Research on acupoint selection and prescription rules for acupuncture treatment of vascular cognitive impairment based on data mining

ZHAO Chenyan; CAO Tianyu; ZHOU Mengling; TIAN Jinzhou

doi:10.16305/j.1007-1334.2020.08.000

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Research on acupoint selection and prescription rules for acupuncture treatment of vascular cognitive impairment based on data mining

更新时间：2022-08-31

- Research on acupoint selection and prescription rules for acupuncture treatment of vascular cognitive impairment based on data mining
- Shanghai Journal of Traditional Chinese Medicine Vol. 54, Issue 8, Pages: 31-36(2020)
- 作者机构：
  
  1. 北京中医药大学东直门医院脑病三科,北京,100700
- 作者简介：
- 基金信息：
- DOI：10.16305/j.1007-1334.2020.08.000
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ZHAO Chenyan, CAO Tianyu, ZHOU Mengling, et al. Research on acupoint selection and prescription rules for acupuncture treatment of vascular cognitive impairment based on data mining. [J]. Shanghai Journal of Traditional Chinese Medicine 54(8):31-36(2020)
DOI：

ZHAO Chenyan, CAO Tianyu, ZHOU Mengling, et al. Research on acupoint selection and prescription rules for acupuncture treatment of vascular cognitive impairment based on data mining. [J]. Shanghai Journal of Traditional Chinese Medicine 54(8):31-36(2020) DOI： 10.16305/j.1007-1334.2020.08.000.

摘要

目的：运用数据挖掘技术总结分析针刺治疗血管性认知损害的选穴组方规律,为临床治疗提供理论基础。方法：通过检索针刺治疗血管性认知损害的文献,建立相应数据库,对其中的腧穴、归经、分布情况、特定穴属性等进行频次分析,进一步对高频腧穴进行聚类分析和关联规则分析。结果：①最终纳入105篇文献,共涉及108个腧穴,其总出现频次为862次。②使用频次前5位的腧穴依次为百会、神庭、四神聪、太溪、足三里。③选穴以督脉和头颈部腧穴最为常见,特定穴以交会穴运用最为广泛。④聚类分析总结出4个有效聚类群,分别为印堂-水沟-悬钟-本神-大椎-风府、合谷-太冲-丰隆、血海-中脘-足三里、神门-内关-三阴交。⑤关联规则分析得到13组常用关联组合,其中置信度最高组合为百会-太溪-神庭,支持度最高组合为百会-神庭、百会-四神聪。结论：针刺治疗血管性认知损害时选穴以阳经和头颈部为主,注重局部取穴、补泻兼施,从而达到补益脾肾、化痰行瘀、醒脑开窍的作用。

Abstract

Objective:To summarize and analyze the rules of acupoint selection and prescription for acupuncture treatment of vascular cognitive impairment (VCI) based on data mining technology, and to provide theoretical references for clinical treatment. MethodsBy searching the literatures of acupuncture treatment of VCI, a corresponding database was established, the frequency analysis of acupoints, meridian tropism, distribution and attributes of specific acupoints was carried out, and further cluster analysis and association rule analysis were conducted on high-frequency acupoints. Results:①Totally 105 articles were selected according to the criteria, involving 108 points with the total frequency of 862 times. ②The top five acupoints used frequently were Baihui (GV 20), Shenting (GV 24), Sishencong (EX-HN1), Taixi (KI 3) and Zusanli (ST 36). ③Acupoints on the Governor Vessel (GV), head and neck were the most commonly used, and crossing acupoints were the most widely used specific acupoints. ④Four effective clusters were concluded by cluster analysis, i.e., Yintang (EX-HN3)-Shuigou (GV 26)-Xuanzhong (GB 39)-Benshen (GB 13)-Dazhui (GV 14)-Fengfu (GV 16), Hegu (LI 4)-Taichong (LR 3)-Fenglong (ST 40), Xuehai (SP 10)-Zhongwan (CV 12)-Zusanli (ST 36), and Shenmen (HT 7)-Neiguan (PC 6)-Sanyinjiao (SP 6). ⑤Thirteen commonly used association groups were obtained through the analysis of association rules, of which the group with the highest confidence degree was Baihui (GV 20)-Taixi (KI 3)-Shenting (GV 24), and the group with the highest support degree was Baihui (GV 20)-Shenting (GV 24) and Baihui (GV 20)-Sishencong (EX-HN1). Conclusion:When acupuncture is used to treat VCI, acupoints on the yang meridians, head and neck are the main points to be selected and local acupoints are selected and used with both reinforcing and reducing methods to achieve the desired effects of tonifying spleen and kidney, resolving phlegm and removing blood stasis, refreshing brain and inducing resuscitation.

关键词

血管性认知损害血管性痴呆针刺选穴规律经脉特定穴数据挖掘

Keywords

vascular cognitive impairmentvascular dementiaacupunctureacupoint selection rulemeridianspecific acupointdata mining

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