摘要
目的:基于数据挖掘分析针刺治疗癌痛的选穴规律。方法:检索近10年PubMed数据库及中国期刊全文数据库(CNKI)、维普数据库(VIP)、万方数据知识服务平台三大中文期刊全文数据库收录并公开发表的关于针刺治疗癌痛的文章,收集处方中的穴位信息,运用中医传承辅助平台软件(TCMISS V2.5)中的数据挖掘方法进行数据分析。结果:共获取68篇文献,纳入73首腧穴组方,涉及117个穴位,主要归膀胱经、胃经、肝经、脾经。其中使用频次≥4的腧穴有40个,排在前3位分别是足三里65次,内关55次,太冲50次;使用频次≥19的常用腧穴组合68个,前3位腧穴组合分别是足三里-内关、太冲-足三里、足三里-三阴交;获取强关联腧穴组合规则103条;基于熵聚类算法获取候选新腧穴组合20个及新腧穴处方10首。结论:针刺治疗癌痛取穴经脉主要以膀胱经、胃经、肝经、脾经为主,其中以足三里、内关、太冲、合谷、三阴交、阿是穴为组方核心腧穴,以调脾胃、治血气为针刺治疗癌痛之大法。
Objective To analyze the rule of acupoint selection for cancer pain based on data mining. Methods The published literature regarding acupuncture for cancer pain in the recent 10 years was searched in PubMed, CNKI, VIP and Wanfang database. The acupoint selection was summarized and analyzed by TCMISS V2.5. Results Totally 68 literature was colle[1]cted and 73 acupoint prescriptions were included, involving 117 acupoints. These acupoints were mainly in bladder meridian, stomach meridian, liver meridian and spleen meridian. Among them, 40 acupoints used more than 4 times were identified, and the top three acupoints were Zusanli(ST 36, 65 times), Neiguan(PC 6, 55 times) and Taichong(LR 3, 50 times). A total of 68 acupoint combinations used more than 19 times were identified, and the top three acupoint combinations were Zusanli(ST 36)-Neiguan(PC 6), Taichong(LR 3)-Zusanli(ST 36) and Zusanli(ST 36)-Sanyinjiao(SP 6). There were 103 acupoint combinations with strong association;based on the entropy clustering algorithm, 20 new acupoint combinations and 10 new acupoint prescriptions were obtained. Conclusion The main meridians for cancer pain are bladder meridian, stomach meridian, liver meridian and spleen meridian, with Zusanli(ST 36), Neiguan(PC 6), Taichong(LR 3), Hegu(LI 4), Sanyinjiao(SP 6) and ashi points as core acupoints, and regulating spleen-stomach and treating qi-blood are the main principles.
作者
唐翠娟
荣震
杨梦娜
洪晓华
王同彪
TANG Cui-juan;RONG Zhen;YANG Meng-na;HONG Xiao-hua;WANG Tong-biao(Graduate School of Guangxi University of CM,Nanning 530200,China;First Affiliated Hospital of Guangxi University of CM,Nanning 530000)
出处
《中国针灸》
CAS
CSCD
北大核心
2020年第3期331-336,共6页
Chinese Acupuncture & Moxibustion
基金
国家自然科学基金地区项目:81660774、81760850
广西壮瑶药制剂提升工程项目:GZZJ16-04
广西壮族自治区科技厅重点研发计划项目:桂科AB17195067。
关键词
癌痛
关联规则
熵聚类
针刺
选穴规律
cancer pain
association rules
entropy clustering
acupuncture
rules of acupoint selection
