摘要
目的运用数据挖掘技术分析针灸治疗带状疱疹后遗神经痛(PHN)的选穴规律。方法检索中国知网、维普、万方、中国生物医学文献数据库从建库至2021年12月,以针灸疗法治疗PHN的临床文献,建立选穴处方数据库,运用SPSS统计软件进行数据挖掘,分析腧穴配伍的规律。结果共纳入276条针灸处方,涉及91个腧穴,使用频次最高的腧穴为阿是穴、夹脊穴;经脉选用以胆、脾、胃经最多;关联度最高的腧穴组合与选用频次对应;通过聚类分析,可得到5个聚类群。结论针灸治疗PHN以阿是穴和夹脊穴为基础,并根据皮损部位循经取穴,注重局部与远端取穴相结合,配合辨证论治,以达到清肝泻火、健脾祛湿、清热解毒的功效。
Objective To analyze the rules of acupuncture point selection patterns for postherpetic neuralgia(PHN)using data mining techniques.Methods The clinical literature on the treatment of PHN with acupuncture therapy was searched from China Knowledge Network,VIP,Wanfang,and China Biomedical Literature Database from its establishment to December 2021 to establish a database of selected acupuncture point prescriptions,and data mining was performed using SPSS statistical software to analyze the patterns of acupuncture point dispensing.Results A total of 276 acupuncture prescriptions involving 91 acupoints were included,and the most frequently used acupoints were āshìand jiájǐ;the meridians with the most selection were the gallbladder,spleen,and stomach meridians;the combination of acupoints with the highest correlation corresponded to the frequency of selection;through cluster analysis,five clusters could be obtained.Conclusion Acupuncture treatment for PHN is based on āshìacupuncture point and jiájǐacupuncture point,and acupuncture points are taken according to the site of skin lesion following the meridian,focusing on the combination of local and distal acupuncture points,together with dialectical evidence,in order to achieve the effect of clearing liver and fire,strengthening spleen and dispelling dampness,clearing heat and detoxifying.
作者
郭晨琪
张健烽
张宇
GUO Chenqi;ZHANG Jianfeng;ZHANG Yu(Graduate School,Tianjin University of Traditional Chinese Medicine,Tianjin 301617,China;Department of Dermatology,Affiliated Hospital of Tianjin Academy of Traditional Chinese Medicine Tianjin Dermatology Institute of Integrated Chinese and Western Medicine,Tianjin 300120,China)
出处
《中国医药导报》
CAS
2022年第31期27-30,共4页
China Medical Herald
基金
天津市卫生健康委员会中医药重点领域科研项目(2019002)。
关键词
针灸
数据挖掘
带状疱疹后遗神经痛
选穴规律
Acupuncture
Data mining
Postherpetic neuralgia
Rules of acupoint selection