摘要
运用数据挖掘技术探析针刺治疗郁病的腧穴配伍规律。检索中国期刊全文数据库(CNKI)、万方数据知识服务平台(Wangfang)、维普资讯中文期刊服务平台(VIP)、中国生物医学文献数据库(Sino Med)、PubMed、EMbase、Web of Science、Cochrane Library建库至2022年9月2日针刺治疗郁病的随机对照试验文献,采用Python编程语言分析针刺治疗原发性抑郁症、脑卒中后抑郁、更年期综合征、神经官能症、焦虑症5种常见郁病的腧穴使用频次、归经、特定穴选用情况及穴位关联规则,应用Cytoscape软件对穴位关联及病-穴共现网络进行可视化分析。共纳入文献387篇,提取上述5种常见郁病的穴方共计319个,涉及159个腧穴,使用频次共计2574次。高频使用腧穴依次为百会、三阴交、太冲、内关、神门、印堂、足三里、合谷、四神聪、太溪等,常涉及经脉为督脉、足太阳膀胱经、足太阴脾经、足厥阴肝经等;特定穴使用频率从高到低依次为交会穴、五输穴、原穴、背俞穴、络穴、八脉交会穴等,常与关联度最高的“百会-印堂”组合配伍使用;郁病-穴位的共现网络分析表明存在针刺治疗郁病的核心腧穴群“百会、太冲、神门、足三里、内关、三阴交”。郁病针刺治疗已逐渐形成了以特定穴配伍为主体,以“通督调神,调畅气机”为主要治则的腧穴配伍规律。
Based on data mining technology,the acupoints compatibility rules of acupuncture for depression diseases were explored.The randomized controlled trial(RCT)articles regarding acupuncture for depression diseases published from establishment of database to September 2nd,2022 were searched in CNKI database,Wangfang database,VIP database,Sino Med database,Pub Med,EMbase,Web of Science and Cochrane Library.The use frequency of acupoints,meridian tropism,selection of special acupoints and acupoint association rules for five common depression diseases,including primary depression,post-stroke depression,menopausal syndrome,psychoneurosis and anxiety disorder,were analyzed by Python programming language.Cytoscape software was used to analyze the acupoint association and the disease-acupoint co-occurrence network.As a result,totally 387 articles were included,and 319 acupoints prescriptions for the above five common depression diseases were extracted,involving 159 acupoints.The use frequency of acupoints was 2574 times in total.The frequently-used acupoints were Baihui(GV 20),Sanyinjiao(SP 6),Taichong(LR 3),Neiguan(PC 6),Shenmen(HT 7),Yintang(GV 24+),Zusanli(ST 36),Hegu(LI 4),Sishencong(EX-HN 1)and Taixi(KI 3),etc.The frequently involved meridians were the governor vessel,foot-taiyang bladder meridian,foot-taiyin spleen meridian,and foot-jueyin liver meridian.The frequency of the special acupoints from high to low was crossing points,five-shu points,yuan-primary points,back-shu points,luo-connecting points,and eight confluent points,etc,which were often used in combination with"Baihui(GV 20)-Yintang(GV 24+)"(the highest degree of association).At the same time,the analysis of the co-occurrence network of depression diseases and acupoints showed that the core acupoints group of acupuncture for depression diseases were Baihui(GV 20),Taichong(LR 3),Shenmen(HT 7),Zusanli(ST 36),Neiguan(PC 6)and Sanyinjiao(SP 6).In conclusion,acupuncture treatment for depression diseases has gradually formed a rule of acupoint compatibility,with
作者
范梦月
迟程
张家豪
王瑞雪
孔庆悦
王泰一
颜靖岚
陈永君
FAN Meng-yue;CHI Cheng;ZHANG Jia-hao;WANG Rui-xue;KONG Qing-yue;WANG Tai-yi;YAN Jing-lan;CHEN Yong-jun(Institute of Acupuncture and Moxibustion,Shandong University of TCM,Jinan 250355,China)
出处
《中国针灸》
CAS
CSCD
北大核心
2023年第3期269-276,288,共9页
Chinese Acupuncture & Moxibustion
基金
国家重点研发计划资助项目:2019YFC1712105
国家自然科学基金面上项目:81973948。
关键词
郁病
针刺
腧穴
配伍规律
数据挖掘
depression disease
acupuncture
acupoints
compatibility rule
data mining
