摘要
目的挖掘针灸治疗痛经的选穴规律,为优化临床治疗方案提供参考。方法检索中国知网(CNKI)2007年1月至2017年1月针灸治疗痛经的临床研究文献。将纳入的文献用Excel 2007建立数据库,采用中医医案知识服务与共享系统(V1.2.8)的频次分析、关联规则分析、穴对分析、聚类分析等数据挖掘方法,并分析腧穴归经及单穴选用情况,分析针灸治疗痛经处方的选穴规律。结果共纳入针灸处方301首,涉及腧穴共71个,总频次为1210次。关元是取穴频次最高的腧穴(196次,65.12%);关联规则分析中置信度最高的穴位组合是关元-足三里-三阴交,支持度最高的穴位组合是三阴交-关元;聚类分析显示以两大类群为主。经脉以任脉、足太阴脾经腧穴的总频次为多,单穴应用以神阙穴的频次最高。结论针灸治疗痛经可选用关元-足三里-三阴交组合,临床可随症配伍其他腧穴,单穴以神阙应用最多。
Objective To explore the law of acupoint selection of acupuncture and moxibustion in treating dysmenorrhea,and to provide a reference for optimizing clinical treatment method.Methods Clinical research literatures of acupuncture and moxibustion in treating dysmenorrhea from January 2007 to January 2017 in CNKI database were searched.The database of included literature was established with excel 2007.The frequency analysis,association rule analysis,point pair analysis,cluster analysis and other data mining methods of Chinese medicine medical record knowledge service and sharing system(V1.2.8)were used to analyze acupoint meridian tropism,single acupoint selection and the law of acupoint selection of acupuncture and moxibustion in treating dysmenorrhea.Results A total of 301 acupuncture prescriptions were included,in which,there were 71 acupoints with a total frequency of 1210.Guānyuán was the acupoint with the highest frequency in acupoint selection(196 times,65.12%).The combination with the highest confidential interval in association rule analysis was guānyuán-zúsānlǐ-sānyīnjiāo,and the combination with the highest support was sānyīnjiāo-guānyuán.The cluster analysis showed that there were two main groups.Total frequency of ren meridian,foot taiyin and spleen meridian was the most.The frequency of single acupoint application was the highest in shénquē.Conclusion Guānyuán-zúsānlǐ-sānyīnjiāo combination can be used for acupuncture and moxibustion in treating dysmenorrhea.It can be combined with other acupoints according to the symptoms in clinical practice.Shénquēis the most used single acupoint.
作者
公春荣
GONG Chunrong(Rehabilitation Center,Beicheng New District Hospital of Linyi People’s Hospital,Shandong Province,Linyi276000,China)
出处
《中国医药导报》
2021年第22期125-128,共4页
China Medical Herald
基金
国家自然科学基金面上项目(81373721)。
关键词
痛经
针灸
取穴规律
中医医案知识服务与共享系统
Dysmenorrhea
Acupuncture and moxibustion
The law of acupoint selection
Chinese medicine medical record knowledge service and sharing system
