Data mining based analysis of acupoint selection principles in acupuncture treatment of post-stroke balance dysfunction

Chunrong BAO; Yingxi ZHONG; Wanqing LIN; Nianhong WANG; Yi WU

doi:10.16305/j.1007-1334.2021.2012148

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Data mining based analysis of acupoint selection principles in acupuncture treatment of post-stroke balance dysfunction

更新时间：2022-08-03

- Data mining based analysis of acupoint selection principles in acupuncture treatment of post-stroke balance dysfunction
- Shanghai Journal of Traditional Chinese Medicine Vol. 55, Issue 9, Pages: 21-25,29(2021)
- 作者机构：
  
  1.上海中医药大学康复医学院（上海　201203）
  2.复旦大学附属华山医院康复医学科（上海　200040）
  3.福建中医药大学附属人民医院针灸科（福建　福州　350004）
- 作者简介：
- 基金信息：
- DOI：10.16305/j.1007-1334.2021.2012148
  CLC：
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Chunrong BAO, Yingxi ZHONG, Wanqing LIN, et al. Data mining based analysis of acupoint selection principles in acupuncture treatment of post-stroke balance dysfunction. [J]. Shanghai Journal of Traditional Chinese Medicine 55(9):21-25,29(2021)
DOI：

Chunrong BAO, Yingxi ZHONG, Wanqing LIN, et al. Data mining based analysis of acupoint selection principles in acupuncture treatment of post-stroke balance dysfunction. [J]. Shanghai Journal of Traditional Chinese Medicine 55(9):21-25,29(2021) DOI： 10.16305/j.1007-1334.2021.2012148.

摘要

目的,2,分析针刺治疗中风后平衡功能障碍的选穴规律，为临床提供思路。,方法,2,检索中国期刊全文数据库、万方数据知识服务平台、维普中文科技期刊数据库、中国生物医学文献数据库、Embase数据库、PubMed数据库中针刺治疗中风后平衡功能障碍的相关文献，文献发表时间为2010年1月1日至2020年9月1日。建立针刺处方数据库，通过频数分析、关联规则分析、聚类分析对腧穴与经络的选用规律进行分析与总结。,结果,2,①共纳入142篇文献，涉及腧穴167个，总计使用频次1 239。②使用频次居前3位的腧穴依次为足三里、阳陵泉、曲池，使用频次居前3位的经络依次为足太阳膀胱经、足阳明胃经、手阳明大肠经。③针刺部位以四肢部、头面颈项部和背部为主，特定穴中以五输穴使用最为广泛。④关联规则分析结果显示，置信度最高的腧穴组合为肝俞-肾俞、顶颞前斜线-顶旁1线以及阳明经穴之间的相互配伍。⑤聚类分析后得到8个主要类群，并据此得出相应的取穴思路。,结论,2,针刺治疗中风后平衡功能障碍以循经取穴为原则，取阳经穴位为主，遵循“治痿独取阳明”“醒脑开窍”“通督调神”“疏经调脏”等治法，并灵活选用夹脊穴、背俞穴、跷脉穴及头针进行治疗，同时注重五输穴的使用。

Abstract

Objective,2,To summarize the principles of point selection in acupuncture treatment of post-stroke balance dysfunction for the purpose of providing references for clinical practice.,Methods,2,Related literatures of acupuncture treatment of post-stroke balance dysfunction published from January 1, 2010 to September 1, 2020 were searched and collected from databases including CJFD, Wanfang, VIP, SinoMed, Embase and PubMed to establish acupuncture prescription database. The selection principles of acupoints and meridians were analyzed and summarized through frequency analysis, association rule analysis and cluster analysis.,Results,2,①Totally 142 articles were included, involving 167 acupoints with a total frequency of 1,239. ②The most frequently used acupoints were Zusanli (ST 36), Yanglingquan (GB 34) and Quchi (LI 11) in turn, and the most frequently used meridians were Bladder Meridian of Foot Taiyang (BL), Stomach Meridian of Foot Yangming (ST) and Large Intestine Meridian of Hand Yangming (LI) in turn. ③The acupuncture sites mainly focused on the limbs, head, face, neck, nape and back, and Five-Shu points were the most widely used specific points. ④According to the results of association rule analysis, the combination of acupoints with the highest confidence was Ganshu (BL 18)-Shenshu (BL 23), anterior oblique parietotemporal line-lateral line 1 of vertex, and the mutual compatibility of Yangming meridian points. ⑤ Eight main groups were obtained from cluster analysis and the corresponding principles of acupoint selection were also analyzed.,Conclusions,2,Acupuncture treatment of post-stroke balance dysfunction is based on the principle of selecting points along meridians, which mainly selects Yang meridian points. It adopts such treatment methods as "treating flaccidity specifically with Yangming meridian" , "refreshing brain and inducing resuscitation" , "dredging governor vessel and regulating mind" , as well as "dredging meridians and regulating viscera" , and flexibly selects Jiaji points, Back-Shu points, points of Qiao meridians and scalp acupuncture for treatment with the emphasis on the use of Five-Shu points as well.

关键词

中风平衡功能障碍针刺选穴规律数据挖掘

Keywords

strokebalance dysfunctionacupunctureacupoint selection principledata mining

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