摘要
目的:基于古今医案云平台,对临床文献进行挖掘,探析现代针灸治疗脊髓损伤后神经源性肠道功能障碍的用穴规律。方法:检索收录于中国知网、万方医学网、维普数据库、PubMed数据库的针灸治疗脊髓损伤后神经源性肠道功能障碍的临床研究文献。整理和规范穴位处方等相关信息,应用古今医案云平台V2.2.3软件对数据进行处理,分析核心穴位和配伍规律,并进行可视化展示。结果:共纳入37篇文献、40个针灸处方,涉及47个穴位,包括45个经穴与2个经外奇穴,使用频次较高的腧穴为天枢、足三里、支沟、上巨虚、中脘、关元、大肠俞、神阙、气海;足阳明胃经、任脉、足太阳膀胱经是治疗应用较多的经络,阳经腧穴的使用频次明显多于阴经腧穴。基于穴位组合同时使用频次和关联规则分析,得出常用穴位组合包括天枢与支沟、天枢与上巨虚、天枢与中脘。结论:运用古今医案云平台总结出针灸治疗脊髓损伤后神经源性肠道功能障碍的用穴特点,可为本病的临床治疗提供选穴组方依据和参考方案。
Objective:Based on the Ancient and Modern Medical Record Cloud Platform,clinical literature was excavated to explore the point use rules of modern acupuncture and moxibustion in the treatment of neurogenic bowel dysfunction after spinal cord injury.Methods:The clinical research literature on acupuncture and moxibustion in the treatment of neurogenic bowel dysfunction after spinal cord injury were searched and collected in China National Knowledge Infrastructure,Wanfang Med Online,VIP Database and PubMed Database.Point prescriptions and other relevant information were sorted out and standardized;Ancient and Modern Medical Record Cloud Platform v22.3 was used to processes the data;core points and combination rules were analyzed and visually displayed.Results:A total of 37 literature were enrolled,involving40 acupuncture and moxibustion prescriptions and 47 points including 45 channel points and 2 extra points.Points with high frequency were Tianshu point,Zusanli point,Zhigou point,Shangjuxu point,Zhongwan point,Guanyuan point,Dachangshu point,Shenque point and Qihai point.The foot yangming stomach channel,ren mai,and the foot taiyang bladder channel were widely used in treatment.The frequency of points on yang channel was significantly higher than that of points on yin channel.Based on the analysis of use frequency and association rules of point combinations,it was concluded that common point combinations included Tianshu point and Zhigou point,Tianshu point and Shangjuxu point,and Tianshu point and Zhongwan point.Conclusion:Characteristics of point use of acupuncture and moxibustion in the treatment of neurogenic bowel dysfunction after spinal cord injury summarized by using Ancient and Modern Medical Record Cloud Platform can provide the basis and reference scheme of point selection and prescription for the clinical treatment of this disease.
作者
金熠婷
全毅
JIN Yiting;QUAN Yi
出处
《新中医》
CAS
2022年第12期197-201,共5页
New Chinese Medicine
基金
天津市科技计划项目(17ZXMFSY00110 )。
关键词
脊髓损伤
神经源性肠道功能障碍
针灸
古今医案云平台
规律研究
Spinal cord injury
Neurogenic bowel dysfunction
Acupuncture and moxibustion
Ancient and Modern Medical Record Cloud Platform
Rules study
