摘要
目的:基于R语言数据挖掘技术,分析《中华医典》中古代针灸治疗抑郁症的选穴组方规律。方法:以“百合病、脏躁、郁病、郁证”等为检索词检索《中华医典》第5版数据库,筛选、提取处方、穴位等信息,使用Microsoft Excel 2010、R studio、spss modelerclient等软件分析古代针灸治疗抑郁症的选穴及组方规律。结果:筛选出符合要求的38条处方,其中涉及腧穴90个,总频次255次。治疗抑郁症腧穴使用频次排前3位的腧穴为太冲穴、期门穴、百会穴;选取经络为足厥阴肝经、督脉、足太阳膀胱经;选取部位为下肢、胸腹、上肢;关联规则支持度最高的穴组为章门穴-期门穴;处方中出现频次最高的穴组为期门穴-太冲穴;聚类分析中有5类具有合理性的穴组。结论:古代针灸治疗抑郁症以肝脾为中心、重视心主神志、辨证选穴的治疗思路。
Objective:Through R language data mining technology,the acupoint selection and formulating prescription rules of acupuncture and moxibustion in the treatment of depression in Chinese Medical Dictionary were analyzed in this paper.Methods:OThe information of prescriptions and acupoints was screened and extracted from the 5th edition of Chinese Medical Dictionary with the search terms such as lily disease,visceral dysphoria,depression disease,and depression syndrome.Microsoft Excel 2010,R studio,and spss modelerclient softwares were used to analyze the acupoint selection and formulating prescription rules of acupuncture and moxibustion in the treatment of depression in ancient times.Results:A total of 38 prescriptions met the requirements were screened out,among which 90 acupoints were involved,with a total frequency of 255 times.The top 3 acupoints for the treatment of depression were Taichong acupoint(LR3),Shimen acupoint(HT7),and Baihui acupoint(DU20).The meridians were Zujueyin(足太阴)acupoint liver meridian,the Du-meridian(督脉),and Zutaiyang(足太阳)acupoint bladder meridian.The selected sites were the lower limbs,thoracic abdomen,and upper extremity.The acupoint group with the highest support for the association rule is Zhangmen acupoint(LR13)-Qimen acupoint(LA14).The acupoint group with the highest frequency is Qimen acupoint-Taichong acupoint.There were 5 reasonable acupoint groups after the cluster analysis.Conclusion:In the treatment of depression by acupuncture and moxibustion in the ancient time,the liver and spleen were emphasized as the center,the theory of the heart dominates the spirit was appreciated,and acupoint selection based on syndrome differentiation was applied clinically.
出处
《中医临床研究》
2022年第31期99-104,共6页
Clinical Journal Of Chinese Medicine
基金
龙岩市中医院临床青年项目(2021YJKT003)。
关键词
针灸
抑郁症
古代处方
R语言
数据挖掘
Acupuncture
Depression syndrome
Ancient prescription
R language software
Data mining
