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基于数据挖掘探析灸法治疗肠易激综合征的选穴规律
胡林雁,李 锂,裴丽霞
0
(南京中医药大学附属医院,江苏 南京,210029)
摘要:
目的:基于数据挖掘探究灸法治疗肠易激综合征(IBS)的选穴规律。方法:检索中国知网(CNKI)、中国生物医学文献服务系统(SinoMed)、维普中文科技期刊数据库(VIP)、万方数据(WANFANG DATA)、PubMed、Web of Science自建库至2022年12月30日发表的艾灸治疗IBS的相关文献,使用集合可视化分析系统分析腧穴频次、分布部位、归经统计,并通过关联规则及组合网络探索临床应用和组穴规律。结果:纳入文献140篇,处方142首,腧穴58个,总使用频次为587次。运用频次较多的腧穴有神阙、天枢、足三里、关元及中脘,其中,任脉的腧穴运用频次最高,募穴及交会穴两种特定穴的使用频次较高,腧穴分布部位主要集中于胸腹部及腰背部。关联规则和网络分析发现,艾灸治疗IBS的核心腧穴组合为中脘-天枢。结论:灸法治疗IBS分别从肝脾肾、脑肠互动等多层面发挥作用,共同调节脑-肠轴,可为临床提供参考。
关键词:  肠易激综合征  灸法  脑-肠轴  数据挖掘  选穴规律
DOI:
Rule of acupoint selection in moxibustion therapy for the treatment of irritable bowel syndrome:A study based on data mining
HU Linyan,LI Li,PEI Lixia
(The Affiliated Hospital of Nanjing University of Chinese Medicine,Nanjing 210029,Jiangsu,China)
Abstract:
Objective:To investigate the rule of acupoint selection in moxibustion therapy for the treatment of irritable bowel syndrome (IBS) based on data mining.Methods:CNKI,SinoMed,VIP,Wanfang Data,PubMed,and Web of Science were searched for articles on moxibustion therapy for the treatment of IBS published up to December 30,2022.An integrated visual analysis system was used to analyze the frequency,distribution,and meridian entry of acupoints,and association rule and combined network were used to explore clinical application and paired acupoints.Results:A total of 140 articles were included,involving 142 prescriptions and 58 acupoints,with a total frequency of use of 587 times.The acupoints with a relatively high frequency of use included Shenque,Tianshu,Zusanli,Guanyuan,and Zhongwan,and acupoints of the conception vessel had the highest frequency of use,while the two specific acupoints of the Mu-front acupoints and the confluent points had a relatively high frequency of use.The acupoints were mainly distributed in the chest,abdomen,and lower back.The association rule and combined network analyses showed that Zhongwan-Tianshu was the core combination of acupoints in moxibustion therapy for IBS.Conclusion:In the treatment of IBS,moxibustion therapy exerts a therapeutic effect at multiple levels including the liver/spleen/kidney and brain-gut interaction and regulate the brain-gut axis,which provides a reference for clinical practice.
Key words:  irritable bowel syndrome  moxibustion therapy  brain-gut axis  data mining  acupoint selection

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