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山西省人民医院针灸科,太原 030012
王姝,副主任医师。E-mail:114433475@qq.com
收稿:2023-05-05,
网络首发:2023-10-13,
纸质出版:2023-12-12
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王姝.基于文献研究探讨针刺治疗周围性面瘫的分期、证型、症状选穴规律[J].中国针灸,2023,43(12):1457-1464.
WANG Shu.Acupoint selection rules of staging, syndrome types, and symptoms of acupuncture for peripheral facial paralysis based on data mining[J].Chinese Acupuncture & Moxibustion,2023,43(12):1457-1464.
王姝.基于文献研究探讨针刺治疗周围性面瘫的分期、证型、症状选穴规律[J].中国针灸,2023,43(12):1457-1464. DOI: 10.13703/j.0255-2930.20230505-0002.
WANG Shu.Acupoint selection rules of staging, syndrome types, and symptoms of acupuncture for peripheral facial paralysis based on data mining[J].Chinese Acupuncture & Moxibustion,2023,43(12):1457-1464. DOI: 10.13703/j.0255-2930.20230505-0002.
目的
2
通过数据挖掘技术探讨针刺治疗周围性面瘫各分期、证型及症状的选穴规律。
方法
2
检索 2012年1月1日至2021年12月31日中国期刊全文数据库(CNKI)、维普资讯中文期刊服务平台(VIP)、万方数据知识服务平台(Wanfang)、中国生物医学文献数据库(SinoMed)及PubMed数据库收录的针刺治疗周围性面瘫的文献,通过中医传承辅助平台系统 (V 3.0)、SPSS Modeler 18.0 及 Cytoscape 软件对分期配穴、腧穴归经、证型配穴、分期证型、症状配穴进行分析,对各分期及主要证型做关联规则分析并通过共现网络图展示。
结果
2
共纳入 1 695 篇文献,涉及124个腧穴,总应用频次为5 456次。1 080篇根据分期选穴文献中,急性期腧穴使用频次(2 224次)及个数(88个)最多,各分期中腧穴使用频次最多的经脉均为足阳明胃经,地仓-阳白、地仓-颊车为各分期高频穴对。腧穴使用频次前 4 位的证型为风寒证、风热证、气血亏虚证、肝胆湿热证。521篇采用分期与症状或证型与症状相结合选穴文献中,“鼻唇沟变浅或消失”出现频次最多,腧穴使用频次和个数最多的症状分别是“额纹变浅或消失”及“耳后疼痛”。
结论
2
针刺治疗周围性面瘫各分期均以阳经选穴为主,辅以局部取穴并结合病机特点选穴,各证型以辨证论治为先并配合局部取穴,临床可采用分期、证型、症状相结合的方式选穴。
Objective
2
To analyze and explore the acupoint selection rules of different staging
syndrome types
and symptoms of acupuncture for peripheral facial paralysis based on data mining.
Methods
2
Literature regarding acupuncture for peripheral facial paralysis was retrieved in CNKI
VIP
Wanfang
SinoMed
and PubMed from January 1
2012
to December 31
2021. The Traditional Chinese Medicine Inheritance Assistant Platform (V 3.0)
SPSS Modeler 18.0
and Cytoscape software were used to analyze the selection of acupoints based on staging
meridian distribution of acupoints
the selection of acupoints based on syndrome types
syndrome types based on staging
and symptom-based acupoint selection. Association rule analysis was performed for each stage and major syndrome types
and co-occurrence network diagrams were generated.
Results
2
A total of 1 695 articles were included
involving 124 acupoints with a total frequency of 5 456 times. Among 1 080 articles related to staging-based acupoint selection
the acute stage had the highest acupoint use frequency (2 224 times) and number (88 acupoints). Among all stages
the acupoints of the stomach meridian of foot-
yangming
were most frequently used
with Dicang (ST 4)-Yangbai (GB 14) and Dicang (ST 4)-Jiache (ST 6) being the high-frequency acupoi
nt pairs in each stage. The top four syndrome types in terms of acupoint usage frequency were wind-cold syndrome
wind-heat syndrome
qi
-blood deficiency syndrome
and liver-gallbladder damp-heat syndrome. Among 521 articles combining staging with symptoms or syndrome types with symptoms for acupoint selection
the symptom "nasolabial groove becoming shallow or disappearing" had the highest frequency of occurrence. The symptoms with the highest acupoint usage frequency and number were "forehead wrinkles becoming shallow or disappearing" and "pain behind the ear" respectively.
Conclusion
2
Acupoint selection for peripheral facial paralysis primarily focuses on the
yang
meridians in each stage
supplemented by local acupoints and based on the pathological characteristics. Syndrome differentiation and treatment should be prioritized
combined with local acupoint selection. Clinical acupoint selection can be based on a combination of staging
syndrome types
and symptoms.
贾建平 , 陈生弟 . 神经病学 [M ] . 8版 . 北京 : 人民卫生出版社 , 2018 : 389 - 391 .
中华医学会神经病学分会 , 中华医学会神经病学分会神经肌肉病学组 , 中华医学会神经病学分会肌电图与临床神经电生理学组 . 中国特发性面神经麻痹诊治指南 [J ] . 中华神经科杂志 , 2016 , 49 ( 2 ): 84 - 86 .
高树中 , 冀来喜 . 针灸治疗学 [M ] . 5版 . 北京 : 中国中医药出版社 , 2021 : 48 - 49 .
靳丹丹 , 叶静 , 郭梦 , 等 . 针灸在不同时机介入治疗周围性面瘫疗效的Meta分析 [J ] . 中国针灸 , 2020 , 40 ( 6 ): 664 - 668 .
于莹 , 张功 , 韩涛 , 等 . 针灸治疗周围性面瘫有效性的系统评价及网状Meta分析 [J ] . 中国中医基础医学杂志 , 2020 , 26 ( 8 ): 1138 - 1142,1179 .
国家质量监督检验检疫总局 , 国家标准化管理委员会 . 腧穴名称与定位 : GB/T 12346-2006 [S ] . 北京 : 中国标准出版社 , 2006 .
刘志丹 , 宋宣慧 , 唐艺丹 , 等 . 对影响针灸治疗面瘫疗效若干环节问题的分析 [J ] . 针灸临床杂志 , 2016 , 32 ( 2 ): 88 - 93 .
勾帆馨 , 孙博文 , 何晓华 . 周围性面瘫分期论治方案探讨 [J ] . 宁夏医科大学学报 , 2021 , 43 ( 1 ): 101 - 105 .
石学敏 . 针灸治疗学 [M ] . 北京 : 人民卫生出版社 , 2001 .
孙生明 , 贾红玲 . 针灸治疗周围性面瘫的机制研究概况 [J ] . 新疆中医药 , 2019 , 37 ( 2 ): 98 - 100 .
马莉 , 王新茹 , 邹乔 , 等 . 应用Delphi法筛选周围性面瘫急性期针刺适宜取穴方案 [J ] . 中国中医药信息杂志 , 2022 , 29 ( 9 ): 127 - 132 .
田丽莉 . 周围性面瘫的定位诊断与分期、辨证治疗 [J ] . 山东中医药大学学报 , 2017 , 41 ( Suppl 1 ): 73 - 74,92 .
冯蕾 , 马文珠 . 不同时间针灸介入对周围性面瘫疗效的影响 [J ] . 中国针灸 , 2013 , 33 ( 12 ): 1085 - 1087 .
彭志杰 . 面、口部经络循行排列规律性研究及周围性面瘫经络诊察的特点 [D ] . 北京 : 北京中医药大学 , 2016 .
王旭 , 牛萍 , 于子乔 , 等 . 赵德喜运用治痿独取阳明法治疗面瘫 [J ] . 长春中医药大学学报 , 2021 , 37 ( 6 ): 1266 - 1268 .
王中琳 . 《内经》痿证理论钩玄 [J ] . 中国中医基础医学杂志 , 2010 , 16 ( 8 ): 648 - 649 .
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