摘要
分析历代针灸治疗偏头痛的经穴使用特点和规律。从先秦至清末178种涉及针灸内容的文献中收集相关数据,建立偏头痛古代针灸临床文献数据库,采用数据挖掘技术进行分析,统计筛选出历代针灸治疗偏头痛常用的经脉、腧穴以及腧穴配伍,并分析这些经穴使用的潜在规律。历代针灸治疗偏头痛以胆经选用频次最高,且具体腧穴的选用上既有病位局部腧穴,又有病位远端的四肢腧穴。从针灸治疗偏头痛的腧穴运用频次统计来看,历代都非常重视阳经腧穴的选用,其中又以少阳经脉的风池、丝竹空和率谷使用最为频繁。从特定穴选用的类别看,除了重视头部经气相贯相交最为集中的交会穴外,还重视选用肘膝关节以下的特定穴,如原穴、络穴、八脉交会穴和五输穴。通过运用数据挖掘手段对历代针灸治疗偏头痛文献进行提取和分析发现,经络理论是指导临床的基础和选穴的前提,特定穴是组成处方的主要部分和配伍选用的核心。
Objective To analyze the regularity of selection of meridians and acupoints for treating migraine in past dynasties. Methods The data were collected from 178 kinds of literature concerning acupuncture and moxibus- tion from the Pre-Qin Dynasty to the end of the Qing Dynasty, based on which bibliographic database in ancient acupuncture and moxibustion for treating migraine was established. By way of data excavation and analysis, meridians and acupoints and their combinations frequently used for the treatment in successive dynasties were screened, and the potential regularity was searched. Results In the treatment of migraine, the Gall Bladder Meridian was the meridian used most frequently, and both local and remote points in the four extremities were used. Acupoints in yang meridians, especially Fengchi （GB 20）, Sizhukong （TE 23） and Shuaigu （GB 8） in Shaoyang meridians were used most frequently. In terms of classification of the special points selected, besides the Crossing Points with meridian qi passing through and crossing in the head, points below the elbow and knee joints, such as Source points, Luo Points, Eight Confluence Points, as well as Five Shu Points were also much frequently used. Conclusion According to data excavation and analysis of references recorded on the treatment of migraine by acupuncture and moxibustion in past dynasties, it is concluded that meridian theories are the foundation and prerequisite for guiding clinical treatment and point selection, in which special acupoints are the main components and the core in point prescription.
出处
《中国针灸》
CAS
CSCD
北大核心
2009年第6期467-472,共6页
Chinese Acupuncture & Moxibustion
基金
国家重点基础研究发展计划(973计划)项目:2006CB504501
国家自然基金项目:30772835
关键词
针灸疗法
偏头痛
数据库
文献型
数据挖掘
Acupuncture-Moxibustion
Migraine
Databases, Bibliographic
Data Mining
