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, 2020,54(8):31-36.
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, 2020,54(8):31-36. DOI: 10.16305/j.1007-1334.2020.08.000.
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.