摘要
目的:挖掘学龄前脑性瘫痪儿童的针刺治疗取穴规律。方法:基于西安中医脑病医院电子病历,通过结构化病历文本提取针刺治疗处方,利用古今医案云平台V2.2.3、中医临床有效处方及分子机理分析系统V2.0中数据挖掘工具对针刺处方进行聚类分析、复杂网络分析。结果:1584个脑瘫患儿针刺治疗处方中含84个腧穴(穴区),使用率最高的3个穴位分别是足运感区、平衡区、三阴交。经聚类分析发现常配合使用的5个穴组:委中、外关;手三里、行间、悬钟、承扶;足运感区、平衡区、三阴交;血海、丰隆;脾俞、运动区、阳陵泉。经复杂网络核心处方分析获取13个核心腧穴,包含足运感区、平衡区、三阴交3个主要核心穴和太冲、运动区、血海、肝俞、脾俞、阳陵泉、四神聪、百会、风池、肾俞10个次要核心穴。结论:学龄前脑瘫儿童的针刺核心处方表里同治、阴阳同调,头、体针并用,体现脑、瘫同治的原则。
Objective To explore the rule of point selection in treatment of cerebral palsy with acupuncture in preschool children.Methods Based on the electronic medical records of Xi’an Encephalopathy Hospital of TCM,through structuring medical record text,acupuncture prescriptions were extracted.Using the data mining tools of the ancient and modern medical record cloud platform V2.2.3 and the clinical effective prescription and molecular mechanism analysis system of traditional Chinese medicine V2.0,the cluster analysis and complex network analysis were conducted on acupuncture prescriptions.Results Of 1584 acupuncture prescriptions for cerebral palsy in children,there were 84 acupoints and stimulating areas of scalp acupuncture,of which,foot-motor-sensory area,balance area and Sanyinjiao(SP 6)were the top 3 acupoints with the highest use rate.With cluster analysis,5 groups of common supplementary acupoints and stimulating areas were found,named,Weizhong(BL 40)and Waiguan(TE 5),Shousanli(LI 10),Xingjian(LR 2),Xuanzhong(GB 39)and Chengfu(BL 36),foot-motor-sensory area,balance area and Sanyinjiao(SP 6),Xuehai(SP 10)and Fenglong(ST 40),Pishu(BL 20),motor area and Yanglingquan(GB 34).With complex network analysis on core prescriptions,13 core acupoints and stimulating areas of scalp acupuncture were obtained,including 3 core main points,i.e.Sanyinjiao(SP 6),balance area and foot-motor-sensory area and 10 sub-core points,i.e.Taichong(LR 3),motor area,Xuehai(SP 10),Ganshu(BL 18),Pishu(BL 20),Yanglingquan(GB 34),Sishencong(EX-HN 1),Baihui(GV 20),Fengchi(GB 20)and Shenshu(BL 23).Conclusion In treatment of acupuncture for cerebral palsy in preschool children,the core prescriptions reveal the simultaneous treatment of exterior and interior,the mutual regulation of yin and yang and the combination of acupoints with stimulating ares of scalp acupuncture for both encephalopathy and paralysis.
作者
牟梓君
何丽云
宋虎杰
成秋
刘保延
MOU Zi-jun;HE Li-yun;SONG Hu-jie;CHENG Qiu;LIU Bao-yan(Institute of Basic Research in Clinical Medicine,China Academy of Chinese Medical Sciences,Beijing 100700,China;Xi’an Encephalopathy Hospital of TCM Affiliated to Shaanxi University of CM;National Data Center of TCM,China Academy of Chinese Medical Sciences,Beijing 100700)
出处
《中国针灸》
CAS
CSCD
北大核心
2021年第3期355-358,共4页
Chinese Acupuncture & Moxibustion
基金
国家重点研发计划资助项目:2017YFC1703502、2017YFC1703506。
关键词
脑性瘫痪
针刺穴位
选穴规律
数据挖掘
cerebral palsy
acupuncture points
rule of point selection
data mining
