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山东中医药大学针灸研究院
纸质出版:2023
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范梦月, 迟程, 张家豪, 等. 基于数据挖掘技术探析郁病针刺治疗的腧穴配伍规律[J]. 中国针灸, 2023,43(3):269-276.
Acupoints compatibility rules of acupuncture for depression disease based on data mining technology[J]. Chinese Acupuncture and Moxibustion, 2023, 43(3): 269-276.
范梦月, 迟程, 张家豪, 等. 基于数据挖掘技术探析郁病针刺治疗的腧穴配伍规律[J]. 中国针灸, 2023,43(3):269-276. DOI: 10.13703/j.0255-2930.20221103-k0001.
Acupoints compatibility rules of acupuncture for depression disease based on data mining technology[J]. Chinese Acupuncture and Moxibustion, 2023, 43(3): 269-276. DOI: 10.13703/j.0255-2930.20221103-k0001.
运用数据挖掘技术探析针刺治疗郁病的腧穴配伍规律。检索中国期刊全文数据库(CNKI)、万方数据知识服务平台(Wangfang)、维普资讯中文期刊服务平台(VIP)、中国生物医学文献数据库(Sino Med)、PubMed、EMbase、Web of Science、Cochrane Library建库至2022年9月2日针刺治疗郁病的随机对照试验文献,采用Python编程语言分析针刺治疗原发性抑郁症、脑卒中后抑郁、更年期综合征、神经官能症、焦虑症5种常见郁病的腧穴使用频次、归经、特定穴选用情况及穴位关联规则,应用Cytoscape软件对穴位关联及病-穴共现网络进行可视化分析。共纳入文献387篇,提取上述5种常见郁病的穴方共计319个,涉及159个腧穴,使用频次共计2 574次。高频使用腧穴依次为百会、三阴交、太冲、内关、神门、印堂、足三里、合谷、四神聪、太溪等,常涉及经脉为督脉、足太阳膀胱经、足太阴脾经、足厥阴肝经等;特定穴使用频率从高到低依次为交会穴、五输穴、原穴、背俞穴、络穴、八脉交会穴等,常与关联度最高的“百会-印堂”组合配伍使用;郁病-穴位的共现网络分析表明存在针刺治疗郁病的核心腧穴群“百会、太冲、神门、足三里、内关、三阴交”。郁病针刺治疗已逐渐形成了以特定穴配伍为主体,以“通督调神,调畅气机”为主要治则的腧穴配伍规律。
Based on data mining technology
the acupoints compatibility rules of acupuncture for depression diseases were explored. The randomized controlled trial(RCT) articles regarding acupuncture for depression diseases published from establishment of database to September 2nd
2022 were searched in CNKI database
Wangfang database
VIP database
Sino Med database
Pub Med
EMbase
Web of Science and Cochrane Library. The use frequency of acupoints
meridian tropism
selection of special acupoints and acupoint association rules for five common depression diseases
including primary depression
post-stroke depression
menopausal syndrome
psychoneurosis and anxiety disorder
were analyzed by Python programming language. Cytoscape software was used to analyze the acupoint association and the disease-acupoint co-occurrence network. As a result
totally 387 articles were included
and 319 acupoints prescriptions for the above five common depression diseases were extracted
involving 159 acupoints. The use frequency of acupoints was 2 574 times in total. The frequently-used acupoints were Baihui(GV 20)
Sanyinjiao(SP 6)
Taichong(LR 3)
Neiguan(PC 6)
Shenmen(HT 7)
Yintang(GV 24+)
Zusanli(ST 36)
Hegu(LI 4)
Sishencong(EX-HN 1) and Taixi(KI 3)
etc. The frequently involved meridians were the governor vessel
foot-taiyang bladder meridian
foot-taiyin spleen meridian
and foot-jueyin liver meridian.The frequency of the special acupoints from high to low was crossing points
five-shu points
yuan-primary points
back-shu points
luo-connecting points
and eight confluent points
etc
which were often used in combination with "Baihui(GV 20)-Yintang(GV 24+)"(the highest degree of association). At the same time
the analysis of the co-occurrence network of depression diseases and acupoints showed that the core acupoints group of acupuncture for depression diseases were Baihui(GV 20)
Taichong(LR 3)
Shenmen(HT 7)
Zusanli(ST 36)
Neiguan(PC 6) and Sanyinjiao(SP 6). In conclusion
acupuncture treatment for depression diseases has gradually formed a rule of acupoint compatibility
with special acupoint as the main body and "unblocking the governor vessel
and regulating the spirit and qi " as the main therapeutic principle.
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