摘要
以《中华医典》(4版)针灸古籍文献为主,检索收集其中有关针灸治疗尿失禁条文,建立数据库,采用Weka数据挖掘软件,运用多层关联规则分析方法,分析古代针灸治疗尿失禁的经穴使用特点和规律。检索得到尿失禁治疗条文356条,涉及41个腧穴,共364频次。分析发现,1重视手足三阴经腧穴,阴经取穴数是阳经的2.6倍,阴经又以足厥阴肝经取穴最多;2重视足太阳膀胱经穴,足三阳经中,足太阳膀胱经的取穴54次,占65.85%(54/82);3取穴部位偏重人体下肢部和腹部;4取穴以上述诸经的特定穴为主,特定穴个数和频次分别占73.2%(30/41)和79.4%(289/364);5古代医家治疗尿失禁不取膀胱经募穴中极,与现代文献数据相异。结果提示,尿失禁属于"前阴病",阴病要治阴,多选阴经,偏重特定穴,中医临床上要继承与创新并重,将数据挖掘技术运用于针灸古籍文献研究,可以为针灸临床提供经典理论依据。
Based on ancient literature of acupuncture in Canon of Chinese Medicine （4th edition）, the articles regarding acupuncture for urinary incontinence were retrieved and collected to establish a database. By Weka data mining software, the multi-level association rules analysis method was applied to analyze the acupoints selection characteristics and rules of ancient acupuncture for treatment of urinary incontinence. Totally 356 articles of acupuncture for urinary incontinence were collected, involving 41 acupoints with a total frequency of 364. As a result, （1） the acupoints in the yin-meridian of hand and foot were highly valued, as the frequency of acupoints in yin-meridians was 2. 6 times than that in yang-meridians, and the frequency of acupoints selected was the most in the liver meridian of foot-jueyin; （2） the acupoints in bladder meridian of foot-taiyang were also highly valued, and among three yang-meridians of foot, the frequency of acupoints in the bladder meridian of foot-taiyang was 54, accounting for 65. 85% （54/82）; （3） more acupoints selected were located in the lower limbs and abdomen; （4） specific acupoints in above meridians were mostly selected, presenting 73.2% （30/41） to the ratio of number and 79.4% （289/364） to the frequency, respectively; （5） Zhongji （CV 3）, the front-mu point of bladder meridian, was seldom selected in the ancient acupuncture literature, which was different from modern literature reports. The results show that urinary incontinence belongs to external genitalia diseases, which should be treated from yin, indicating more yin-meridians be used and special acupoints be focused on. It is essential to focus inheritance and renovation in TCM clinical treatment, and applying data mining technology to ancient literature of acupuncture could provide classic theory basis for TCM clinical treatment.
出处
《中国针灸》
CAS
CSCD
北大核心
2015年第12期1299-1303,共5页
Chinese Acupuncture & Moxibustion
基金
"十二五"国家科技支撑计划项目:2012BAI24B01
关键词
尿失禁
针灸
腧穴
数据挖掘
多层关联规则分析
urinary incontinence
acupuncture and moxibustion
acupoint
data mining
multi-level association rules analysis
