摘要
目的:基于数据挖掘技术分析针灸治疗抽动障碍的选穴规律。方法:检索中国期刊全文数据库(CNKI)、维普中文期刊服务平台(VIP)、万方数据库(Wanfang)和中国生物医学文献数据库(SinoMed)建库至2021年12月31日发表的关于针灸治疗小儿抽动障碍的临床研究文献与临床疗效观察文献,建立针灸处方数据库,运用SPSS Statistics 25.0、SPSS Modeler 18软件进行统计分析,探索腧穴选用规律。结果:共纳入56篇文献,涉及56个针灸处方,75个腧穴,腧穴使用总频次443次。其中百会使用频次最高,常选用的经脉为督脉、胆经、肝经和胃经,使用腧穴主要分布在头面部、下肢,特定穴使用主要以五输穴和原穴为主,最常用的腧穴组合为百会-太冲-风池,对频次≥6的穴位进行聚类分析,可将腧穴分为4大类,3类腧穴分别治疗气郁化火、脾虚痰聚与阴虚火旺三类兼证,1类腧穴发挥“腧穴所在,主治所在”的特点。结论:本研究归纳出针灸治疗小儿抽动障碍的选穴特点,为临床针灸治疗本病提供选穴依据。
Objective:To analyze acupoints selection rules of acupuncture and moxibustion in treatment of tic disorder based on data mining technology.Methods:The randomized controlled trial literature and clinical efficacy observation literature on acupuncture and moxibustion treatment for tic disorder in children,which were published from the establishment of CNKI,VIP,Wanfang and SinoMed,were retrieved from the establishment of the databases to December 31,2021,and the acupuncture and moxibustion prescription database was established.SPSS 25.0 and SPSS Modeler 18 software were used for statistical analysis to explore the law of acupoints selection.Results:A total of 56 literature were included,involving 56 acupuncture prescriptions and 75 acupoints.The total frequency of acupoints used was 443 times.Baihui(DU20)was used most frequently,and the meridians were often selected including Du meridian,Gallbladder meridian,Liver meridian and Stomach meridian.Acupoints on head,face and lower limbs were used more,and five-Shu acupoints and Yuan-source acupoints were used more in specific acupoints.The most commonly used acupoints combination was DU20-Taichong(LR3)-Fengchi(GB20).Clustering analysis of acupoints with frequency more than 6 were divided into four categories.The three categories of acupoints were respectively used to treat three types of concurrent syndromes,namely,Qi stagnation transforming into fire,Spleen deficiency and phlegm accumulation,and Yin deficiency with fire hyperactivity;another category displayed the characteristics of‘where the acupoints are,the indications are involved’.Conclusion:This study summarizes the acupoint characteristics of acupuncture and moxibustion in treatment of tic disorder in children,and provides the basis for selecting acupoints of acupuncture and moxibustion for the disease in clinic.
作者
曹世杰
金园
夏心瑀
梁艳
CAO Shijie;JIN Yuan;XIA Xinyu;LIANG Yan(Yueyang Hospital of Integrated Traditional Chinese and Western Medicine,Shanghai University of Traditional Chinese Medicine,Shanghai 200437,China)
出处
《针灸临床杂志》
2023年第6期57-63,共7页
Journal of Clinical Acupuncture and Moxibustion
基金
国家自然科学基金青年项目,编号:81493473
上海中医药大学面上项目,编号:2021LK090。
关键词
针灸疗法
抽动障碍
取穴
数据挖掘
文献研究
Acupuncture and moxibustion therapy
Tic disorder
Acupoint selection
Data mining
Literature research
