中医临床研究2024,Vol.16Issue(22) :27-33.DOI:10.3969/j.issn.1674-7860.2024.22.005

穴位贴敷治疗肺癌的用药和选穴分析

An analysis of medication and acupoint selection rules of acupoint application therapy in the treatment of lung cancer

柴化红 向玲 潘赐明
中医临床研究2024,Vol.16Issue(22) :27-33.DOI:10.3969/j.issn.1674-7860.2024.22.005

穴位贴敷治疗肺癌的用药和选穴分析

An analysis of medication and acupoint selection rules of acupoint application therapy in the treatment of lung cancer

柴化红 1向玲 1潘赐明2
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作者信息

  • 1. 上海市松江区广富林社区卫生服务中心,上海,201600
  • 2. 云南中医药大学名医馆,云南 昆明,650500
  • 折叠

摘要

目的:探讨穴位贴敷治疗肺癌的选穴和用药规律.方法:检索中国知网、万方数据库、维普中文科技期刊从建库至2023年8月10日采用中药穴位贴敷联合其他疗法治疗肺癌的医案文献.将文献数据录入Excel 2016,并导入古今医案云平台(V2.2.3);采用频次分析、聚类分析、中药复杂网络分析等方法,总结现代中医治疗肺癌的选穴和用药规律.结果:共纳入文献114篇,中药总数149味,总用药频次661次,穴位总数54个,总频次428次.舌质频次前2位为淡、红,舌苔常见为白、腻.脉象多以弱、细为主.中医证候频次前2位分别为胃失和降、肺气上逆,所选中药功效以降逆止呕、祛风止痛为首.中医证素-病位主要在肺和胃脘,病性以气逆和痰为先.中药频次居前3位的高频单药为细辛、吴茱萸、白芥子;四气以温、平为主;五味以辛、苦为先;药物多归于脾经、肺经.穴位频次前3位由高到低依次为肺俞穴、足三里穴和神阙穴,由复杂网络分析得出常用穴位是肺俞穴.核心中药是吴茱萸.结论:中医采用穴位贴敷治疗肺癌,以温阳固本、消癥散结为主要治法.

Abstract

Objective:Based on data mining technology to explore the acupoint selection and medication rules of acupoint application therapy in the treatment of lung cancer.Methods:The medical records of the treatment of advanced lung cancer by acupoint application therapy of traditional Chinese medicine combined with other therapies from the establishment of the database to August 10,2023 were retrieved from CNKI,Wanfang database and VIP Chinese Science and Technology Journals.The literature data were entered into Excel 2016 and imported into the Ancient and Modern Medical Record Cloud Platform(v2.2.3).Methods such as frequency analysis,cluster analysis and complex network analysis of traditional Chinese medicine were used to summarize the acupoint selection and medication rules of modem traditional Chinese medicine in the treatment of lung cancer.Results:A total of 114 articles were included,with a total of 149 traditional Chinese medicines and a total frequency of 661 doses.There were a total of 54 acupoints,with a total frequency of 428 doses.The top two frequencies of tongue texture were light and red,and the common tongue coating was white and greasy.Pulse patterns were mostly weak and thready.The top two frequencies of traditional Chinese medicine syndromes were stomach disharmony,and lung Qi(气)ascending counterflow.The efficacy of the selected traditional Chinese medicine was mainly to reduce adverse reaction,stop vomiting,dispel wind and relieve pain.Traditional Chinese medicine syndrome of the disease was in the lungs and stomach,and the disease was characterized by Qi counterflow and phlegm.The top three high-frequency single drugs of traditional Chinese medicine were Xixin(Radix et Rhizoma Asari),Wuzhuuyu(Fructus Evodiae)and Baijiezi(Semen Brassicae).The four Qi were mainly composed of warmth and coolness,while the five flavors were primarily composed of bitterness and pungency.Medicines were mostly attributed to the spleen and lung meridians.The top three acupoint frequencies from high to low were Feishu point(BL13),Zusanli point(ST36),and Shenque point(RN8).Complex network analysis showed that the commonly used acupoint is Feishu point.The core traditional Chinese medicine is Wuzhuyu.Conclusion:Traditional Chinese medicine uses acupoint application therapy to treat lung cancer,with warming Yang(阳)and consolidating the foundation,eliminating symptoms and dispersing nodules as the main treatment.

关键词

肺癌/数据挖掘/用药规律/穴位贴敷

Key words

Lung cancer/Data mining/Medication rule/Acupoint application therapy

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基金项目

云南省教育厅科学研究项目(2021Y786)

云南省南药可持续利用研究重点实验室开放课题(202105AG070012XS2242)

出版年

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
参考文献量37
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