摘要
目的 运用数据挖掘技术分析穴位埋线治疗慢性萎缩性胃炎的腧穴选取规律。方法 检索中国期刊全文数据库(CNKI)、万方学术期刊全文数据库(Wanfang)、维普中文科技期刊数据库(VIP)、中国生物医学数据库(SinoMed)自建库至2021年12月穴位埋线治疗慢性萎缩性胃炎的临床研究文献,建立穴位埋线治疗慢性萎缩性胃炎的处方数据库,运用SPSS Modeler 18.0 Apriori算法对腧穴进行关联规则分析并绘制复杂网络图;采用SPSS 21.0对腧穴进行聚类分析。结果 共纳入69篇文献,提取穴位处方89个,涉及腧穴46个,总频次498次。数据分析显示,穴位埋线治疗慢性萎缩性胃炎腧穴选用频次前4位的是中脘、足三里、胃俞、脾俞;所选经脉为足太阳膀胱经、任脉、足阳明胃经等;选穴多集中在腹背部和上下肢部;特定穴中使用频次较高的为背俞穴、交会穴、募穴;腧穴配伍方面,脾俞-胃俞、中脘-足三里的相关性最高;高频腧穴分为两大类,第一类胃俞-脾俞-中脘-足三里,第二类可分为3个有效聚类群。结论 穴位埋线治疗慢性萎缩性胃炎以和胃、理气、化瘀、补虚为治疗原则,以病变脏腑俞募合穴及本经与表里经特定穴为主,重视对因对机治疗。穴位埋线治疗慢性萎缩性胃炎的核心处方可能是胃俞、脾俞、中脘、足三里。
Objective To analyze the selection rules of acupoints for the treatment of chronic atrophic gastritis with acupoint embedding by using data mining techniques.Methods The clinical literatures about acupoint embedding in the treatment of chronic atrophic gastritis of Chinese journals database(CNKI),Wanfang Academic journals database(Wanfang),Vipu Chinese technology journal database(VIP) and China Biomedical Database(SinoMed) were retrieved from the establishment time to December 2021. The association rules were analyzed by SPSS Modeler 18.0 Apriori algorithm and the complex network map was drawn by SPSS 21.0.Results A total of 69 documents were included, and 89 acupoint prescriptions and 46 acupoints, and with a total frequency of 498 acupoints. The data analysis showed that the top four acupoints in acupoint catgut embedding treatment of chronic atrophic gastritis were Zhongwan(CV12),Zusanli(ST36),Weishu(BL23) and Pishu(BL23). The selected meridians were bladder meridian of foot-Taiyang, conception vessel, stomach meridian of foot-Yangming, etc. The acupoint selection was mainly concentrated in the abdomen, back and upper and lower limbs. Among the specific acupoints, back-Shu acupoints, crossing acupoints and front-Mu acupoints were used more frequently. In terms of acupoint compatibility, the correlation between Pishu(BL23)-Weishu(BL23) and Zhongwan(CV12)-Zusanli(ST36) was the highest. The high-frequency acupoints could be divided into two categories. The first category was Weishu(BL23)-Pishu(BL23)-Zhongwan(CV12)-Zusanli(ST36),and the second category was divided into three effective clusters.Conclusion Acupoint embedding therapy for chronic atrophic gastritis is based on regulating stomach, regulating Qi, removing blood stasis and tonifying deficiency. The treatment is mainly based on the Shu acupoints and Mu acupoints of Zang-Fu organs and the specific acupoints of this meridian and the external and internal meridians. The core prescription of acupoint embedding therapy for chronic atrophic gastritis may be Wei
作者
房雪
葛晓彬
王晓燕
CHEN Fen;ZHANG Ting(Fujian University of Traditional Chinese Medicine,Fuzhou 350122,Fujian,China;Xiamen Hospital of Traditional Chinese Medicine,Xiamen 361000,Fujian,China)
出处
《实用中医内科杂志》
2024年第8期69-73,I0001,I0002,共7页
Journal of Practical Traditional Chinese Internal Medicine
基金
国家自然科学基金青年科学基金项目(81403326)
山东省自然科学基金青年科学基金项目(ZR2014HQ032)
齐鲁医派中医学术流派建设项目(2022038)。
关键词
穴位埋线
慢性萎缩性胃炎
选穴规律
数据挖掘
acupoint embedding
chronic atrophic gastritis
law of acupoint selection
data mining
