针灸治疗脑梗死后痉挛性瘫痪临床选穴规律研究
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摘要
目的:运用数据挖掘技术分析现代针灸文献治疗脑梗死后痉挛性瘫痪的取穴选用规律。方法:采用计算机检索的方式,对1957~2017年中国期刊全文数据库(CNKI)、万方数据知识服务平台和维普数据库中针灸治疗脑梗死后痉挛性瘫痪的相关文献进行检索及梳理,得到相关文献43篇,分析现代针灸治疗脑梗死后痉挛性瘫痪的临床选穴规律。结果:通过分析发现,现代针灸文献治疗脑梗死后痉挛性瘫痪选取腧穴主要为合谷、内关、三阴交、外关、肩髃、曲池、手三里、阳陵泉、尺泽和足三里,选取腧穴所属经脉主要为手阳明大肠经、足少阳胆经和手少阳三焦经,选取腧穴所在部位主要是上肢部和下肢部,选取腧穴特定穴类别主要是五输穴、交会穴和八脉交会穴。针灸治疗脑梗死后痉挛性瘫痪的取穴规律具有以循经取穴、局部取穴和重视特定穴取穴为主的特点。结论:临床针灸治疗脑梗死后痉挛性瘫痪应在中医阴阳平衡理论、辨证论治原则指导下,选取以肢体痉挛性瘫痪所在部位属于手阳明大肠经、足少阳胆经和手少阳三焦经为主的腧穴进行配伍,坚持辨证论治选穴配方,重视特定穴,从而发挥所选腧穴协同增效的作用,增强针灸治疗脑梗死后痉挛性瘫痪的临床疗效。
Objective: To analyze the rule of selecting points in acupuncture treatment of spastic paralysis after cerebral infarction based on data mining. Methods: Through retrieved CNKI, Wanfang,and Weipu Database on acupuncture treatment of spastic paralysis after cerebral infarction from 1957 to 2017,related 43 papers were selected,to analyze the rule selecting points in acupuncture treatment of spastic paralysis after cerebral infarction. Results: According to analysis Hegu(LI4),Neiguan(PC6),Sanyinjiao(SP6),Waiguan(SJ5),Jianyu(LI15),Quchi(LI11),Shousanli(LI10),Yanglingquan(GB34),Chize(LU5),and Zusanli(ST36) are the most applied points,which belonging to Large intestine meridian of hand-Yangming,Gallbladder meridian of foot-Shaoyang and Sanjiao meridian of hand-Shaoyang,Sites of the selected acupoints most belong to upper limb,and lower limb. Specific point category is chosen mainly five-shu point,crossing point and eight confluence point. The rule of selecting points in acupuncture treatment of spastic paralysis after cerebral infarction are mainly include: selecting the points of corresponding meridian,local selection,and Attention to specific points. Conclusion: Clinical acupuncture treatment of cerebral infarction after spastic paralysis should be based on the theory of Chinese medicine yin and yang balance,the principle of syndrome differentiation and treatment under the guidance of the choice of limb spastic paralysis where the part belongs to Large intestine meridian of hand-Yangming,Gallbladder meridian of foot-Shaoyang and Sanjiao meridian of hand-Shaoyang,adhere to the syndrome differentiation treatment points,pay attention to specific points,so as to play the role of synergy with the selected acupoints to enhance acupuncture treatment of cerebral infarction after spastic paralysis clinical efficacy.
Objective: To analyze the rule of selecting points in acupuncture treatment of spastic paralysis after cerebral infarction based on data mining. Methods: Through retrieved CNKI, Wanfang,and Weipu Database on acupuncture treatment of spastic paralysis after cerebral infarction from 1957 to 2017,related 43 papers were selected,to analyze the rule selecting points in acupuncture treatment of spastic paralysis after cerebral infarction. Results: According to analysis Hegu(LI4),Neiguan(PC6),Sanyinjiao(SP6),Waiguan(SJ5),Jianyu(LI15),Quchi(LI11),Shousanli(LI10),Yanglingquan(GB34),Chize(LU5),and Zusanli(ST36) are the most applied points,which belonging to Large intestine meridian of hand-Yangming,Gallbladder meridian of foot-Shaoyang and Sanjiao meridian of hand-Shaoyang,Sites of the selected acupoints most belong to upper limb,and lower limb. Specific point category is chosen mainly five-shu point,crossing point and eight confluence point. The rule of selecting points in acupuncture treatment of spastic paralysis after cerebral infarction are mainly include: selecting the points of corresponding meridian,local selection,and Attention to specific points. Conclusion: Clinical acupuncture treatment of cerebral infarction after spastic paralysis should be based on the theory of Chinese medicine yin and yang balance,the principle of syndrome differentiation and treatment under the guidance of the choice of limb spastic paralysis where the part belongs to Large intestine meridian of hand-Yangming,Gallbladder meridian of foot-Shaoyang and Sanjiao meridian of hand-Shaoyang,adhere to the syndrome differentiation treatment points,pay attention to specific points,so as to play the role of synergy with the selected acupoints to enhance acupuncture treatment of cerebral infarction after spastic paralysis clinical efficacy.
引文
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[2]GO AS,MOZAFFARIAN D,ROGER VL,et al.Executive summary:heart disease and stroke statistics—2014 update:a report from the American Heart Association[J].Circulation,2014,129(3):399-410.
[3]LIU L,WANG D,WONG KS,et al.Stroke and stroke care in China:huge bur-den,significant workload,and a Nationalpriority[J].Stroke,2011,42(12):3651-3654.
[4]顾玉宝,刘敬霞,王枫,等.中医药治疗脑梗死的临床研究进展[J].中华中医药学刊,2017,35(2):303-306.
[5]白玮婧,张春红,孟丽娜,等.卒中后痉挛性瘫痪中医治疗研究进展[J].天津中医药,2016,33(8):508-512.
[6]脑血管病学组缺血性脑卒中二级预防指南撰写组.中国缺血性脑卒中和短暂性脑缺血发作二级预防指南(2010)[J].中国临床医生,2011,39:68-74.
[7]中华人民共和国国家质量监督检验检疫总局,中国国家标准化管理委员会发布.腧穴名称与定位[M].北京:中国标准出版社,2006.
[8]卢朋,李健,唐仕欢,等.中医传承辅助系统软件开发与应用[J].中国实验方剂学杂志,2012,18(9):1-4.
[9]灵枢经[M].北京:人民卫生出版社,2013.
[10]南京中医学院.难经校释[M].2版.北京:人民卫生出版社,2009.
[11]黄帝内经素问[M].北京:人民卫生出版社,2013.
[12]吴谦.医宗金鉴[M].北京:人民卫生出版社,2006.
[13]杨继洲.针灸大成[M].北京:人民卫生出版社,2006.