LIN Yushan, LU Biaoqing. Study on rules of acupuncture point selection for tinnitus treatment in modern literature. [J]. Shanghai Journal of Traditional Chinese Medicine 54(12):21-27(2020)
DOI:
LIN Yushan, LU Biaoqing. Study on rules of acupuncture point selection for tinnitus treatment in modern literature. [J]. Shanghai Journal of Traditional Chinese Medicine 54(12):21-27(2020) DOI: 10.16305/j.1007-1334.2020.1906035.
Study on rules of acupuncture point selection for tinnitus treatment in modern literature
Objective:To study rules of acupuncture point selection for tinnitus treatment in modern literature based on data mining to provide more effective and scientific reference for acupuncture prescriptions for clinical treatment of tinnitus. MethodsThe relevant literatures of acupuncture treatment of tinnitus from January 1,1960 to December 31,2018 were retrieved from databases, and the frequency, meridian tropism, location, characteristics and indications of the selected acupoints were statistically analyzed. Cluster analysis, association rules and neural network model were further used to mine and analyze the rules of acupoint selection. Results:① A total of 220 articles were obtained, including 214 articles written in Chinese and 6 articles in English. ②There were 69 acupoints used as the main points in the research literature. The acupoints selected with a higher frequency of use (over 20%) were Tinghui (GB 2), Tinggong (SI 19), Yifeng (SJ 17), Ermen (SJ 21), Zhongzhu (SJ 3), Fengchi (GB 20) and Baihui (DU 20) in turn. Acupuncture treatment of tinnitus varied according to the syndromes of patients, as shown in the combination of points. For example, the complementary points selected with a higher frequency were Taixi (KI 3), Shenshu (BL 23) and Guanyuan (RN 4) in turn for the syndromes of liver and kidney deficiency (including liver and kidney deficiency, kidney essence deficiency and kidney deficiency).③The acupoints selected for tinnitus treatment mainly located at the head and neck, limbs, back and abdomen, among which, the main points locating at the head,especially around the ears, accounting for 68.91%, while the complementary points accounting for 59.32% mainly located in the lower limbs. ④Most main points selected for tinnitus treatment were on the Sanjiao meridian, followed by Gallbladder meridian and Small Intestine meridian. Most complementary points selected for tinnitus treatment were on the Stomach meridian, followed by Liver meridian and Gallbladder meridian. ⑤Selected acupoints (including main points and complementary points) for tinnitus treatment attached great importance to the application of specific points. The use of specific points accounted for 52.17% of the total, of which Five-Shu points were the most frequently used, and the complementary points were mostly specific points.⑥Accord to the cluster analysis, Tinggong (SI 19), Yifeng (SJ 17) and Tinghui (GB 2) formed the core combination of main points for the treatment of tinnitus. ⑦The analysis of association rules showed that the combination of the two main points with the strongest correlation was Fengchi (GB 20)-Tinghui (GB 2), the combination of the three main points with the strongest correlation was Zhongzhu (SJ 3)-Tinghui (GB 2)-Ermen (SJ 21), and the combination of the four main points with the strongest correlation was Zhongzhu (SJ 3)-Yifeng (SJ 17)-Tinghui (GB 2)-Ermen (SJ 21). ⑧The neural network model indicated that the correlation among the five points of “Tinggong (SI 19), Tinghui (GB 2), Zhongzhu (SJ 3), Yifeng (SJ 17) and Ermen (SJ 21)” was relatively strong. Conclusion:sThe acupuncture prescriptions for the tinnitus treatment often use main points and complementary points together. The main points are mostly local points along the meridians around the ears and the complementary points are often selected along the meridians at the distal part and based on syndrome differentiation. Meanwhile, the selection of specific points is paid special attention to when treating tinnitus with acupuncture. In clinical acupoint selection, satisfactory treating effects can be achieved by combining disease differentiation, meridian differentiation with syndrome differentiation.
关键词
耳鸣针灸腧穴经络选穴规律数据挖掘
Keywords
tinnitusacupunctureacupointsmeridian and collateralrule of acupoint selectiondata mining
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