Acupoint selection rules of acupuncture for Tourette syndrome in children

ZHANG Yatong; FU Qianfang; LIU Hui; ZHAO Shuyi; RONG Ping

doi:10.13703/j.0255-2930.20230615-0002

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Acupoint selection rules of acupuncture for Tourette syndrome in children

Literature Research | 更新时间：2024-06-03

- Acupoint selection rules of acupuncture for Tourette syndrome in children
- Chinese Acupuncture & Moxibustion Vol. 44, Issue 3, Pages: 343-350(2024)
- 作者机构：
  
  1.天津中医药大学第一附属医院儿科，天津 300381
  2.国家中医针灸临床医学研究中心，天津 300381
- 作者简介：
- 基金信息：
- DOI：10.13703/j.0255-2930.20230615-0002
  CLC：
- Received：15 June 2023，
  
  Online First：28 December 2023，
  
  Published：12 March 2024
- 稿件说明：
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张亚同,付乾芳,刘晖,等.针刺治疗儿童Tourette综合征选穴规律[J].中国针灸,2024,44(3):343-350.

ZHANG Yatong,FU Qianfang,LIU Hui,et al.Acupoint selection rules of acupuncture for Tourette syndrome in children[J].Chinese Acupuncture & Moxibustion,2024,44(03):343-350.
张亚同,付乾芳,刘晖,等.针刺治疗儿童Tourette综合征选穴规律[J].中国针灸,2024,44(3):343-350. DOI： 10.13703/j.0255-2930.20230615-0002.

ZHANG Yatong,FU Qianfang,LIU Hui,et al.Acupoint selection rules of acupuncture for Tourette syndrome in children[J].Chinese Acupuncture & Moxibustion,2024,44(03):343-350. DOI： 10.13703/j.0255-2930.20230615-0002.

摘要

目的

探究针刺治疗儿童Tourette综合征（TS）的选穴及配伍规律。

方法

检索中国期刊全文数据库（CNKI）、万方数据知识服务平台（Wanfang）、维普资讯中文期刊服务平台（VIP）、中国生物医学文献数据库（SinoMed）、PubMed、Web of Science、Cochrane Library建库至2023年3月31日针刺治疗儿童Tourette综合征的相关文献，提取针刺处方、证候类型、归经等信息建立数据库，采用Microsoft Excel 2019进行描述性统计分析，采用SPSS modeler18.0进行关联规则分析，采用lantern5.0进行隐结构分析并综合聚类。

结果

①共纳入文献80篇，提取针刺处方112个，涉及腧穴104个，累计使用频次859次；②使用频次较高的腧穴有太冲、百会、风池、合谷、四神聪、三阴交、足三里；③针刺治疗TS以督脉腧穴应用最多，头面颈部、下肢部腧穴占比较高；④关联规则以风池-合谷、太冲-合谷支持度最高，均为47.32%；⑤对高频腧穴隐结构分析得到5种综合聚类模型，分别对应阴虚动风证、肝旺脾虚证、肝阳化风证、痰热内扰证、气郁化火证。

结论

针刺治疗儿童TS以平肝熄风、调摄气血为原则，注重调神与调气，核心穴组为风池、合谷、太冲、百会、三阴交、足三里，临证当根据不同证候类型辨证选穴。

Abstract

Objective

To explore the rules of acupoint selection and compatibility of acupuncture for Tourette syndrome(TS) in children.

Methods

The relevant literature regarding acupuncture for Tourette syndrome in children included in CNKI

Wanfang

VIP

SinoMed

PubMed

Web of Science and Cochrane Library from the establishment of the database to March 31st

2023 was retrieved.The information of acupuncture prescription

syndrome type

meridian affinity was extracted to set up database. The Microsoft Excel 2019 was used for descriptive statistical analysis

SPSS modeler18.0 was for association rule analysis

lantern5.0 was for latent structure analysis and comprehensive clustering.

Results

①A total of 80 literature was included

and 112 acupuncture prescriptions were extracted

involving 104 acupoints

with a cumulative frequency of 859 times.②The acupoints with high use frequency were Taichong（LR 3）

Baihui（GV 20）

Fengchi（GB 20）

Hegu（LI 4）

Sishencong（EX-HN 1）

Sanyinjiao（SP 6） and Zusanli（ST 36）.③In the treatment of TS with acupuncture

the governor vessel acupoints were the most frequently used

the proportion of acupoints on the head

face

neck and lower limbs was higher. ④The association rule analysis showed that Fengchi（GB 20）-Hegu（LI 4） and Taichong（LR 3）-Hegu（LI 4） had the highest support degree

both were 47.32%.⑤Five comprehensive clustering models were obtained by analyzing the latent structure of high-frequency acupoints

corresponding to

yin

deficiency disturbing wind

liver hyperactivity and spleen deficiency

liver

yang

transforming into wind

phlegm-heat harassing the interior and

stagnation transformed fire.

Conclusion

Acupuncture for TS in children is based on the principle of soothe the liver and extinguish the wind

regulating

and blood

and paying attention to regulating spirit and

. The core acupoints are Fengchi（GB 20）

Hegu（LI 4）

Taichong（LR 3）

Baihui（GV 20）

Sanyinjiao（SP 6）

Zusanli（ST 36）

acupoints should be selected according to different syndrome in clinical.

关键词

Keywords

references

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