摘要
目的:通过数据挖掘总结火龙罐灸治疗寒湿型腰椎间盘突出症(lumbar disc herniation,LDH)的核心穴位及首要经络。方法:检索中国知网(China National Knowledge Infrastructure,CNKI)、万方数据(WANFANG DATA)、维普中文科技期刊数据库(VIP)、中国生物医学文献服务系统(Chinese Biomedical Literature Service System,SinoMed)、PubMed、Web of Science、Embase和The Cochrane Library公开发表的火龙罐灸治疗寒湿型LDH的临床随机对照试验,检索时限为建库至2025年1月1日,根据纳入、排除标准筛选文献。采用Excel 2019建立数据库,统计腧穴频次、频率、归经、特定穴、火龙罐灸治疗方式,采用Cytoscape 3.10.0、SPSS Modeler 18.0、SPSS 26.0软件对数据进行描述性分析、“疾病证型-经络-穴位”网络构建、关联规则分析和聚类分析,总结核心穴位和主要经络。结果:共纳入文献143篇,包含腧穴75个,总使用频次为963次。其中使用频次最高的穴位为肾俞,腧穴所属归经主要为足太阳膀胱经;关联分析结果中有3条规则的支持度>50%,分别为肾俞-大肠俞、肾俞-腰阳关、委中-腰阳关。聚类分析获得腧穴有效聚类3个,正经有效聚类2个,腧穴分别为环跳-承山-昆仑-秩边-承扶-委中-阳陵泉、关元俞-腰俞、肾俞-大肠俞-腰阳关-命门-阿是穴-夹脊,正经分别为足少阳胆经-足太阴脾经-足太阳膀胱经、督脉-足阳明胃经-足少阴肾经。结论:火龙罐灸治疗寒湿型LDH存在明确的穴位和经络选择,核心穴组为大肠俞-腰阳关-阿是穴-夹脊-命门,首选经络为足少阳胆经-足太阴脾经-足太阳膀胱经,可为构建临床选择穴位经络处方提供循证依据。
Objective:To summarize the core acupoints and primary meridians and collaterals for fire-dragon cupping moxibustion in the treatment of lumbar disc herniation(LDH)of cold-damp type based on data mining.Methods:CNKI,Wanfang Data,VIP,SinoMed,PubMed,Web of Science,Embase,and the Cochrane Library were searched for randomized controlled trials on fire-dragon cupping moxibustion for the treatment of LDH of cold-damp type published up to January 1,2025,and the articles were screened based on inclusion and exclusion criteria.Excel 2019 was used to establish a database,and statistical analyses were performed for the frequency,frequency of use,and meridian entry of acupoints,as well as specific acupoints and the treatment modality of fire-dragon cupping moxibustion.Cytoscape 3.10.O,SPSS Modeler 18.O,and SPSS 26.0 were used to perform a descriptive analysis of data,construct a"disease syndrome type-meridianacupoint"network,conduct association rule analysis and cluster analysis,and summarize core acupoints and main meridians.Results:A total of 143 articles were included,involving 75 acupoints,with a total frequency of use of 963 times.Shenshu was the acupoint with the highest frequency of use,and the acupoints mainly entered the bladder meridian of foot-Taiyang.The association rule analysis showed a degree of support of>50%for 3 rules,i.e.,Shenshu-Dachangshu,ShenshuYaoyangguan,and Weizhong-Yaoyangguan.The cluster analysis obtained three effective clusters of acupoints(i.e.,Huantiao-Chengshan-Kunlun-Zhibian-Chengfu-Weizhong-Yanglingquan,Guanyuanshu-Yaoshu,and Shenshu-DachangshuYaoyangguan-Mingmen-Ashi-Jiaji)and two effective clusters of acupoints along the meridians(i.e.,gallbladder meridian of foot-Shaoyang/spleen meridian of foot-Taiyin/bladder meridian of foot-Taiyang and governor vessel/stomach meridian of foot-Yangming/kidney meridian of foot-Shaoyin).Conclusion:There are specific acupoints and meridians for fire-dragon cupping moxibustion in the treatment of LDH of cold-damp type,with the core acupoint combination of Dachangshu-Yaoyangguan-Ashi-Jiaji Mingmen and the preferred meridian of gallbladder meridian of foot-Shaoyang/spleen meridian of foot-Taiyin/bladder meridian of foot-Taiyang,which provides a basis for developing meridian prescriptions for selection of acupoints in clinical practice.
作者
陈星月
王灿
龙紫琼
刘尚
洪艺彤
张笑笑
陈燕
林静
CHEN Xingyue;WANG Can;LONG Ziqiong;LIU Shang;HONG Yitong;ZHANG Xiaoxiao;CHEN Yan;LIN Jing(School of Nursing,Hunan University of Chinese Medicine,Changsha 410208,Hunan,China;Hunan Academy of Chinese Medicine,Changsha 410013,Hunan,China)
出处
《湖南中医杂志》
2025年第11期42-48,共7页
Hunan Journal of Traditional Chinese Medicine
基金
湖南省自然科学基金项目(2023IJ60031)
湖南省财政厅2024年省补助卫生健康项目(50502)
湖南省卫生健康高层次人才重大科研专项(R2023092)。
关键词
腰椎间盘突出症
寒湿型
火龙罐灸
选穴规律
数据挖掘
lumbar disc herniation
cold damp type
fire-dragon pot moxibustion
acupoint selection
data mining
