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安徽中医药大学第二临床医学院,合肥 230061
安徽中医药大学第二附属医院老年病三科,合肥 230061
王弛安徽中医药大学硕士研究生E-mail:1520497129@qq.com
✉朱才丰,主任医师、教授。E-mail:727687720@qq.com
收稿:2024-04-18,
网络首发:2025-02-19,
纸质出版:2025-06-12
移动端阅览
王弛, 朱才丰, 张佳玉, 等. 基于数据挖掘和知识图谱技术探析名老中医周楣声灸法治疗腰痛规律[J]. 中国针灸, 2025,45(6):823-833.
WANG Chi, ZHU Caifeng, ZHANG Jiayu, et al. Rules of moxibustion for low back pain by
王弛, 朱才丰, 张佳玉, 等. 基于数据挖掘和知识图谱技术探析名老中医周楣声灸法治疗腰痛规律[J]. 中国针灸, 2025,45(6):823-833. DOI: 10.13703/j.0255-2930.20240418-k0004.
WANG Chi, ZHU Caifeng, ZHANG Jiayu, et al. Rules of moxibustion for low back pain by
目的:
2
运用数据挖掘和知识图谱构建分析名老中医周楣声灸法治疗腰痛的规律。
方法:
2
以周楣声遗留手稿、现存著作中的灸法治疗腰痛医案为研究对象,收集病种、症状、舌象、脉象、证型、灸法、穴位等信息。运用古今医案云平台V 2.3.7进行频数统计及社团分析,SPSS26.0对高频穴位进行聚类分析,SPSS Modeler 18.0对高频穴位进行关联规则分析,并将产生的链接数据导入Cytoscape 3.9.1中进行复杂网络分析。基于数据挖掘结果,构建周楣声灸法治疗腰痛知识图谱,通过Neo4j 3.5.25图数据库实现知识图谱的数据储存与展示,并运用Cypher查询语言进行知识图谱检索与发现。
结果:
2
共收集到219个医案,涉及14个病种,相关临床症状85个,5种相关中医证型,6种灸治方法。穴位多归经于督脉、足太阳膀胱经及非经非穴。复杂网络分析所得腧穴核心组方为压痛穴、肾俞、筋缩、阴交、腰阳关、阳陵泉,基本与高频腧穴相一致。聚类分析得到4个聚类组合。社团分析得到6个社团,分别与不同穴位相对应。构建的知识图谱共包含187个节点和696条关系,检索与腰痛相关的临床要素,得到病种-灸法关联图谱、病种-穴位关联图谱、伴随症状-穴位关联图谱、证型-配穴关联图谱。
结论:
2
周楣生灸治腰痛时以通为法,辨病施法、依病选穴、随症配穴,常以压痛穴、肾俞、筋缩、阴交、腰阳关、阳陵泉为核心穴位,结合压痛取穴、经脉脏腑辨证取穴、“阳光普照区”取穴、阴阳配穴,同时善用中注、耳尖等特殊穴位,重视改革灸具,创新灸法,采用不同的富有特色的灸具灸法治疗腰痛。
Objective
2
To analyze the rules of moxibustion for low back pain by
ZHOU Meisheng
by using data mining and knowledge graph technology.
Methods
2
Taking the medical cases of moxibustion for low back pain from
ZHOU Meisheng
's legacy manuscripts and existing works as the research objects
information on disease types
symptoms
tongue manifestations
pulse conditions
syndrome patterns
moxibustion methods and acupoints were collected. Frequency statistics and community analysis were conducted by the ancient and modern medical record cloud platform V 2.3.7
cluster analysis of high-frequency acupoints was performed by SPSS26.0
association rule analysis of high-frequency acupoints was performed by SPSS Modeler 18.0
and the generated linked data were imported into Cytoscape 3.9.1 for complex network analysis. Knowledge graph of moxibustion for low back pain by
ZHOU Meisheng
was constructed based on the results of data mining. The data storage and display of knowledge graph were realized through the Neo4j 3.5.25 graph database
and the Cypher query language was used for knowledge graph retrieval and discovery.
Results
2
A total of 219 medical cases were collected
involving 14 disease types
85 related clinical symptoms
5 related TCM
syndrome types
and 6 moxibustion methods. The acupoints were mostly attributed to the governor vessel
the bladder meridian of foot-
taiyang
non-meridian and non-acupoint areas. The core prescription of acupoints derived from complex network analysis included tender points
Shenshu (BL23)
Jinsuo (GV8)
Yinjiao (CV7)
Yaoyangguan (GV3)
Yanglingquan (GB34)
which were largely coincides with high-frequency acupoints. Cluster analysis obtained 4 cluster combinations. Community analysis yielded 6 communities
each corresponding to different acupoints.The constructed knowledge graph contained 187 nodes and 696 relationships
by retrieving clinical elements related to low back pain
the disease-moxibustion association graph
disease-acupoint association graph
accompanying symptom-acupoint association graph and syndrome type-matching point association graph were obtained.
Conclusion
2
When treating low back pain with moxibustion
ZHOU Meisheng
adopts the principle of promoting circulation
distinguishing diseases to determine the treatment
selecting acupoints according to the diseases
and matching points according to the symptoms.And taking tender points
Shenshu (BL23)
Jinsuo (GV8)
Yinjiao (CV7)
Yaoyangguan (GV3)
Yanglingquan (GB34) as core acupoints
combined with tenderness point selection
acupoint selection based on meridian and
zangfu
syndrome differentiation
"sunshine area" acupoint selection
yin
-
yang
acupoint matching. Additionally
he skillfully employs special points
such as Zhongzhu (KI15) and ear tips
pays attention to the reform of moxibustion tools
and innovates the moxibustion techniques
using distinctive moxibustion tools and methods to treat low back pain.
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