针灸治疗慢性疲劳综合征选穴规律研究
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R442.8

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国家自然科学基金项目(8197151602) [作者简介] 唐晓敏(1997-),女,硕士研究生,E-


Study on Rules of Point Selection on Acupuncture and Moxibustion for Chronic Fatigue Syndrome
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    摘要:

    目的:运用数据挖掘技术分析针灸治疗慢性疲劳综合征(CFS) 的选穴规律,并探讨高频核心穴 位的用穴思路及其病机。方法:通过检索建库至2022 年4 月15 日的中国知网、万方数据库、维普平台中针灸 治疗CFS 的相关临床文献,按纳入和排除标准筛选文献,采用IBM SPSS Statistics 25.0 对数据进行频数分析及 普通类分析,采用IBM SPSS Modeler18.0 软件进行关联规则分析(Aprior 算法分析)、聚类分析,并绘制复杂 网络图。结果:共筛选出符合要求的文献141 篇,提取出152 组腧穴处方。针灸治疗CFS 使用频次前5 位的 腧穴是足三里、三阴交、百会、关元、肾俞;最常选取的经脉为膀胱经、任脉、督脉;特定穴方面,主要以交 会穴(365 次)、五输穴(274 次)、背俞穴(249 次) 为主。关联规则分析所获最紧密的穴对为足三里→三阴 交,足三里→关元,三阴交→百会、足三里。聚类分析所获4 类处方中,以第1 类处方中以脾俞、肝俞、肾 俞、心俞、肺俞为基本穴位,第2、3、4 类处方中穴位为辨证配穴。结论:针灸治疗CFS 以补虚为要,取五 脏背俞穴为基本处方,根据不同临床表现,可联合应用交会穴及五输穴并随症加减治疗。

    Abstract:

    Abstract: Objective: To analyze the rules of point selection on acupuncture and moxibustion for chronic fatigue syndrome (CFS) by data mining technology,and to explore the use of high-frequency core points and the internal pathogenesis. Methods: The clinical literature related to acupuncture and moxibustion for CFS were searched from China National Knowledge Infrastructure (CNKI), WanFang database and Vip database from establishment to April 15,2022;the literature was screened according to inclusion and exclusion criteria;IBM SPSS Statistics 25.0 was used for frequency analysis and general class analysis on data;IBM SPSS Modeler18.0 software was used for association rule analysis (Aprior algorithm analysis) and cluster analysis;the complex network diagram was drawn. Results:A total of 141 pieces of literature meeting the requirements were selected and 152 groups of point prescriptions were extracted. The top 5 points used frequently in the treatment of CFS by acupuncture and moxibustion were Zusanli (ST36), Sanyinjiao (SP6), Baihui (DU20), Guanyuan (RN4) and Shenshu (BL23); the most commonly selected meridian vessels were bladder meridian, conception vessel and governor vessel; the specific points were mainly crossing point (365 times), five transport points (274 times) and back- shu points (249 times). The closest point pairs obtained by association rule analysis were Zusanli (ST36) → Sanyinjiao (SP6),Zusanli (ST36) → Guanyuan (RN4),Sanyinjiao (SP6) → Baihui (DU20) and Zusanli (ST36). Among the 4 types of prescriptions obtained by cluster analysis,the basic points in the first type of prescriptions were Pishu (BL20),Ganshu (BL18),Shenshu (BL23),Xinshu (BL15) and Feishu (BL13),and the points in the second, third and fourth types of prescriptions were the combination points based on syndrome differentiation. Conclusion: Acupuncture and moxibustion for CFS is to supplement deficiency, which takes the selection of back- shu points of five viscera as the basic prescription. And according to different clinical manifestations,crossing points and five transport points can be combined for modified application and treatment with the disease.

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唐晓敏,黄海城,黄洁,颜嘉丽,汪文卉,简婵,易玮.针灸治疗慢性疲劳综合征选穴规律研究[J].新中医,2023,55(4):163-167

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  • 在线发布日期: 2023-02-24
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