摘要
目的 通过数据挖掘技术,研究现代文献中针刺治疗原发性视网膜色素变性的选经取穴规律。方法 纳入1990年1月—2021年12月收录于中国知网、万方数据库、维普中文期刊服务平台、PubMed数据库中关于针刺治疗视网膜色素变性的临床文献。将各数据库符合纳入标准的文献导入EndNote软件,提取文献作者、见刊时间、题目、各组病例数、各组平均病程、针刺处方(腧穴名称)、留针时间、频次、归经、疗程及疗效评价指标并汇总。将以上信息录入Microsoft office 2019软件中建立Excel数据库并进行分析。结果 (1)一般情况:共纳入中文文献19篇,英文文献1篇。涉及病例数1,143例,11条经脉,40个腧穴,使用总频次达217次。其中特定穴26个,经外奇穴7个。(2)所属经脉:针刺治疗视网膜色素变性使用腧穴频次≥10次的经脉有6条,其中最高的是足太阳膀胱经(56次,25.81%);所用腧穴≥3个的经脉有5条,其中最多的是足太阳膀胱经(8个,20.00%)。(3)腧穴频次:针刺治疗视网膜色素变性的腧穴使用频次≥5次的共16个,排名前5位的分别为球后(17次,7.83%)、太阳(16次,7.37%)、睛明(14次,6.45%)、足三里(13次,5.99%)、三阴交(12次,5.53%)。(4)特定穴和经外奇穴使用频次:特定穴共26个,累计频次为178次,占比82.03%,使用频次最高的是交会穴(65次,29.95%),其中使用频次最高的穴位是睛明(14次,6.45%)。经外奇穴共7个,累计频次46次,占比21.20%,其中使用频次最高的是球后(17次,7.83%)。(5)分布部位:腧穴在全身各部位的分布按降序排列依次为头面颈项(112次,51.61%)、下肢(49次,22.58%)、腰背(35次,16.13%)、上肢(14次,6.45%)和胸腹(7次,3.23%)。(6)腧穴聚类分析:对频次≥5次的腧穴进行聚类分析,得到3组小聚类群。第1组为肾俞、肝俞、脾俞、太溪、太冲、睛明、光明、足三里;第2组为合谷;第3组为太阳、三阴交、百会、丝竹空。(7)腧穴关联规则:
OBJECTIVE To investigate the meridian and acupoint regularity of acupuncture treatment for primary retinitis pigmentosa(RP) in modern literature based on data METHODS Clinical literature on acupuncture treatment of RP was retrieved from databases including CNKI,Wanfang,VIP each database was imported into EndNote software,and informations including the author,publication time,title,number of cases in each group,average course of disease in each group,acupuncture prescription(acupoint name),needle retention time,frequency,meridian tropism,course of treatment and efficacy evaluation indicators were extracted and summarized.Input the above information into Microsoft office 2019 software to establish Excel database for analysis.RESULTS(1) General information:A total of 19 Chinese literature and one English literature were included,involving 1,143 cases,11 meridians,40 acupoints,and the total frequency was 217 times.Among them,there were 26 specific acupoints and seven extra nerve points.(2) Meridian tropism:There were six meridians whose acupoints were used ≥ 10 times in acupuncture for RP,with the highest being the bladder meridian of foot-Taiyang(56 times,25.81%);There were five meridians with ≥ three acupoints used,with the most being the bladder meridian of foot-Taiyang(eight times,20.00%).(3) Acupoint frequency:There were a total of 16 acupoints with a frequency of use ≥ five times for acupuncture treatment of RP,with the top five acupoints being Qiuhou(EXHN7,17 times,7.83%),Taiyang(EX-HN5,16 times,7.37%),Jingming(BL1,14 times,6.45%),Zusanli(ST36,13 times,5.99%) and Sanyinjiao(SP6,12 times,5.53%).(4) Frequency of specific acupoints and extra nerve points:There were a total of 26 specific acupoints,with a cumulative frequency of 178 times,accounting for 82.03%.The most frequently used acupoint was Jiaohui points(65 times,29.95%),among which the highest frequency was Jingming(BL1,14 times,6.45%).There were a total of seven extra nerve points,with a cumulative frequency of 46 times,accounting for 21.20%,among
作者
郭雨佳
刘静霞
GUO Yujia;LIU Jingxia(Heilongjiang University of Chinese Medicine,Harbin 150040,China)
出处
《中国中医眼科杂志》
2023年第7期621-626,共6页
China Journal of Chinese Ophthalmology
关键词
视网膜色素变性
针刺治疗
经穴规律
数据挖掘
primary retinitis pigmentosa
acupuncture treatment
selection of acupoints
data mining
