基于中医传承辅助平台的针刺治疗癌痛选穴规律数据挖掘研究  

Study on data mining of acpoints selection in acupuncture treatment of cancer pain based on traditional Chinese medicine inheritance support system

作　　者：陈爱文[1] 李亚娟[1] 马文[1] 沈卫东[1] 

机构地区：[1]上海中医药大学附属曙光医院针灸科,上海201203

出　　处：《上海中医药杂志》2017年第6期16-20,共5页Shanghai Journal of Traditional Chinese Medicine

基　　金：上海市卫计委“中医流派传承规律和模式研究-杨氏针刺”项目(ZY3-CCCX-1-1012)

摘　　要：目的运用中医传承辅助平台系统对临床研究文献进行数据挖掘,总结针刺治疗癌痛的选穴规律,为临床针刺治疗癌痛提供新思路。方法检索2016年6月30日前中国知网数据库(CNKI)及万方医学网收录的针刺治疗癌痛的临床研究文献,将癌症病名、疼痛部位、穴位处方等信息录入中医传承辅助平台,利用软件集成的数据挖掘工具,分析针刺治疗癌痛的选穴规律。结果 (1)共纳入文献87篇,针刺处方146首,涉及穴位104个。(2)针刺治疗癌痛的类型分布多集中在癌痛的原发病方面,排在前3位的原发病分别为肝癌、胃癌、肺癌。(3)总体穴位应用频次由高到低依次为足三里、内关、三阴交、合谷、阿是穴等。(4)肝癌癌痛应用穴位出现频次由高到低依次为足三里、三阴交、肝俞、期门、太冲等;最常见且关联度较高的配穴有"足三里-三阴交""三阴交-期门"及"三阴交-期门-章门"等。(5)胃癌癌痛应用穴位出现频次由高到低依次为足三里、中脘、三阴交、内关、合谷等;最常见且关联度较高的配穴有"足三里-中脘""足三里-三阴交""足三里-内关"等。(6)肺癌癌痛应用穴位出现频次由高到低依次为内关、肺俞、孔最、阿是穴、合谷等;最常见且关联度较高的配穴有"肺俞-合谷""肺俞-内关""内关-孔最"等。(7)肝癌癌痛新处方为太冲、心俞、三阴交、行间、肝俞;胃癌癌痛新处方为合谷、手三里、内关、阴陵泉、胃俞;肺癌癌痛新处方为阿是穴、尺泽、手三里、孔最、肾俞。结论中医传承辅助平台作为一种数据挖掘、探析隐匿临床信息规律的重要辅助工具,能较好地总结出临床针刺治疗癌痛的配穴规律,且系统生成的新处方可为临床针刺治疗癌痛提供新思路。Objective To summarize the rule of acupoints selection in acupuncture treatment of cancer pain based on data mining of clinical research literature by traditional Chinese medicine inheritance support system（ TCMISS）, and provide new ideas for clinical therapy. Methods The clinical research literature about acupuncture in the treatment of cancer pain which included before June 30,2016 were searched in China national knowledge infrastructure （ CNKI ） database and Wanfang medical network. The information on cancer site, pain site, acupuncture prescriptions were collected in TCMISS. The rule of acupoints selection in acupuncture treatment of cancer pain was analyzed by the software of integrated data mining tools. Results （j）A total of 87 articles are included, and there are 146 acupuncture prescriptions involving 104 acpoints. （2~）The acupuncture treatment of cancer pain mainly focus on the primary disease of cancer pain, and the top three of the primary disease are liver cancer, gastric cancer and lung cancer. （~）Overall, the application frequency of acupoints from high to low are Zusanli （ ST36 ）, Neiguan（ P6 ） ,Sanyinjiao（ SP6 ） , Hegu （LI4） , Ashi point in order. （~）The application frequency of acupoints in treating liver cancer pain from high to low are Zusanli, Sauyinjiao, Ganshu （ B18 ）, Qimen （ Liv14 ）, Taichong （ Liv3 ） in order. The most common acupoint combination with higher correlation include ＂Zusanli- Sanyinjiao＂ ,＂ Sanyinjiao-Qimen＂ and ＂Sanyinjiao-Qimen-Zhangmen（ Livl3 ）＂ （~）The application frequency of acupoints in treating gastric cancer pain from high to low are Zusanli, Zhongwan（ CV12 ）, Sanyinjiao, Neiguan and Hegu in order. The most common acupoint combination with higher correlation include ＂Zusanli- Zhongwan＂ ,＂ Zusanli-Sanyinjiao＂ ,＂ Zusanli-Neiguan＂ . （~）The application frequency of acupoints in treating lung cancer pain from high to low are Neiguan, Feishu （B13） ,Kongzui（LU6） ,Ashi point,He

关 键 词：癌痛 针灸 穴位配伍 规律分析 数据挖掘 中医传承辅助平台 

分 类 号：R246.5[医药卫生—针灸推拿学]