摘要
目的:探索针灸治疗血管神经性头痛的临床选穴特点和规律。方法:通过计算机检索中国知网(CNKI)、中国生物医学文献数据库(SinoMed)、万方数据(WANFANG DATA)、维普中文科技期刊数据库(VIP)中自建库至2022年2月1日收录的针灸治疗血管神经性头痛的临床文献,创建针灸处方数据库,进行关联规则分析和聚类分析。结果:共纳入文献121篇,提取针灸处方307条,共涉及腧穴86个,累计频次1790次。分析得出治疗血管神经性头痛最常用的穴位为风池穴;足少阳胆经、督脉、足阳明胃经等经脉的穴位应用频率高,除此之外经外奇穴的应用频率也较高;治疗本病的穴位大多在头面部、下肢部;多选用交会穴、原穴、八脉交会穴等特定穴。关联规则分析共得到关联规则44条,列出强关联20条,其中风池-太阳的支持度最高,对使用频次排名前15位的穴位进行聚类分析后得到6个聚类群。结论:针灸治疗血管神经性头痛遵循一定的选穴规律,以局部选穴、远近配穴为主,多选取足少阳胆经与督脉穴,重视特定穴的应用,治疗本病的核心处方可能为太阳-风池-百会-率谷-合谷-太冲-列缺,可为临床治疗提供参考。
Objective:To investigate the features and rules of clinical acupoint selection in acupuncture and moxibustion treatment of angioneurotic headache.Methods:CNKI,SinoMed,WANFANG DATA,and VIP were searched for clinical articles on acupuncture and moxibustion treatment of angioneurotic headache published up to February 1st,2022.A database was established for acupuncture and moxibustion prescriptions,and association rule analysis and cluster analysis were performed.Results:A total of 121 articles were included,and 307 prescriptions were extracted for acupuncture and moxibustion,which involved 86 acupoints,with a cumulative frequency of 1790.The analysis showed that Fengchi acupoint was the most commonly used acupoint in the treatment of angioneurotic headache,and a relatively high frequency of application was observed for the acupoints in the gallbladder meridian of foot-Shaoyang,the governor vessel,and the stomach meridian of foot-Yangming,as well as extra ordinary points.Most acupoints for the treatment of this disease were located in the head and face region and the lower extremities,and specific acupoints,such as confluent points,source points,and the eight confluent acupoints connecting the eight extra channels,were commonly used.Association rule analysis obtained 44 association rules and 20 strong association rules,among which Fengchi-Taiyang had the highest degree of support.Cluster analysis was performed for the top 15 acupoints in terms of frequency,and 6 clusters were obtained.Conclusion:Acupuncture and moxibustion treatment of angioneurotic headache follows certain rules of acupoint selection,mainly local acupoint selection and distal-proximal point combination,and the acupoints of the gallbladder meridian of foot-Shaoyang and the governor vessel are often selected for treatment,with an emphasis on the application of specific acupoints.Taiyang-Fengchi-Baihui-Shuaigu-Hegu-Taichong-Lieque might be the core prescription for this disease,which provides a reference for clinical application.
作者
董志浩
任隆升
吕璨
王燕飞
王艺文
王强
DONG Zhihao;REN Longsheng;LYU Can;WANG Yanfei;WANG Yiwen;WANG Qiang(Shandong University of Traditional Chinese Medicine,Jinan 250014,Shandong,China;Shandong Provincial Hospital Affiliated to Shandong First Medical University,Jinan 250021,Shandong,China)
出处
《湖南中医杂志》
2022年第11期24-29,共6页
Hunan Journal of Traditional Chinese Medicine
关键词
血管神经性头痛
针灸
选穴规律
数据挖掘
angioneurotic headache
acupuncture and moxibustion
rule of acupoint selection
data mining
