Composition principles for chest obstruction and heart pain based on data mining of ancient acupuncture-moxibustion prescriptions

WANG Jianing; JING Xianghong; LI Suyu

doi:10.13703/j.0255-2930.20250408-k0004

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Composition principles for chest obstruction and heart pain based on data mining of ancient acupuncture-moxibustion prescriptions

Literature Research | 更新时间：2025-10-11

- Composition principles for chest obstruction and heart pain based on data mining of ancient acupuncture-moxibustion prescriptions
- Chinese Acupuncture & Moxibustion Vol. 45, Issue 10, Pages: 1505-1511(2025)
- 作者机构：
  
  中国中医科学院针灸研究所，北京　100700
- 作者简介：
- 基金信息：
- DOI：10.13703/j.0255-2930.20250408-k0004
  CLC：
- Received：08 April 2025，
  
  Online First：25 July 2025，
  
  Published：12 October 2025
- 稿件说明：
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WANG Jianing, JING Xianghong, LI Suyu. Composition principles for chest obstruction and heart pain based on data mining of ancient acupuncture-moxibustion prescriptions[J]. Chinese Acupuncture & Moxibustion, 2025, 45(10): 1505-1511.
DOI：

WANG Jianing, JING Xianghong, LI Suyu. Composition principles for chest obstruction and heart pain based on data mining of ancient acupuncture-moxibustion prescriptions[J]. Chinese Acupuncture & Moxibustion, 2025, 45(10): 1505-1511. DOI： 10.13703/j.0255-2930.20250408-k0004.

摘要

目的：

检索整理胸痹心痛古代针灸方的首见条文，基于首见条文挖掘其组方规律。

方法：

采用Excel2016软件形成“胸痹心痛古代针灸方数据集”，对病因病机、兼症、腧穴、治法等术语进行规范化处理后，运用频次统计与关联规则算法，从多维度探析胸痹心痛古代针灸方中辨治与选穴各要素间隐含的关联规律。

结果：

古代针灸治疗胸痹心痛的高频基础穴为大陵、内关、太溪、太冲、上脘、涌泉、心俞；配伍组合以原穴相配为多，另两五输穴相配、五输穴与络穴相配、原络配穴法较常见；手厥阴心包经、任脉、足少阴肾经、足厥阴肝经、足太阳膀胱经腧穴选用频次较高；臂阴、腹部、足阴、背部、腿阴部腧穴较多见；支沟、足三里、百会、鸠尾以及腧穴组合治疗气滞型胸痹心痛；灸法更适用于气逆、寒、气滞等多种病因导致的胸痹心痛；胸痹心痛兼手颤时必选少海，伴有掌心热必选腧穴组合中冲-大陵；上脘100%选用灸法，太溪常采用灸法，内关与大陵则灸法与针刺兼用（针刺的置信度更高）。

结论：

古代针灸治疗胸痹心痛选穴以手厥阴心包经主导，足厥阴肝经、足少阴肾经、任脉及足太阳膀胱经协同，遵循心包代心、调气为先、原络配穴、循经近取的选穴原则。

Abstract

Objective

To retrieve and collate the earliest recorded texts in ancient acupuncture-moxibustion prescriptions for chest obstruction and heart pain

and explore the acupoint composition principles.

Methods

The Excel 2016 software was used to build a data set of ancient textual records on acupuncture-moxibustion prescriptions for chest obstruction and heart pain. After the terminology related to etiology

pathogenesis

accompanying symptoms

acupoints

and treatment methods unified

the frequency statistical analysis and association rule algorithms were applied to analyze the implicit association patterns among various elements of syndrome differentiation

treatment selection

and acupoint selection in ancient prescriptions from multiple dimensions.

Results

The basic acupoints of high frequency in ancient acupuncture-moxibustion treatment for chest obstruction and heart pain were Daling (PC7)

Neiguan (PC6)

Taixi (KI3)

Taichong (LR3)

Shangwan (CV13)

Yongquan (KI1)

and Xinshu (BL15). The prescription was mostly composed of

yuan

-source points. Besides

the combinations of two of five-

shu

points

five-

shu

points with

luo

-connecting points

and

yuan

-source points with

luo

-connecting points were common. The high-frequency points were from the pericardium meridian of hand-

jueyin

conception vessel

kidney meridian of foot-

shaoyin

liver meridian of foot-

jueyin

and bladder meridian of foot-

taiyang

generally distributed on the

yin

part of the arm

abdominal region

the

yin

part of foot

the back

and the

yin

part of the leg. Zhigou (TE6)

Zusanli (ST36)

Baihui (GV20)

and Jiuwei (CV15)

as well as the specific acupoint combinations

were used for chest obstruction and heart pain due to

stagnation. Moxibustion was more suitable for chest obstruction and heart pain caused by

reversion

cold and

stagnation. Shaohai (HT3) was invariably selected when hand tremor was accompanied; Zhongchong (PC9) combined with Daling (PC7) was selected specially for feverish sensation in the palms. Moxibustion was exclusively applied to Shangwan (CV13)

and Taixi (KI3) was often stimulated with moxibustion. At Neiguan (PC6) and Daling (PC7)

moxibustion was delivered in combination with acupuncture (high confidence was presented in acupuncture).

Conclusion

In ancient acupuncture-moxibustion treatment for chest obstruction and heart pain

the points of the pericardium meridian of hand-

jueyin

are predominant

coordinated with those of the liver meridian of foot-

jueyin

kidney meridian of foot-

shaoyin

conception vessel

and bladder meridian of foot-

taiyang

. It follows the principles of acupoint selection

"the pericardium acting on behalf of the heart"

"regulating

as the priority"

"combination of

yuan

-source points with

luo

-connecting points"

and "selecting nearby points along the affected meridians".

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