基于数据挖掘的古代文献中冠心病治疗经穴运用规律研究  

Data-mining-revealed Regularities of Application of Meridian Acupoints for Coronary Heart Disease in Ancient Chinese Medical Literature

作　　者：张晋 孔霞[2] 沈卫东 马文[1] 郭旭[3] 厉欢松[3] 虎力 ZHANG Jin;KONG Xia;SHEN Wei-dong;MA Wen;GUO Xu;LI Huan-song;HU Li(Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China;Ningbo Zhenhai Second Hospital,Ningbo 315207,Zhejiang Province;Ningbo City No.2Hospital,Ningbo 315010,Zhejiang Province;Shanghai University of Traditional Chinese Medicine,Shanghai 201203)

机构地区：[1]上海中医药大学附属曙光医院,上海201203 [2]宁波镇海第二医院,浙江宁波315207 [3]宁波市第二医院,浙江宁波315010 [4]上海中医药大学,上海201203

出　　处：《针刺研究》2018年第12期801-805,共5页Acupuncture Research

基　　金：国家自然科学基金项目(No.81403470);浙江省中医药科技计划项目(No.2018ZA 118);宁波市科学技术局自然科学基金项目(No.2016A610151);宁波市医学科技计划项目(No.2017A28);宁波市第二医院重点学科项目(No.甬二院2016-57);宁波市第二医院华美研究基金项目(No.2015HMKY 30)

摘　　要：目的:检索古代文献中治疗冠心病所用经穴,分析其使用规律,为临床制定冠心病的用穴处方提供参考。方法:以"心痛""真心痛""厥心痛""胸痹""怔忡""心悸"共6个冠心病对应的古代病名为检索词,在《中华医典》第5版收录的1 156部中医古籍中进行文献检索,收集数据,建立数据库,运用关联分析数据挖掘技术,分析古代文献中冠心病治疗的经穴运用特点及其规律。结果:检索所得古代文献数据元素347条,涉及十二正经及任、督二脉,经穴使用频次共计625次。其中,任脉经穴选用最多,其次为手厥阴心包经。中脘穴为使用频次最多经穴,最常用经穴配伍前3位为然谷-太溪、中脘-上脘及曲泽-大陵。结论:古代文献中冠心病的治疗以任脉及手厥阴心包经为主,配穴重视特定穴中五输穴的配合运用,曲泽-大陵经穴配伍适用于治疗冠心病合并负性情绪。Objective To analyze the regularities of selection of meridian acupoints for coronary heart disease(CHD)recorded in the ancient Chinese medical literature,in order to provide a reference for clinical application of meridian acupoint recipes to treat CHD nowadays.Methods Papers were retrieved from 1 156 ancient Chinese medical books collected in"Encyclopedia of Traditional Chinese Medicine"(Fifth Edition)by using key words"Xin Tong"(cardiac pain),"Zhen Xin Tong"(true heart pain),"Jue Xin Tong"(precordial pain with cold limbs),"Xiong Bi"(obstruction of qi in the chest),"Zheng Chong"(severe palpitation),"Xin Ji"(palpitation),followed by establishment of a database.Then,the association analysis data mining technology was used to analyze the characteristics and regularities of application of meridian acupoints in the treatment of CHD.Results A total of 347 items of ancient document data were collected,containing acupoints of the 12 regular meridians,Conception Vessel and Governor Vessel,with a frequency of usage being 625 times.Among the involved meridians,the Conception Vessel was most frequently used,followed by the Pericardium Meridian.Zhongwan(CV 12)was the most frequently used acupoint,and Rangu(KI 2)and Taixi(KI 3),CV 12 and Shangwan(CV 13),and Quze(PC 3)and Daling(PC 7)were the top 3 frequently used auxiliary acupoint pairs.Conclusion In ancient China,in the treatment of CHD,the main acupoints of the Conception and Pericardium Meridian,and the auxiliary acupoints i.e.,five-shu points are most frequently used.PC 3 and PC 7 combination is suitable for the treatment of CHD with negative emotion.

关 键 词：冠心病 数据挖掘 古代中医文献 经穴 关联规则 

分 类 号：R246[医药卫生—针灸推拿学]