摘要
目的:通过数据挖掘技术分析周楣声教授医案中的灸法学术思想。方法:在周楣声教授医案手稿中筛选与本研究相关的资料,人工检索临床灸治病种、灸法种类及灸治腧穴;以疾病类别及艾灸处方为线索,采用古今医案云平台、Gephi、SPSS Statistics 23、SPSS modeler 18软件对穴位进行描述性分析、关联规则分析及复杂系统熵聚类分析。结果:共统计579份病历,得到11类病种,主要以急症、热症为主;灸法应用于流行性出血热时,灸法组各项指标均优于西医组和中西组;灸法主要以熏灸和吹灸为主;共得到145个穴位,使用频次最多的为压痛穴,高频腧穴归经多属督脉;核心穴位为压痛穴+至阳+三阴交+足三里+大椎+灵台+心俞;关联规则显示主要为大椎+灵台、至阳+大椎、大椎+灵台+至阳、大椎+灵台+压痛穴、大椎+灵台+至阳+压痛穴;共得到10个有效灸治取穴聚类组合。结论:周楣声灸治思路主要以重点穴组为基础、加减辨病穴组;擅治急症、热症,提出“熏灸”“吹灸”新式灸法,创新性地将灸法应用于流行性出血热的治疗;选穴思想主要基于“压痛穴选穴法”“督脉选穴法”“阳光普照选穴法”和“经脏辨病取穴法”。
Objective:To analyze professor Zhou Meisheng´s academic thought of moxibustion in the medical cases based on data mining.Methods:The data related to this study were screened from Professor Zhou Meisheng´s manuscript of medical cases for manual retrieval of the diseases treated with moxibustion,the sorts of moxibustion and the acupoints of moxibustion;the disease category and moxibustion prescriptions were used as clues,the Ancient and Modern Medical Case Cloud Platform,Gephi,SPSS Statistics 23 and SPSS modeler 18 were applied to conduct the descriptive analysis,association rule analysis and complex system entropy clustering analysis on acupoints.Results:Altogether 11 kinds of diseases were gained from 579 medical cases,mainly emergency and fever;when moxibustion was used to treat epidemic hemorrhagic fever,the indexes of moxibustion group were better than these of Western medicine group and integrated traditional Chinese and Western medicine group;moxibustion contained fumigation-moxibustion and blowing-moxibustion;altogether 145 acupoints were obtained,and the tender points were used in the highest frequencies,and high-frequency acupoints mostly belonged to governor meridian;the core acupoints were tender points+Zhiyang(DU09)+Sanyinjiao(SP6)+Zusanli(ST36)+Dazhui(BU14)+Lingtai(DU10)+Xinshu(BL15);association rules displayed Dazhui+Lingtai,Zhiyang+Dazhui,Dazhui+Lingtai+Zhiyang,Dazhui+Lingtai+tender points,and Dazhui+Lingtai+Zhiyang+tender points;ten cluster combinations of the effective moxibustion therapy were yielded.Conclusion:Professor Zhou Meisheng´s thought of moxibustion is principally based on the key acupoint combinations,acupoint modification according to disease differentiation;he is skilled in treating acute disease and febrile disease,he puts forward to new type moxibustion such as"fumigation moxibustion""blowing moxibustion",and innovatively applies moxibustion in the treatment of epidemic hemorrhagic fever;his thought of choosing the acupoint is mainly on the foundation of"tender points selection""points selection of the governor meridian""points selection according to sunshine"and"points selection based on disease differentiation of the meridians and viscera".
作者
周冰原
朱才丰
李梦
张娜
贾玉梅
葛宏慧
王雪伟
ZHOU Bingyuan;ZHU Caifeng;LI Meng;ZHANG Na;JIA Yumei;GE Honghui;WANG Xuewei(Anhui University of Chinese Medicine,Hefei 230038,China;The Second Affiliated Hospital of Anhui University of Chinese Medicine,Hefei 230061,China)
出处
《西部中医药》
2025年第6期110-116,共7页
Western Journal of Traditional Chinese Medicine
基金
安徽省重点研究与开发计划项目(202104J07020012)
安徽省中医药传承创新科研项目(2024CCCX004)
安徽省华佗中医药研究院科技重大专项“揭榜挂帅”项目(BZKZ2402)
安徽省新安医学与中医药现代化研究所“揭榜挂帅”项目(2023CXMMTCM012)
安徽中医药大学教学研究项目(2024lnbkzk01)
周氏梅花针灸流派工作室项目(皖中医药发展秘〔2021〕30号)。
关键词
灸法
学术思想
医案手稿
数据挖掘
周楣声
moxibustion
academic thought
manuscript of medical cases
data mining
Zhou Meisheng
