Acupoint selection patterns for epilepsy in ancient texts based on visual network analysis

YANG Wentao; CUI Hua; WANG Chaojie; WANG Xuan; CHENG Weiping

doi:10.13703/j.0255-2930.20240308-0001

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Acupoint selection patterns for epilepsy in ancient texts based on visual network analysis

Literature Research | 更新时间：2025-01-09

- Acupoint selection patterns for epilepsy in ancient texts based on visual network analysis
- Chinese Acupuncture & Moxibustion Vol. 45, Issue 1, Pages: 123-130(2025)
- 作者机构：
  
  1.黑龙江中医药大学研究生院，哈尔滨　150040
  2.黑龙江中医药大学附属第一医院针灸二科，哈尔滨　150040
- 作者简介：
- 基金信息：
- DOI：10.13703/j.0255-2930.20240308-0001
  CLC：
- Received：08 March 2024，
  
  Online First：06 November 2024，
  
  Published：12 January 2025
- 稿件说明：
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YANG Wentao, CUI Hua, WANG Chaojie, et al. Acupoint selection patterns for epilepsy in ancient texts based on visual network analysis[J]. Chinese Acupuncture & Moxibustion, 2025, 45(1): 123-130.
DOI：

YANG Wentao, CUI Hua, WANG Chaojie, et al. Acupoint selection patterns for epilepsy in ancient texts based on visual network analysis[J]. Chinese Acupuncture & Moxibustion, 2025, 45(1): 123-130. DOI： 10.13703/j.0255-2930.20240308-0001.

摘要

目的：

分析古籍中针灸治疗癫痫的病证及选穴特点，为临床针灸治疗癫痫提供选穴依据和思路。

方法：

检索并筛选第5版《中华医典》中针灸治疗癫痫的条文，对针灸处方中的腧穴使用频次、归经、分布部位、特定穴、对应的癫痫分型及对应的刺灸法进行统计分析，运用Apriori算法对筛选出的组穴进行关联规则分析，并对高频腧穴及其对应分型与治法进行复杂网络分析。

结果：

共筛选出205条针灸处方，古籍中针灸治疗痫证善以不同分型论治，分型主要为癫痫、风痫和五痫，使用频次较高的腧穴有百会、鸠尾、神门、神庭、心俞，治疗侧重选用督脉、膀胱经及任脉的腧穴，多取头面部联合四肢腧穴，善用五输穴及交会穴，最常用的腧穴处方为神门-百会、神庭-百会、心俞-神门，可视化网络分析显示百会-神庭、百会-神门、百会-照海是古籍中针灸治疗癫痫的核心腧穴组合，治疗方法侧重灸法或针灸并用。

结论：

古籍中针灸治疗癫痫选穴少而精，常选用百会、鸠尾、神门、神庭、心俞等穴，以定痫醒神、舒筋缓急、养心安神为主。

Abstract

Objective

To analyze the disease patterns and acupoint selection characteristics of acupuncture for epilepsy in ancient acupuncture texts

providing references and ideas for clinical acupuncture treatment of epilepsy.

Methods

Texts from the

Chinese Medical Classics

(5th edition) regarding acupuncture for epilepsy are reviewed. The frequency of acupoints

meridian association

distribution

specific points

corresponding epilepsy subtypes

and needling techniques are statistically analyzed. The Apriori algorithm is used for association rule analysis

and a complex network analysis is conducted for high-frequency acupoints and their corresponding subtypes and treatments.

Results

A total of 205 acupuncture prescriptions are identified. Ancient texts favored differentiation-based treatments for epilepsy

primarily classified into epilepsy

wind epilepsy

and five epilepsy. Commonly used acupoints include Baihui (GV20)

Jiuwei (CV15)

Shenmen (HT7)

Shenting (GV24)

and Xinshu (BL15)

with a focus on the acupoints of the governor vessel

the bladder meridian

and the conception vessel. The acupoints on the head

face are combined with the acupoints on the limbs

with skillful use of the five-

shu

points and intersection acupoints. The most frequent combinations are Shenmen (HT7)-Baihui (GV20)

Shenting (GV24)-Baihui (GV20)

and Xinshu (BL15)-Shenmen (HT7). Visual network analysis revealed that Baihui (GV20)-Shenting (GV24)

Baihui (GV20)-Shenmen (HT7)

and Baihui (GV20)-Zhaohai (KI6) are core acupoint combinations. Treatment mainly involved moxibustion or combined acupuncture and moxibustion.

Conclusion

The acupoint selection for epilepsy treatment in ancient texts is precise

frequently using Baihui (GV20)

Jiuwei (CV15)

Shenmen (HT7)

Shenting (GV24)

and Xinshu (BL15)

etc.

with emphasis on calming epilepsy

awakening the spirit

relaxing tendons

and nourishing the heart.

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