1.上海中医药大学附属岳阳中西医结合医院(上海 201203)
2.上海市针灸经络研究所(上海 200030)
尚盼盼,女,硕士研究生,主要从事针灸防治哮喘的临床与实验研究工作
徐玉东,博士,副研究员;E-mail:xuyudong@shutcm.edu.cn
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尚盼盼, 张雪, 程觅, 等. 基于数据挖掘的针灸治疗哮喘临床取穴规律研究[J]. 上海中医药杂志, 2021,55(7):9-16.
Panpan SHANG, Xue ZHANG, Mi CHENG, et al. Data-mining based analysis on acupoint selection laws of acupuncture and moxibustion in treatment of asthma[J]. Shanghai Journal of Traditional Chinese Medicine, 2021,55(7):9-16.
尚盼盼, 张雪, 程觅, 等. 基于数据挖掘的针灸治疗哮喘临床取穴规律研究[J]. 上海中医药杂志, 2021,55(7):9-16. DOI: 10.16305/j.1007-1334.2021.2005036.
Panpan SHANG, Xue ZHANG, Mi CHENG, et al. Data-mining based analysis on acupoint selection laws of acupuncture and moxibustion in treatment of asthma[J]. Shanghai Journal of Traditional Chinese Medicine, 2021,55(7):9-16. DOI: 10.16305/j.1007-1334.2021.2005036.
目的,2,总结分析针灸治疗哮喘的临床取穴规律,以期为针灸临床实践及科研活动提供参考。,方法,2,检索并筛选中国知网、万方、PubMed等期刊论文数据库中2000年1月至2019年12月期间国内外发表的针灸治疗哮喘的临床研究文献,应用Excel 2010软件整理文献中的腧穴处方数据并统计腧穴的使用频次、分布部位、归经和特定穴类别等信息,进一步采用SPSS 24.0软件对临床常用腧穴(使用频次前22位、使用频率大于1%)之间的关联进行聚类分析。,结果,2,①最终选定文献总计190篇,其中中文文献170篇,英文文献20篇。②针灸处方中单穴累计为94个,取穴总计990频次,腧穴按使用频率由高至低排序依次为肺俞、定喘、大椎等。③特定穴在哮喘的针灸治疗中应用广泛,以背俞穴、交会穴与五输穴的使用频次较高。④取穴基本涵盖了十四经,较常用的经脉包括膀胱经、肺经、任脉等,其中以膀胱经腧穴的出现频率最高,非十四经(经外奇穴)的出现频率也较高;阳经的使用频次明显高于阴经。⑤常用腧穴的分布以胸背部和四肢部为主。⑥聚类分析获得2个主要腧穴聚类群,第一类中包括6组常用腧穴组方(如“合谷-大杼-中府”),第二类包括3个核心腧穴组(如“肾俞-脾俞”)。,结论,2,通过数据分析可归纳总结出“从肺论治,兼顾脾肾;多取膀胱经,对症选穴,标本同治”的临床取穴规律,这对针灸治疗哮喘的临床和基础研究选穴思路具有重要的参考意义。
Objective,2,To analyze and summarize the clinical acupoint selection laws of acupuncture and moxibustion in treating asthma for the purpose of providing reference for clinical practice and scientific research activities of acupuncture and moxibustion.,Methods,2,Clinical research literatures on acupuncture and moxibustion treatment of asthma published from January 2000 to December 2019 were retrieved from CNKI, Wanfang, PubMed and other academic databases. Excel 2010 software was used to sort out the following data of acupoints in the literatures, including the frequency, distribution sites, meridian tropism and specific acupoint categories. Furthermore, SPSS 24.0 software was used to cluster the correlations among commonly used clinical acupoints (top 22 acupoints in the frequency of use and with use frequency greater than 1%).,Results,2,①A total of 190 literatures were selected, including 170 Chinese literatures and 20 English literatures. ②The total number of acupoints in acupuncture prescription reached 94, and the total use frequency of acupoints was 990. According to the use frequency from high to low, these acupoints were as follows: Feishu (BL13), Dingchuan (EX-B1) and Dazhui (GV14), etc. ③Specific points were widely used in acupuncture and moxibustion treatment of asthma, especially back-shu points, confluent points and five-shu points were acupoints used more frequently. ④All 14 meridians were involved in the selection of acupoints, and the commonly selected meridians were bladder meridian, lung meridian, ren meridian, etc. The use frequency of acupoints in bladder meridian ranked the highest, and the use frequency of extra-meridian points was also relatively higher. The use frequency of yang meridians was significantly higher than that of yin meridians. ⑤The distribution of commonly used acupoints was mainly in chest, back and four limbs. ⑥Two main acupoint clusters were obtained through cluster analysis. The first cluster included 6 commonly used acupoint groups [such as "Hegu (LI 4)- Dazhu (BL 11)- Zhongfu (LU 1)" ], and the second cluster included 3 core acupoint groups [such as "Shenshu (BL 23)- Pishu (BL 20)" ].,Conclusions,2,Through data analysis, it can be concluded that acupuncture and moxibustion treatment of asthma follows the following clinical acupoint selection laws: "Treat the lung first while the spleen and kidney are also taken into account; Select most acupoints from the bladder meridian; Select symptomatic points for the treatment and treat both the root cause and symptoms." These laws provide important references to the acupoint selection in the clinical and fundamental research on acupuncture and moxibustion treatment of asthma.
针灸哮喘数据挖掘腧穴经络临床研究取穴规律
acupuncture and moxibustionasthmadata miningacupointmeridianclinical researchacupoint selection law
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