摘要
针灸对脑卒中后遗症的恢复有极大的作用,该研究先从中医古籍中筛选出针灸治疗脑卒中后遗症的相关条文进行数据挖掘,结果如下:(1)共有95个穴位,使用频次前12位的穴位依次为曲池、阳陵泉、肩髃、环跳、百会、风市、列缺、悬钟、足三里、合谷、昆仑、手三里,共占总应用频次的50.22%。(2)从经脉角度分析,足少阳胆经应用频次最高,其次为手阳明大肠经、足阳明胃经、足太阳膀胱经。(3)特殊穴中,交会穴使用频次最高,占总频次25.62%,其次为合穴与下合穴。(4)关联分析中“曲池-肩髃”组合的频率最高,其次为风市-足三里、足三里-悬钟、曲池-悬钟等。再立足于“气—元论”的角度去分析上述结果,可以从“阳明之降乃人身最大的降机”的阖阳明与“甲胆一降,相火下密,阳根深固”的降甲胆两大方面去阐释,更好地指导临床。
Acupuncture has a great effect on the recovery of stroke sequelae.This study first screened out the relevant provisions of acupuncture for the treatment of stroke sequelae from ancient books of traditional Chinese medicine for data mining.The results were as follows:(1)There were 95 acupoints in total,and the top 12 acupoints were Quchi(LI11),Yanglingquan(GB34),Jianyu(LI15),Huantiao(GB30),Baihui(DU20),Fengshi(GB31),Lieque(LU7),Xuanzhong(GB39),Zusanli(ST36),Hegu(LI4),Kunlun(BL60)and Shousanli(LI10),accounting for 50.22%of the total application frequency.(2)From the perspective of meridians,the application frequency of the foot Shaoyang gallbladder meridian was the highest,followed by the hand Yangming large intestine meridian,Foot Yangming stomach meridian and foot Taiyang bladder meridian.(3)Among the special acupoints,the intersection acupoint was used the most frequently,accounting for 25.62%of the total frequency,followed by the combination acupoint and the lower combination acupoint.(4)In the correlation analysis,the frequency of“Quchi(LI11)-Jianyu(LI15)”combination was the highest,followed by Fengshi(GB31)-Zusanli(ST36),Zusanli(ST36)-Xuanzhong(GB39),Xuanzhong(GB39)-Zusanli(ST36),Quchi(LI11)-Xuanzhong(GB39),etc.Based on the perspective of“Qi monism”,the above results can be analyzed from the two aspects that“closing Yangming is the biggest descending mechanism of the human body”and“the more Jia wood Qi of foot Shaoyang gallbladder meridian descends,the more the minister fire is latent,and the Yang root is deep and solid”,so as to better guide the clinical practice.
作者
黄荣铝
李景君
宫凤英
李永春
张强
成云水
吕英
HUANG Ronglyu;LI Jingjun;GONG Fengying;LI Yongchun;ZHANG Qiang;CHENG Yunshui;LYU Ying(Southern Hospital,Southern Medical University,Guangzhou 510515,Guangdong,China)
出处
《辽宁中医杂志》
北大核心
2026年第2期169-172,I0004,共5页
Liaoning Journal of Traditional Chinese Medicine
基金
广东省中医药局科研项目(20221268)
广东省名中医传承工作室建设项目-吕英省名中医传承工作室(粤中医办函〔2023〕108号)。
关键词
脑卒中后遗症
数据挖掘
气—元论
阖阳明
降甲胆
stroke sequelae
data mining
Qi monism
close Yangming
descending Jia wood Qi of foot Shaoyang gallbladder meridian
