| 摘要: |
| 目的：运用数据挖掘技术研究宋元至明清时期针灸治疗痹证的主穴运用规律及穴位配伍意义。方法：整理宋元至明清时期针灸治疗痹证的中医古籍条文，运用SPSS 22.0、Clementine 12.0软件对治疗本病的主要穴位进行统计分析。结果：宋元至明清时期中医古籍中涉及针灸治疗痹证的条文共447条，整理后获得有效针灸处方383条，涉及腧穴137个（含经外奇穴24个），涉及经络包括十二正经及任督二脉;使用穴位频次最多的经络为足少阳胆经;穴位总使用频次为2 971次，其中曲池（247次）、环跳（203次）、合谷（198次）、尺泽（172次）、阳陵泉（163次）、委中（161次）、阳辅（141次）、膈俞（124次）、天井（113次）、风市（107次）为使用频次排前10位的穴位。出现频次最高的穴位组合为曲池-环跳（196次）;穴位关联规律分析置信度为1的穴位组合是曲池-合谷;基于无监督熵层次聚类获得6对治疗痹证的核心穴位组合、3组针刺治疗痹证的新穴位处方。结论：宋元至明清时期中医古籍中针灸治疗痹证的选穴范围较广，但具有一定规律，阳经明显多于阴经;注重特定穴的应用，尤其注重五输穴在痹证中的应用;选取经穴方法多以局部选穴、辨证选穴及循经取穴为主。 |
| 关键词: 痹证 宋元 明清 针灸疗法 选穴规律 中医古籍 数据挖掘 |
| DOI： |
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| A visualization study on the application pattern for main acupoints in acupuncture and moxibustion treatment of rheumatism in Song，Yuan，Ming，and Qing dynasties |
| LIU Wei,FENG Xiang,WU Jing |
| (Hunan University of Chinese Medicine，Changsha 410208，Hunan，China) |
| Abstract: |
| Objective：To investigate the application of main acupoints and the significance of acupoint compatibility in acupuncture and moxibustion for the treatment of rheumatism in Song，Yuan，Ming，and Qing Dynasties based on data mining.Methods：The entries of acupuncture and moxibustion for the treatment of rheumatismin Chinese medical classics in Song，Yuan，Ming，and Qing Dynasties were summarized，and SPSS 22.0 and Clementine 12.0 were used to perform a statistical analysis of the main acupoints used for the treatment of this disease.Results：A total of 447 entries of acupuncture and moxibustion for the treatment of rheumatism were obtained from the Chinese medical classics in Song，Yuan，Ming，and Qing Dynasties，and then 383 effective acupuncture and moxibustion prescriptions were obtained，involving 137 acupoints in total (including 24 extra ordinary points).The meridians and collaterals involved included the twelve regular meridians，the conception vessel，and the governor vessel，and the highest frequency of use of acupoints was observed in the Gallbladder Meridian of Foot-Shaoyang.The total frequency of use of acupoints was 2 971 times，and the top 10 acupoints in terms of frequency of use were Quchi (247 times)，Huantiao (203 times)，Hegu (198 times)，Chize (172 times)，Yanglingquan (163 times)，Weizhong (161 times)，Yangfu (141 times)，Geshu (124 times)，Tianjing (113 times)，and Fengshi (107 times).The combination of Quchi-Huantiao showed the highest frequency of 196 times，and the association rule analysis of acupoints showed that the combination of Quchi-Hegu had a confidence of >1.The unsupervised hierarchical entropy clustering analysis obtained 6 core acupoint combinations and 3 new acupoint prescriptions for the treatment of rheumatism.Conclusion：A wide range of acupoints are selected for the treatment of rheumatism in the Chinese medical classics in Song，Yuan，Ming，and Qing Dynasties，and there are certain rules for acupoint selection.The acupoints of Yang meridians have a higher frequency of use than those of Yin meridians，and there is a focus on the application of specific acupoints，especially five-Shu points in rheumatism.Local acupoint selection，syndrome differentiation-based acupoint selection，and acupoint selection along the meridians are the main methods for acupoint selection. |
| Key words: rheumatism Song and Yuan Dynasties Ming and Qing Dynasties acupuncture and moxibustion therapy acupoint selection Chinese medical classics data mining |
