baizhu as the center,combined with Fuling,Zexie(Rhizoma Alismatis),Dahuang,Ezhu(Rhizoma Curcumae),Shanzha(Fructus Crataegi)and Chenpi were the core of plaster strapping in the treatment of obesity.Conclusion:The acupoints selected for treating obesity were mainly Ren channel and stomach channel points,and most of them were chest and abdomen points.The drug is main used for strengthening spleen and removing dampness,supplemented by promoting Qi movement and removing blood stasis.

ObesityPlaster strappingLaw of acupoint selectionMedication lawData mining

沈金梦、黄菲

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南京中医药大学附属苏州市中医医院,江苏 苏州,215007

肥胖 穴位贴敷 选穴规律 用药规律 数据挖掘

苏州市民生科技示范项目(2020)姑苏卫生人才培养项目(2020)

SS202006GSWS2020079

2024

中医临床研究
中华中医药学会

中医临床研究

影响因子:0.839
ISSN:1674-7860
年,卷(期):2024.16(7)
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