| 摘要: |
| 目的：运用数据挖掘总结灸法治疗小儿腹泻的选穴规律。方法：检索中国知网（China National Knowledge Infrastructure，CNKI）、万方数据（WANFANG DATA）、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 Information，VIP）、PubMed、Web of Science中有关灸法治疗小儿腹泻的文献，检索时限为建库至2025年11月18日。建立灸法治疗小儿腹泻的处方数据库，对腧穴频次、频率、归经、部位及治疗方法进行统计描述，运用SPSS Modeler 18.0进行关联规则分析并绘制网络图，SPSS Statistics 27.0对高频腧穴进行聚类分析。结果：最终纳入134篇文献，涉及55个腧穴，总频次为557次，常用的腧穴为神阙、天枢、足三里、中脘、关元、脾俞；所选经脉主要为任脉、足阳明胃经、足太阳膀胱经；取穴部位多于胸腹部；干预方法采用艾条悬灸，灸量以每穴每次5～10 min，每日1次，总疗程1周为主。关联规则分析结果中天枢-中脘-足三里、天枢-脾俞为常用腧穴组合；高频腧穴可分为4个聚类群，分别是天枢-足三里-中脘-神阙-关元-气海；脾俞-胃俞-大肠俞；命门-肾俞-三阴交-水分；长强；结论：灸法治疗小儿腹泻取穴多于腹部或是循经入腹的经络，以局部取穴和循经取穴为主，同时重视俞募配穴、远近配穴之配穴特点，实现标本兼治。 |
| 关键词: 小儿腹泻 灸法 数据挖掘 选穴规律 |
| DOI： |
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| Acupoint selection in moxibustion therapy for pediatric diarrhea: A study based on data mining |
| Zi Aiqun,Xu Min |
| (Zhejiang Chinese Medical University, Hangzhou 310053, Zhejiang, China;Zhejiang Provincial Hospital of Traditional Chinese Medicine, Hangzhou 310006, Zhejiang, China) |
| Abstract: |
| Objective: To investigate the rule of acupoint selection in moxibustion therapy for pediatric diarrhea based on data mining. Methods: CNKI, WANFANG DATA, SinoMed, VIP, PubMed, and Web of Science were searched for studies on moxibustion therapy for pediatric diarrhea published up to November 18, 2025. A prescription database was established for moxibustion therapy for pediatric diarrhea, and statistical descriptions were performed for acupoint frequency, meridian entry, location, and treatment methods. SPSS Modeler 18.0 was used to perform the association rule analysis, and SPSS Statistics 27.0 was used to perform a cluster analysis for high-frequency acupoints. Results: A total of 134 articles were included, involving 55 acupoints with a total frequency of 557, and the commonly used acupoints included Shenque, Tianshu, Zusanli, Zhongwan, Guanyuan, and Pishu. The meridians selected were mainly the conception vessel, the stomach meridian of foot-Yangming, and the bladder meridian of foot-Taiyang. Most acupoints selected were located in the chest and abdomen. Suspended moxibustion with moxa sticks was the main intervention method, with a moxibustion volume of 5-10 minutes for each acupoint, once a day for 1 week. The association rule analysis showed the common acupoint combinations of Tianshu-Zhongwan-Zusanli and Tianshu-Pishu, and the high-frequency acupoints could be classified into 4 clusters. Conclusion: Moxibustion therapy for pediatric diarrhea mainly selects the acupoints located in the abdomen or the meridians leading to the abdomen, with the main principles of local acupoint selection and acupoint selection along the meridians. At the same time, the combination of Back-Shu points and Front-Mu points should be taken seriously, as well as the combination of distal and proximal acupoints, so as to achieve the treatment of both manifestation and root cause. |
| Key words: pediatric diarrhea moxibustion therapy data mining traditional Chinese medicine nursing acupoint selection |
