摘要
目的应用古今医案云平台软件分析穴位埋线治疗功能性便秘(FC)的选穴规律。方法检索中英文数据库,收集建库至2021年12月有关穴位埋线治疗FC的临床研究文献,提取处方并采用古今医案云平台软件分析穴位埋线治疗FC所选用的经脉、高频腧穴、高频特定穴及核心处方。结果最终纳入文献173篇,涉及经脉9条,腧穴49个,特定穴8种;其中位列前三的经脉为足阳明胃经、足太阳膀胱经、任脉;位列前五的腧穴为天枢、大肠俞、足三里、上巨虚、气海;位列前三的特定穴为募穴、下合穴、背俞穴,在募穴和下合穴中使用频次较高的有大小肠、胃之募穴(天枢、关元、中脘)和下合穴(上巨虚、下巨虚、足三里),背俞穴使用频次较高的有大肠、肾、脾的背俞穴(大肠俞、肾俞、脾俞);位列前五的穴对有天枢-大肠俞、大肠俞-天枢、天枢-足三里、足三里-天枢、足三里-大肠俞;社团分析和聚类分析分别将腧穴分为4个社团和6种类别;复杂网络分析得到1个核心处方。结论穴位埋线治疗FC以调理阳明腑气、理气通便为治疗总则;选穴以阳经为主,注重特定穴,多局部选穴和远端选穴,以“远近配穴”为配伍原则;辨病选穴的同时结合辨证加减配穴。
Objective To analyze the acupoint selection rules of acupoint catgut embedding in the treatment of functional constipation(FC)by using the cloud platform software of ancient and modern medical records.Methods Chinese and English databases were searched,and clinical research literature on acupoint catgut embedding for FC from database inception to December 2021 was collected.Prescriptions were extracted,and the meridians,highfrequency acupoints,high-frequency specific points,and core prescriptions selected for acupoint catgut embedding for FC were analyzed using ancient and modern medical case cloud platform software.Results 173 articles were ultimately included,involving 9 meridians,49 acupoints,and 8 specific acupoints.The top three meridians are the Foot Yangming Stomach,Foot Taiyang Bladder,and Ren meridian.The top five acupoints are Tianshu(ST25),Dachangshu(BL25),Zusanli(ST36),Shangjuxu(ST37),and Qihai(BL24).The top three specific acupoints are front mu points,lower he-sea points,and back-Shu points(BL12).Among front mu points and lower he-sea points,the most frequently used ones are the front mu points[Tianshu,Guanyuan(BL26),Zhongwan(RN12)]and lower he-sea points[Shangjuxu,Xiajuxu(ST39),Zusanli]of the small,large intestine and stomach,and the back-Shu acupoints[Dachangshu,Shenshu(BL21),and Pishu(BL19)]of the large intestine,kidney,and spleen.The top five acupoint pairs include Tianshu-Dachangshu,Dachangshu-Tianshu,Tianshu-Zusanli,Zusanli-Tianshu,and ZusanliDachangshu;the acupoints were divided into 4 associations and 6 categories by community analysis and cluster analysis,respectively.Complex network analysis yields one core prescription.Conclusion The general principles of acupoint catgut embedding treatment for FC are regulating Yangming,visceral qi and aiding defecation.The selection of acupoints is mainly based on Yang meridian,focusing on specific acupoints,local selection of acupoints and distal selection of acupoints,and the compatibility principle of"combination of adjacent and remote acupoints".At t
作者
祁万梅
严兴科
马重兵
魏玉婷
QI Wanmei;YAN Xingke;MA Chongbing;WEI Yuting(College of Acupuncture-Moxibustion and Tuina,Gansu University of Chinese Medicine,Lanzhou,Gansu,730101,China)
出处
《甘肃中医药大学学报》
2024年第4期58-63,共6页
Journal of Gansu University of Chinese Medicine
基金
甘肃省高等学校科研项目——协同创新团队项目(2018C-18)
兰州市科技局项目(2017-RC-60)。
关键词
功能性便秘
穴位埋线
选穴规律
数据挖掘
functional constipation
acupoint catgut embedding
rules of point selection
data mining
