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[1]林錦浩,陳樹東,侯宇,等.基于數(shù)據(jù)挖掘技術(shù)探討針灸古籍中針刺治療頸肩臂痛的選穴規(guī)律[J].中醫(yī)正骨,2023,35(09):24-29.
　LIN Jinhao,CHEN Shudong,HOU Yu,et al.A data mining-based analysis of acupoint selection rules of acupuncture therapy for treatment of neck,shoulder and arm pain in ancient acupuncture and moxibustion books[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2023,35(09):24-29.
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基于數(shù)據(jù)挖掘技術(shù)探討針灸古籍中針刺治療頸肩臂痛的選穴規(guī)律()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第35卷
期數(shù):
2023年09期
頁(yè)碼:
24-29
欄目:
文獻(xiàn)研究
出版日期:
2023-09-20

文章信息/Info

Title:
A data mining-based analysis of acupoint selection rules of acupuncture therapy for treatment of neck,shoulder and arm pain in ancient acupuncture and moxibustion books
作者:
林錦浩1; 陳樹東2; 侯宇2; 林方政3; 林定坤2
1.廣州市從化區(qū)中醫(yī)醫(yī)院,廣東 廣州 510999; 2. 廣東省中醫(yī)院,廣東 廣州 510120; 3.廣州中醫(yī)藥大學(xué)第二臨床醫(yī)學(xué)院,廣東 廣州 510405
Author(s):
LIN Jinhao1; CHEN Shudong2; HOU Yu2; LIN Fangzheng3; LIN Dingkun2
1.Guangzhou Conghua District Hospital of Traditional Chinese medicine,Guangzhou 510999,Guangdong,China2.Guangdong Provincial Hospital of Chinese Medicine,Guangzhou 510120,Guangdong,China3.The Second Clinical Medical College of Guangzhou University of Chinese Medicine,Guangzhou 510405,Guangdong,China
關(guān)鍵詞:
頸痛;  肩痛;  臂痛;  數(shù)據(jù)挖掘;  中醫(yī)藥學(xué)文獻(xiàn);  針刺療法;  針灸處方;  選穴法
Keywords:
neck pain;  shoulder pain;  arm pain;  data mining;  medicine pharmacologic literature(TCM);  acupuncture therapy;  acupuncture and moxibustion prescription;  point selection
摘要:
目的:探討針灸古籍中針刺治療頸肩臂痛的選穴規(guī)律。方法:采用數(shù)據(jù)挖掘技術(shù),在《中華醫(yī)典》光盤和中國(guó)中醫(yī)藥數(shù)據(jù)庫(kù)收錄的針灸古籍中檢索1911年之前的有關(guān)針刺治療頸肩臂痛的文獻(xiàn)。提取文獻(xiàn)中的針刺處方,統(tǒng)計(jì)腧穴的分布和歸經(jīng)情況。采用Microsoft Excel 2020軟件建立數(shù)據(jù)庫(kù),采用SPSS Clementine12.0軟件對(duì)篩選出的高頻腧穴和經(jīng)絡(luò)進(jìn)行關(guān)聯(lián)規(guī)則分析。結(jié)果:共收集92部針灸古籍,包含188首治療頸肩臂痛針刺處方,涉及115個(gè)腧穴。針刺處方中的腧穴數(shù)目為1～14個(gè),其中以1個(gè)腧穴的出現(xiàn)頻次最高(146次)。在115個(gè)腧穴中,出現(xiàn)頻次較高的為承漿(23次)、風(fēng)府(17次)、后溪(17次)。對(duì)115個(gè)腧穴進(jìn)行關(guān)聯(lián)規(guī)則分析,得到22條關(guān)聯(lián)規(guī)則,其中前3位依次為少商→委中、承漿+少商→委中、肩井+中渚→百會(huì)。利用規(guī)則涵蓋關(guān)系和規(guī)則相似關(guān)系對(duì)22條關(guān)聯(lián)規(guī)則進(jìn)行規(guī)則簡(jiǎn)約,得到6條關(guān)聯(lián)規(guī)則,其中前3位依次為承漿+少商→委中、承漿+肩井+中渚→百會(huì)、風(fēng)府+啞門→風(fēng)池。188首針刺處方共涉及16條經(jīng)絡(luò),針刺處方中的經(jīng)絡(luò)數(shù)目為1～6條,其中以1條經(jīng)絡(luò)的出現(xiàn)頻次最高(146次)。在16條經(jīng)絡(luò)中,出現(xiàn)頻次較高的為足太陽(yáng)膀胱經(jīng)(44次)、手太陽(yáng)小腸經(jīng)(41次)、足少陽(yáng)膽經(jīng)(39次)。對(duì)16條經(jīng)絡(luò)進(jìn)行關(guān)聯(lián)規(guī)則分析,得到22條關(guān)聯(lián)規(guī)則,其中前3位依次為任脈+手太陽(yáng)小腸經(jīng)+足太陽(yáng)膀胱經(jīng)→手太陰肺經(jīng)、手太陰肺經(jīng)+足太陽(yáng)膀胱經(jīng)→任脈、手陽(yáng)明大腸經(jīng)+足少陽(yáng)膽經(jīng)→任脈。利用規(guī)則涵蓋關(guān)系和規(guī)則相似關(guān)系對(duì)22條關(guān)聯(lián)規(guī)則進(jìn)行規(guī)則簡(jiǎn)約,得到7條關(guān)聯(lián)規(guī)則,其中前3位依次為任脈+手太陽(yáng)小腸經(jīng)+足太陽(yáng)膀胱經(jīng)→手太陰肺經(jīng)、督脈+手陽(yáng)明大腸經(jīng)+足少陽(yáng)膽經(jīng)→任脈、手少陽(yáng)三焦經(jīng)+足少陽(yáng)膽經(jīng)→督脈。結(jié)論:針灸古籍中針刺治療頸肩臂痛的選穴規(guī)律為,根據(jù)病因取穴,以局部取穴為主,重視交會(huì)穴,強(qiáng)調(diào)經(jīng)絡(luò)辨證和陰陽(yáng)平衡,注重上下配穴和應(yīng)用特定穴。
Abstract:
Objective:To excavate the acupoint selection rules of acupuncture therapy for treatment of neck,shoulder and arm pain(NSAP)in ancient acupuncture and moxibustion books.Methods:All ancient documents about acupuncture therapy for treatment of NSAP published before 1911 were retrieved from the ancient acupuncture and moxibustion books included in the Chinese Medical Code(CD-ROM)and Traditional Chinese medicine database(TCMDB)based on data mining techniques.The obtained documents were screened according to the predefined inclusion and exclusion criteria,and the acupuncture prescriptions aimed at treating NSAP were extracted from the included documents,followed by statistics on the distribution and meridian tropisms of acupoints in the extracted prescriptions.The normalized and standardized acupoints and meridian tropisms in the extracted prescriptions were input into the Microsoft Excel 2020 software for building a database,based on which the acupoints and meridian tropisms in the extracted prescriptions were statistically analyzed.The high-frequency acupoints and meridian tropisms were subjected to association rule analysis by using SPSS Clementine12.0 software.Results:Ninety-two ancient acupuncture and moxibustion books were searched out.After screening,188 acupuncture prescriptions aimed at treating NSAP were included in the final analysis,involving 115 acupoints.The number of acupoints in the acupuncture prescriptions ranged from 1 to 14,among which 1 acupoint appeared most frequently(146 times).Among the 115 acupoints,the top 3 high-frequency ones were Point CV24(Chengjiang),Point GV16(Fengfu)and Point SI3(Houxi)with the occurrence frequency of 23,17 and 17 respectively.The association rule analysis on the 115 acupoints generated 22 association rules,and the top 3 ones included Point LU11(Shaoshang)→Point BL40(Weizhong),Point CV24(Chengjiang)+Point LU11(Shaoshang)→Point BL40(Weizhong)and Point GB21(Jianjing)+Point TE3(Zhongzhu)→Point GV20(Baihui).The 22 association rules were simplified into 6 ones by using rule coverage relationship and rule similarity relationship,with the top 3 ones being Point CV24(Chengjiang)+Point LU11(Shaoshang)→Point BL40(Weizhong),Point CV24(Chengjiang)+Point GB21(Jianjing)+Point TE3(Zhongzhu)→Point GV20(Baihui)and Point GV16(Fengfu)+Point GV15(Yamen)→Point GB20(Fengchi).Sixteen meridians and collaterals(TCM)were involved in the 188 acupuncture prescriptions,and the number of meridian and collateral(TCM)in acupuncture prescriptions ranged from 1 to 6,among which 1 meridian and collateral(TCM)appeared most frequently(146 times).Among the 16 meridians and collaterals(TCM),the top 3 ones with high occurrence frequency were bladder meridian of Foot-Taiyang(BL),small intestine meridian of Hand-Taiyang(SI)and gallbladder meridian of Foot-Shaoyang(GB)with the occurrence frequency of 44,41 and 39 respectively.The association rule analysis on the 16 meridians and collaterals(TCM)generated 22 association rules,and the top 3 ones included conception vessel(CV)+small intestine meridian of Hand-Taiyang(SI)+bladder meridian of Foot-Taiyang(BL)→lung meridian of Hand-Taiyin(LU),lung meridian of Hand-Taiyin(LU)+bladder meridian of Foot-Taiyang(BL)→conception vessel(CV)and large intestine meridian of Hand-Yangming(LI)+gallbladder meridian of Foot-Shaoyang(GB)→conception vessel(CV).The 22 association rules were simplified into 7 ones by using rule coverage relationship and rule similarity relationship,with the top 3 ones being conception vessel(CV)+small intestine meridian of Hand-Taiyang(SI)+bladder meridian of Foot-Taiyang(BL)→lung meridian of Hand-Taiyin(LU),governor vessel(GV)+large intestine meridian of Hand-Yangming(LI)+gallbladder meridian of Foot-Shaoyang(GB)→conception vessel(CV)and triple energizer meridian of Hand-Shaoyang(TE)+gallbladder meridian of Foot-Shaoyang(GB)→governor vessel(GV).Conclusion:The acupoints for acupuncture treatment of NSAP in ancient acupuncture books are selected based on the etiopathogenisis,with a focus on local acupoints,an emphasis on confluent acupoints,a stress on meridians and collaterals(TCM)differentiation and yin-yang balance.Additionally,the coordination of superior-inferior acupoints and the application of specific acupoints are highlighted.

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[1]吳忌,王慶甫,張棟,等.北京地區(qū)在校大學(xué)生頸痛患者頸椎曲度特點(diǎn)的調(diào)查研究[J].中醫(yī)正骨,2016,28(02):28.
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[2]應(yīng)明軍,呂志靈.超微針刀治療頸肩綜合征的療效觀察[J].中醫(yī)正骨,2016,28(04):22.
　YING Mingjun,LYU Zhiling.Observation on the curative effect of ultramicro knife needle for treatment of neck-shoulder syndromes[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2016,28(09):22.

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