摘要
目的:运用数据挖掘和知识图谱构建分析名老中医周楣声灸法治疗腰痛的规律。方法:以周楣声遗留手稿、现存著作中的灸法治疗腰痛医案为研究对象,收集病种、症状、舌象、脉象、证型、灸法、穴位等信息。运用古今医案云平台V 2.3.7进行频数统计及社团分析,SPSS26.0对高频穴位进行聚类分析,SPSS Modeler 18.0对高频穴位进行关联规则分析,并将产生的链接数据导入Cytoscape 3.9.1中进行复杂网络分析。基于数据挖掘结果,构建周楣声灸法治疗腰痛知识图谱,通过Neo4j3.5.25图数据库实现知识图谱的数据储存与展示,并运用Cypher查询语言进行知识图谱检索与发现。结果:共收集到219个医案,涉及14个病种,相关临床症状85个,5种相关中医证型,6种灸治方法。穴位多归经于督脉、足太阳膀胱经及非经非穴。复杂网络分析所得腧穴核心组方为压痛穴、肾俞、筋缩、阴交、腰阳关、阳陵泉,基本与高频腧穴相一致。聚类分析得到4个聚类组合。社团分析得到6个社团,分别与不同穴位相对应。构建的知识图谱共包含187个节点和696条关系,检索与腰痛相关的临床要素,得到病种-灸法关联图谱、病种-穴位关联图谱、伴随症状-穴位关联图谱、证型-配穴关联图谱。结论:周楣生灸治腰痛时以通为法,辨病施法、依病选穴、随症配穴,常以压痛穴、肾俞、筋缩、阴交、腰阳关、阳陵泉为核心穴位,结合压痛取穴、经脉脏腑辨证取穴、“阳光普照区”取穴、阴阳配穴,同时善用中注、耳尖等特殊穴位,重视改革灸具,创新灸法,采用不同的富有特色的灸具灸法治疗腰痛。
Objective To analyze the rules of moxibustion for low back pain by ZHOU Meisheng by using data mining and knowledge graph technology.Methods Taking the medical cases of moxibustion for low back pain from ZHOU Meisheng's legacy manuscripts and existing works as the research objects,information on disease types,symptoms,tongue manifestations,pulse conditions,syndrome patterns,moxibustion methods and acupoints were collected.Frequency statistics and community analysis were conducted by the ancient and modern medical record cloud platform V 2.3.7,cluster analysis of high-frequency acupoints was performed by SPSS26.0,association rule analysis of high-frequency acupoints was performed by SPSS Modeler 18.0,and the generated linked data were imported into Cytoscape 3.9.1 for complex network analysis.Knowledge graph of moxibustion for low back pain by ZHOU Meisheng was constructed based on the results of data mining.The data storage and display of knowledge graph were realized through the Neo4j 3.5.25 graph database,and the Cypher query language was used for knowledge graph retrieval and discovery.Results A total of 219 medical cases were collected,involving 14 disease types,85 related clinical symptoms,5 related TCM syndrome types,and 6 moxibustion methods.The acupoints were mostly attributed to the governor vessel,the bladder meridian of foot-taiyang,non-meridian and non-acupoint areas.The core prescription of acupoints derived from complex network analysis included tender points,Shenshu(BL23),Jinsuo(GV8),Yinjiao(CV7),Yaoyangguan(GV3),Yanglingquan(GB34),which were largely coincides with high-frequency acupoints.Cluster analysis obtained 4 cluster combinations.Community analysis yielded 6 communities,each corresponding to different acupoints.The constructed knowledge graph contained 187 nodes and 696 relationships,by retrieving clinical elements related to low back pain,the disease-moxibustion association graph,disease-acupoint association graph,accompanying symptom-acupoint association graph and syndrome type-matching point association graph were obtained.Conclusion When treating low back pain with moxibustion,ZHOU Meisheng adopts the principle of promoting circulation,distinguishing diseases to determine the treatment,selecting acupoints according to the diseases,and matching points according to the symptoms.And taking tender points,Shenshu(BL23),Jinsuo(GV8),Yinjiao(CV7),Yaoyangguan(GV3),Yanglingquan(GB34)as core acupoints,combined with tenderness point selection,acupoint selection based on meridian and zangfu syndrome differentiation,"sunshine area"acupoint selection,yin-yang acupoint matching.Additionally,he skillfully employs special points,such as Zhongzhu(KI15)and ear tips,pays attention to the reform of moxibustion tools,and innovates the moxibustion techniques,using distinctive moxibustion tools and methods to treat low back pain.
作者
王弛
朱才丰
张佳玉
周冰原
陈晓宇
程乐
谢苗苗
丁雪纯
WANG Chi;ZHU Caifeng;ZHANG Jiayu;ZHOU Bingyuan;CHEN Xiaoyu;CHENG Le;XIE Miaomiao;DING Xuechun(Second School of Clinical Medicine,Anhui University of CM,Hefei 230061,China;Third Department of Geriatrics,Second Affiliated Hospital of Anhui University of CM,Hefei 230061)
出处
《中国针灸》
北大核心
2025年第6期823-833,共11页
Chinese Acupuncture & Moxibustion
基金
安徽省中医药传承创新科研项目:2024CCCX004
大健康研究院新安医学与中医药现代化研究所专项资金资助项目:2023CXMMTCM012
周氏梅花针灸流派工作室项目:皖中医药发展秘[2021]30号
安徽省重点研究与开发计划项目:202104J07020012
安徽省自然科学基金项目:2208085MH273
安徽省卫生健康委科研项目:AHWJ2021b033。
关键词
周楣声
灸法
腰痛
知识图谱
数据挖掘
ZHOU Meisheng
moxibustion method
low back pain
knowledge graph
data mining
