基于近代文献针灸治疗不宁腿综合征的同功穴规律分析
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摘要
目的分析近代中文文献中针灸治疗不宁腿综合征的"同功穴"选用规律。方法通过计算机检索中国期刊全文数据库(CNKI)、万方(Wanfang)、维普数据库(VIP)三大中文数据库,收集针灸治疗不宁腿综合征的文献,建立针灸处方数据库,运用数据挖掘技术,分析针灸治疗不宁腿综合征"同功穴"的选用特点和规律。结果共纳入有效文献107篇,选用腧穴105个。分析近代针灸治疗不宁腿综合征"同功穴"主要为足三里、三阴交、承山、阳陵泉;"同功穴"所属经脉主要为足太阳膀胱经、足少阳胆经、足太阴脾经,多分布在下肢部和腰背部;"同功穴"特定穴中使用五腧穴和下合穴最多;关联规则分析显示穴位间相关性最高的是阳陵泉→足三里,重视辨症取穴及局部腧穴的配伍应用。结论近代针灸治疗不宁腿综合征,选取主治功效相同或相近的"同功穴",使腧穴配伍产生协同增效作用,可增强临床疗效。
Objective To analyze regularities in selection of analogous points for acupuncture and moxibustion treatment of restless legs syndrome in modern Chinese literature. Three large Chinese databases, China National Knowledge Infrastructure(CNKI), Wan Fang database(Wanfang) and VIP Database(VIP), were searched by computer to retrieve literature on acupuncture and moxibustion treatment of restless legs syndrome. A database of acupuncture and moxibustion prescriptions was set up. The characteristics of and regularities in selection of analogous points for acupuncture and moxibustion treatment of restless legs syndrome were analyzed by use of data mining techniques. Results A total of 107 related articles were included, involving 105 selected acupoints. The main analogous points for modern acupuncture and moxibustion treatment of restless legs syndrome are Zusanli, Sanyinjiao, Chengshan and Yanglingquan. The main meridians that the analogous points belong to are the Bladder Meridian of Foot-Taiyang, the Gallbladder Meridian of Foot-Shaoyang and the Spleen Meridian of Foot-Taiyin. Most of these acupoints are distributed on the lower limb and the lumbodorsal region. The most frequently used specific points that the analogous points belong to are Five Shu points and lower He-Sea point. Association rule analysis shows that the points that are most highly correlated are Yanglingquan and Zusanli. Attention is paid to acupoint selection based on syndrome differentiation and compatible application of local acupoints. Conclusions Selection of analogous points that have the same or similar indications for modern acupuncture and moxibustion treatment of restless legs syndrome makes acupoint combinations produce a synergistic effect and can improve the clinical therapeutic effect.
Objective To analyze regularities in selection of analogous points for acupuncture and moxibustion treatment of restless legs syndrome in modern Chinese literature. Three large Chinese databases, China National Knowledge Infrastructure(CNKI), Wan Fang database(Wanfang) and VIP Database(VIP), were searched by computer to retrieve literature on acupuncture and moxibustion treatment of restless legs syndrome. A database of acupuncture and moxibustion prescriptions was set up. The characteristics of and regularities in selection of analogous points for acupuncture and moxibustion treatment of restless legs syndrome were analyzed by use of data mining techniques. Results A total of 107 related articles were included, involving 105 selected acupoints. The main analogous points for modern acupuncture and moxibustion treatment of restless legs syndrome are Zusanli, Sanyinjiao, Chengshan and Yanglingquan. The main meridians that the analogous points belong to are the Bladder Meridian of Foot-Taiyang, the Gallbladder Meridian of Foot-Shaoyang and the Spleen Meridian of Foot-Taiyin. Most of these acupoints are distributed on the lower limb and the lumbodorsal region. The most frequently used specific points that the analogous points belong to are Five Shu points and lower He-Sea point. Association rule analysis shows that the points that are most highly correlated are Yanglingquan and Zusanli. Attention is paid to acupoint selection based on syndrome differentiation and compatible application of local acupoints. Conclusions Selection of analogous points that have the same or similar indications for modern acupuncture and moxibustion treatment of restless legs syndrome makes acupoint combinations produce a synergistic effect and can improve the clinical therapeutic effect.
引文
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[13]张俊,杨白燕.浅谈不安腿综合征的针灸治疗体会[J].针灸临床杂志,2007,23(4):28.
[14]陈星.王寅针灸治疗不安腿综合征经验总结[D].北京中医药大学,2012.
[2]Koo BB.Restless Leg Syndrome Across the Globe:Epidemiology of the Restless Legs Syndrome/WillisEkbom Disease[J].Sleep Med Clin,2015,10(3):189-205.
[3]廖裔学.不宁腿综合征的诊断和治疗[J].柳钢科技,2015,(2):55-56.
[4]王富春.试论“同功穴”[J].世界针灸杂志,2015,26(1):24-27.
[5]刘清国,胡玲.经络腧穴学[M].北京:中国中医药出版社,2006:53-205.
[6]Agrawal R,Srikant R,Bocca J,et al.Fast Algorithms for Mining Association Rules[C].Santiago:Proceedings of the 20th international Conference on Very Large Databases,1994:187-199.
[7]马必委,王德伟,林豪,等.针刺配合温热足疗治疗不安腿综合征疗效观察[J].上海针灸杂志,2012,31(6):419-420.
[8]辛捷,雷正权,李翠娟.中医对不安腿综合征的认识及治疗研究进展[J].现代中医药,2016,36(5):108-111.
[9]公翠兰,张爱琴.穴位注射法治疗不安腿综合征20例[J].现代中西医结合杂志,2004,13(8):1036.
[10]刘桂林.针刺结合中药治疗不安腿综合征50例[J].实用中医药杂志,2016,32(3):215-216.
[11]刘桂林.针灸加穴位注射治疗不安腿综合征49例[J].上海针灸杂志,2001,20(6):22.
[12]陈丹,姚杰,傅艳群.联合透析配合针刺治疗不安腿综合征的临床分析[J].蛇志,2015,27(3):268-270.
[13]张俊,杨白燕.浅谈不安腿综合征的针灸治疗体会[J].针灸临床杂志,2007,23(4):28.
[14]陈星.王寅针灸治疗不安腿综合征经验总结[D].北京中医药大学,2012.