摘要
目的:通过数据挖掘和可视化分析,探讨针灸治疗炎症性肠病的选穴规律。方法:检索中国知网(CNKI)、万方数据(WanFang)、维普数据(VIP)、PubMed、Web of Science自2000年1月-2023年12月与针灸治疗炎症性肠病文献共计2 977篇,采用Excel软件进行数据整理分类与频次分析,使用SPSS Modeler 18.0、Cytoscape、SPSS Statistics 25.0对主穴高频腧穴进行关联规则分析和聚类分析。结果:共纳入文献379篇,获得主穴处方379条,涉及主穴99个。其中使用频次较高的腧穴依次为天枢、足三里、上巨虚、中脘、关元,以足阳明胃经、任脉和足太阳膀胱经为主,胸、腹、胁部腧穴频次居多,在特定穴中则以募穴使用频次最高。检索文献中还有38篇涉及辨证配穴,主要为脾虚证、湿热证和气滞血瘀证的分型论治。在腧穴配伍方面,关联规则支持度较高为天枢-关元、天枢-中脘-足三里、天枢-上巨虚-足三里、天枢-关元、天枢-气海-足三里。高频腧穴聚类分析为5个有效聚类群。结论:针灸治疗炎症性肠病以远近配穴和合募配穴为主,健脾理气的同时注重培补肝肾。
Objective:To explore acupoint selection patterns for acupuncture treatment of inflammatory bowel disease through data mining and visualization analysis.Methods:2977 articles related to acupuncture treatment of inflammatory bowel disease were retrieved from five literature databases including CNKI,WanFang,VIP,PubMed,and Web of Science from January 2000 to December 2023.Excel software was used for data organization,classification,and frequency analysis.SPSS Modeler 18.0,Cytoscape and SPSS Statistics 25.0 were used for association rule analysis and clustering analysis of high-frequency acupoints.Results:This study included a total of 379 articles,resulting in 379 primary acupoint prescriptions involving 99 different main acupoints.The most frequently used acupoints were Tianshu(ST25),Zusanli(ST36),Shangjuxu(ST37),Zhongwan(CV12),and Guanyuan(CV4),mainly from the Stomach Meridian of Foot Yangming,Conception Vessel,and Bladder Meridian of Foot Taiyang.Acupoints on the chest,abdomen and flank were most commonly used,with the highest frequency in specific acupoints such as front-mu points.38 articles mentioned differential acupoint selection,mainly focusing on syndrome differentiation and treatment for Spleen deficiency,Damp-Heat syndrome,and Qi Stagnation with Blood Stasis syndrome.In terms of acupoint compatibility,high-support association rules included Tianshu(ST25)-Guanyuan(CV4),Tianshu(ST25)-Zhongwan(CV12)-Zusanli(ST36),Tianshu(ST25)-Shangjuxu(ST37)-Zusanli(ST36),Tianshu(ST25)-Guanyuan(CV4),Tianshu(ST25)-Qihai(CV6)-Zusanl(ST36).Cluster analysis categorized high-frequency acupoints into five effective clusters.Conclusion:Acupuncture treatment for inflammatory bowel disease primarily focuses on the distal-proximal points combination and Xiahe-Mu points combination,emphasizing spleen invigoration while also emphasizing nourishment of the liver and kidneys.
作者
金涵
戴慧娟
邹佳玲
李兰
孙严
杨妞妞
Jin Han;Dai Huijuan;Zou Jialing;Li Lan;Sun Yan;Yang Niuniu(Medical College,Yangzhou University,Yangzhou 225009,China;The Key Laboratory of Syndrome Differentiation and Treatment of Gastric Cancer of the State Administration of Traditional Chinese Medicine,Yangzhou 225009,China)
出处
《亚太传统医药》
2025年第8期127-133,共7页
Asia-Pacific Traditional Medicine
基金
中国博士后科学基金第13批特别(站中)资助项目(2020T130562)。
关键词
炎症性肠病
数据挖掘
可视化分析
针灸
选穴规律
Inflammatory Bowel Disease
Data Mining
Visualization Analysis
Acupuncture
Acupoint Selection Patterns
