摘要
目的探讨针灸治疗偏头痛的选穴特点及规律。方法计算机检索针灸治疗偏头痛的RCT文献,提取中医四诊信息,经过数据标准化处理并建立数据库,运用SPSS 20.0系统挖掘其选穴规律。结果共纳入文献94篇,其中涉及配穴方案48例。主穴取穴主要在头部,以胆经穴为多,通过系统聚类得到5组腧穴组合;配穴的选穴主在四肢,以脾经、胃经、肝经、胆经穴为多,通过系统聚类得到6组腧穴组合。结论针灸治疗偏头痛的主穴取穴注重局部取穴与辨经取穴的有机结合,而重在治痛;配穴取穴强调远部辨经、辨证取穴,而重在扶正祛邪。针灸治疗偏头痛的选穴重在培本祛邪,标本兼顾,为临床治疗提供依据和指导。
Objective:To explore the characteristics and regularity of acupoint selection of acupuncture on migraine. Methods:RCT literatures of acupuncture on migraine were searched for,and four diagnostic TCM methods were extracted. Information was processed by standardization of data and database was established. SPSS 20.0 system was used to mine the rule of selecting acupoints. Results:94 articles were included,including 48 cases involving acupoint allocation schemes. The main acupoints were mainly in head,most of which were gallbladder meridian acupoints. 5 groups of acupoint combinations were obtained by systematic clustering. The allocation acupoint selection was in the limbs,with the spleen meridian,stomach meridian,liver meridian and gallbladder meridian as the main acupoints,and 6 groups of acupoint combinations were obtained by systematic clustering. Conclusion:The main acupoint selection of migraine focuses on local acupoint selection and meridian differentiation,while allocation acupoint selection emphasizes distant meridian differentiation and braided evidence selection,and focuses on strengthening the body and dispelling pathogenic factors. This research can provide a basis and guidance for the clinic.
作者
王一战
郭妍
王鑫
李彬
刘宏伟
Wang Yizhan;Guo Yan;Wang Xin;Li Bin;Liu Hongwei(Beijing Hospital of Traditional Chinese Medicine Affiliated to Capital Medical University,Beijing 100010,China.)
出处
《中国中医急症》
2020年第3期412-417,共6页
Journal of Emergency in Traditional Chinese Medicine
基金
国家重点基础研究发展计划(973计划)(014CB543203)
北京中医药科技发展资金项目(QN2018-23)。
关键词
偏头痛
针灸
选穴规律
数据挖掘
Migraine
Acupuncture and moxibustion
Point selection law
Data mining
