1. 上海中医院大学附属曙光医院针灸科,上海,201203
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陈爱文, 李亚娟, 马文, 等. 基于中医传承辅助平台的针刺治疗癌痛选穴规律数据挖掘研究[J]. 上海中医药杂志, 2017,51(6):16-20.
CHEN Ai-wen, LI Ya-juan, MA Wen, et al. Study on data mining of acpoints selection in acupuncture treatment of cancer pain based on traditional Chinese medicine inheritance support system[J]. Shanghai Journal of Traditional Chinese Medicine, 2017,51(6):16-20.
陈爱文, 李亚娟, 马文, 等. 基于中医传承辅助平台的针刺治疗癌痛选穴规律数据挖掘研究[J]. 上海中医药杂志, 2017,51(6):16-20. DOI:
CHEN Ai-wen, LI Ya-juan, MA Wen, et al. Study on data mining of acpoints selection in acupuncture treatment of cancer pain based on traditional Chinese medicine inheritance support system[J]. Shanghai Journal of Traditional Chinese Medicine, 2017,51(6):16-20. DOI:
目的:运用中医传承辅助平台系统对临床研究文献进行数据挖掘,总结针刺治疗癌痛的选穴规律,为临床针刺治疗癌痛提供新思路。 方法:检索2016年6月30日前中国知网数据库(CNKI)及万方医学网收录的针刺治疗癌痛的临床研究文献,将癌症病名、疼痛部位、穴位处方等信息录入中医传承辅助平台,利用软件集成的数据挖掘工具,分析针刺治疗癌痛的选穴规律。 结果:①共纳入文献87篇,针刺处方146首,涉及穴位104个。②针刺治疗癌痛的类型分布多集中在癌痛的原发病方面,排在前3位的原发病分别为肝癌、胃癌、肺癌。③总体穴位应用频次由高到低依次为足三里、内关、三阴交、合谷、阿是穴等。④肝癌癌痛应用穴位出现频次由高到低依次为足三里、三阴交、肝俞、期门、太冲等;最常见且关联度较高的配穴有“足三里三阴交”“三阴交期门”及“三阴交期门章门”等。⑤胃癌癌痛应用穴位出现频次由高到低依次为足三里、中脘、三阴交、内关、合谷等;最常见且关联度较高的配穴有“足三里中脘”“足三里三阴交”“足三里内关”等。⑥肺癌癌痛应用穴位出现频次由高到低依次为内关、肺俞、孔最、阿是穴、合谷等;最常见且关联度较高的配穴有“肺俞合谷”“肺俞内关”“内关孔最”等。⑦肝癌癌痛新处方为太冲、心俞、三阴交、行间、肝俞;胃癌癌痛新处方为合谷、手三里、内关、阴陵泉、胃俞;肺癌癌痛新处方为阿是穴、尺泽、手三里、孔最、肾俞。 结论:中医传承辅助平台作为一种数据挖掘、探析隐匿临床信息规律的重要辅助工具,能较好地总结出临床针刺治疗癌痛的配穴规律,且系统生成的新处方可为临床针刺治疗癌痛提供新思路。
Objective:To summarize the rule of acupoints selection in acupuncture treatment of cancer pain based on data mining of clinical research literature by traditional Chinese medicine inheritance support system(TCMISS),and provide new ideas for clinical therapy. Methods The clinical research literature about acupuncture in the treatment of cancer pain which included before June 30,2016 were searched in China national knowledge infrastructure(CNKI)database and Wanfang medical network. The information on cancer site,pain site,acupuncture prescriptions were collected in TCMISS. The rule of acupoints selection in acupuncture treatment of cancer pain was analyzed by the software of integrated data mining tools. Results: ①A total of 87 articles are included,and there are 146 acupuncture prescriptions involving 104 acpoints. ②The acupuncture treatment of cancer pain mainly focus on the primary disease of cancer pain,and the top three of the primary disease are liver cancer,gastric cancer and lung cancer. ③Overall,the application frequency of acupoints from high to low are Zusanli(ST36),Neiguan(P6),Sanyinjiao(SP6),Hegu(LI4),Ashi point in order. ④The application frequency of acupoints in treating liver cancer pain from high to low are Zusanli,Sanyinjiao,Ganshu(B18),Qimen(Liv14),Taichong(Liv3)in order. The most common acupoint combination with higher correlation include “Zusanli- Sanyinjiao”,“ Sanyinjiao-Qimen” and “Sanyinjiao-Qimen-Zhangmen(Liv13)”. ⑤The application frequency of acupoints in treating gastric cancer pain from high to low are Zusanli,Zhongwan(CV12),Sanyinjiao,Neiguan and Hegu in order. The most common acupoint combination with higher correlation include “Zusanli-Zhongwan”,“Zusanli-Sanyinjiao”,“Zusanli-Neiguan” . ⑥The application frequency of acupoints in treating lung cancer pain from high to low are Neiguan,Feishu(B13),Kongzui(LU6),Ashi point,Hegu in order. The most common acupoint combination with higher correlation include “Feishu-Hegu”,“Feishu-Neiguan”,“Neiguan-Kongzui”. ⑦The new prescription for liver cancer pain is Taichong,Xinshu(B15),Sanyinjiao,Xingjian(Liv2), Ganshu. The new prescription for gastric cancer pain is Hegu,Shousanli(LI10),Neiguan,Yinlingquan(SP9),Weishu(B21). The new prescription for lung cancer pain is Ashi point,Chize(LU5),Shousanli,Kongzui,Shenshu(B23). Conclusion: As an important assistant tool for data mining and rule analysis of the hidden clinical information,TCMISS can conclude the rule of acpoint compatibility in clinical acupuncture treatment of cancer pain,and the new prescriptions created by the system can provide new ideas for clinical acupuncture treatment of cancer pain.
癌痛针灸穴位配伍规律分析数据挖掘中医传承辅助平台
cancer painacupunctureacpoint compatibilityrule analysisdata miningTCMISS
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