运用数据挖掘技术分析现代针灸治疗慢性盆腔炎的选穴规律
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摘要
目的采用数据挖掘技术探析现代针灸治疗慢性盆腔炎的取穴规律。方法通过检索国内外各数据库查找关于针灸治疗慢性盆腔炎的临床研究文献,运用自行研发的数据挖掘系统建立相关处方数据库,分析其选穴规律。结果总共纳入221个相关处方,腧穴使用频次最高的为关元穴,其次为三阴交、子宫、中极。经外奇穴使用频次最高的为子宫穴。特定穴使用规律研究示交会穴使用频次最高,其次为募穴和五腧穴。腧穴-经络关联分析示取穴以任脉、脾经、胃经和膀胱经为主。腧穴-部位关联分析示取穴以腹部为主,其次为下肢和腰背部。结论针灸治疗慢性盆腔炎重视特定穴的使用,并以脏腑辨证结合经络辨证,以及重视局部取穴和远端取穴为特点。
Objective To explore and analyze the regularities in acupoint selection for modern acupuncturemoxibustion treatment of chronic pelvic inflammatory disease by using data mining techniques. Method Clinical research papers on acupuncture-moxibustion treatment of chronic pelvic inflammatory disease were retrieved from domestic and overseas databases. The related prescription database was built up by self-developed data mining system to analyze the regularities in acupoint selection. Result There were a total of 221 related prescriptions. The most frequently used acupoint was Guanyuan(CV4) and the next were Sanyinjiao(SP6), Zigong(EX-CA-1) and Zhongji(CV3). The most frequently used extra acupoint was Zigong(EX-CA-1). With the study of the regularities in specific point selection, the most frequently used specific points were the crossing points and the next were front-Mu points and five-Shu points. The association rules analysis of acupoint-meridian showed that the selected acupoints were mainly from the Conception Vessel, Spleen Meridian of Foot Taiyin, Stomach Meridian of Foot Yangming and Bladder Meridian of Foot Taiyang. The association rules analysis of acupoint-body showed that the selected acupoints were mainly on the abdomen and the next were on the lower limbs and back. Conclusion Acupuncture-moxibustion treatment of chronic pelvic inflammatory disease focuses on the use of specific points, and it is featured by the syndrome differentiation of Zang-fu organs and meridians, and the use of both proximal and distant acupoints.
Objective To explore and analyze the regularities in acupoint selection for modern acupuncturemoxibustion treatment of chronic pelvic inflammatory disease by using data mining techniques. Method Clinical research papers on acupuncture-moxibustion treatment of chronic pelvic inflammatory disease were retrieved from domestic and overseas databases. The related prescription database was built up by self-developed data mining system to analyze the regularities in acupoint selection. Result There were a total of 221 related prescriptions. The most frequently used acupoint was Guanyuan(CV4) and the next were Sanyinjiao(SP6), Zigong(EX-CA-1) and Zhongji(CV3). The most frequently used extra acupoint was Zigong(EX-CA-1). With the study of the regularities in specific point selection, the most frequently used specific points were the crossing points and the next were front-Mu points and five-Shu points. The association rules analysis of acupoint-meridian showed that the selected acupoints were mainly from the Conception Vessel, Spleen Meridian of Foot Taiyin, Stomach Meridian of Foot Yangming and Bladder Meridian of Foot Taiyang. The association rules analysis of acupoint-body showed that the selected acupoints were mainly on the abdomen and the next were on the lower limbs and back. Conclusion Acupuncture-moxibustion treatment of chronic pelvic inflammatory disease focuses on the use of specific points, and it is featured by the syndrome differentiation of Zang-fu organs and meridians, and the use of both proximal and distant acupoints.
引文
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[3]Wo?niak PR, Stachowiak GP, Pieta-Dolińska AK, et al.Anti-phlogisticandimmunocompetenteffectsof acupuncture treatment in women suffering from chronic pelvic inflammatory diseases[J]. Am J Chin Med, 2003,31(2):315-320.
[4]张洁,杨从敏,赵凌,等.基于数据挖掘技术探析针灸治疗慢性盆腔炎选穴规律[J].中华中医药杂志,2016,31(8):3028-3032.
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[8]沈雪勇.经络腧穴学[M].第2版,北京:中国中医药出版社,2007:29.
[9]赵洁,唐纯志,于隽,等.针刺合穴治疗功能性便秘的临床观察[J].按摩与康复医学,2013,4(4):68-69.
[10]高建芸,吴薇薇,王志功,等.合穴足三里与经穴条口体内电特性的初步研究[J].新中医,2015,47(11):191-193.
[11]耿丹,马婷婷,胡幼平,等.近年来针灸“合募配穴”研究进展与理论探讨[J].辽宁中医药大学学报,2014,16(10):77-79.
[12]高允海,王军龙,许斌.胆囊切除术患者胆的俞穴、募穴及下合穴的红外热成像特征研究[J].中华中医药杂志,2016,31(5):2017-2020.
[13]金华.针刺下合穴治疗胆结石术后胃肠功能紊乱临床观察[J].新中医,2016,48(10):73-74.
[14]李赛赛,杨云涛,潘冉,等.迎随补泻法针刺下合穴对胃食管反流病患者反流症状、心理症状及胃动素水平的影响[J].上海针灸杂志,2018,37(4):363-368.
[2]余森泉,林祖才,贾广虹.16762例已婚育龄妇女生殖健康情况调查分析[J].广东医学,2004,25(7):840-841.
[3]Wo?niak PR, Stachowiak GP, Pieta-Dolińska AK, et al.Anti-phlogisticandimmunocompetenteffectsof acupuncture treatment in women suffering from chronic pelvic inflammatory diseases[J]. Am J Chin Med, 2003,31(2):315-320.
[4]张洁,杨从敏,赵凌,等.基于数据挖掘技术探析针灸治疗慢性盆腔炎选穴规律[J].中华中医药杂志,2016,31(8):3028-3032.
[5]乐杰.妇产科学[M].第7版,北京:人民卫生出版社,2008:246-252.
[6]郑筱萸.中药新药临床研究指导原则[S].北京:中国医药科技出版社,2002:244-253.
[7]王启才.针灸治疗学[M].第2版,北京:中国中医药出版社,2007:169-170.
[8]沈雪勇.经络腧穴学[M].第2版,北京:中国中医药出版社,2007:29.
[9]赵洁,唐纯志,于隽,等.针刺合穴治疗功能性便秘的临床观察[J].按摩与康复医学,2013,4(4):68-69.
[10]高建芸,吴薇薇,王志功,等.合穴足三里与经穴条口体内电特性的初步研究[J].新中医,2015,47(11):191-193.
[11]耿丹,马婷婷,胡幼平,等.近年来针灸“合募配穴”研究进展与理论探讨[J].辽宁中医药大学学报,2014,16(10):77-79.
[12]高允海,王军龙,许斌.胆囊切除术患者胆的俞穴、募穴及下合穴的红外热成像特征研究[J].中华中医药杂志,2016,31(5):2017-2020.
[13]金华.针刺下合穴治疗胆结石术后胃肠功能紊乱临床观察[J].新中医,2016,48(10):73-74.
[14]李赛赛,杨云涛,潘冉,等.迎随补泻法针刺下合穴对胃食管反流病患者反流症状、心理症状及胃动素水平的影响[J].上海针灸杂志,2018,37(4):363-368.