基于数据挖掘技术分析推拿手法在肺康复中的选穴配伍规律  

Discussion on the rules of acupoint selection and compatibility in Tuina manipulation for lung rehabilitation based on data mining technique

作　　者：张振宇[1] 范肃[1] 魏军 苏红 万友红 司江涛[1] 徐佳音[1] 王成远[1] 潘珺俊[1] ZHANG Zhen-yu;FAN Su;WEI Jun;SU Hong;WAN You-hong;SI Jiang-tao;XU Jia-yin;WANG Cheng-yuan;PAN Jun-jun(Specialty Therapy Center,Wangjing Hospital,China Academy of Chinese Medical Sciences,Beijing 100102,China)

机构地区：[1]中国中医科学院望京医院特色诊疗中心,北京100102

出　　处：《北京中医药》2020年第7期669-673,共5页Beijing Journal of Traditional Chinese Medicine

基　　金：北京市中医管理局“北京市第二批中医住院医师规范化培训三优教学团队”项目(京中医科字[2017]126号)。

摘　　要：目的基于数据挖掘技术分析推拿手法在肺康复中的选穴配伍规律。方法检索中国知网、万方、维普网从建库以来至2020年3月1日以推拿手法为主在肺康复中应用的文献,并通过中医传承辅助系统V2.5,确定推拿处方中穴位的使用频次、穴位之间的关联规则及形成的新处方等。结果最终纳入文献17篇,有效处方22首,其中穴位归经主要集中在任脉、足太阳膀胱经、手太阴肺经、督脉、足阳明胃经;使用高频次穴位为肺俞、肾俞、定喘等;高频次穴位配伍为肺俞-肾俞、肺俞-定喘等;核心组合有阴谷-定喘-天突、阴谷-定喘-膈俞等;形成新处方包括阴谷、定喘、天突、太溪、肺俞、膈俞等穴位。结论基于数据挖掘技术分析认为推拿手法在肺康复中整体治则以扶正、改善肺功能为主,为新型冠状病毒肺炎恢复期患者的早期肺康复提供了冶疗思路。Objective To discuss the rules of acupoint selection and compatibility in Tuina manipulation for lung rehabilitation based on data mining technique. Methods Acupoints prescriptions of Tuina manipulation for pulmonary rehabilitation released from the establishment of these database to March 1, 2020 by online databases such as CNKI, Wanfang medical network and VIP database were collected and sorted.The frequency of used acupoints, the association rules between the acupoints as well as the new prescriptions for the massage were determined through the Chinese Medicine inheritance system V2.5. Results A total of 17 articles were included with 22 effective prescriptions, in which acupoints mainly belong to Conception Vessel(CV), Bladder Meridian of Foot-Taiyang(BL), Lung Meridian of Hand-Taiyin(LU), Governance Vessel(GV)and Stomach Meridian of Foot-Yangming. The used acupoints with the highest frequency were Fèishū(肺俞BL13), Shènshū(肾俞BL23), Dìngchuǎn(定喘EX-B1), etc. The combinations of acupoints with the highest frequency were Fèishū(肺俞BL13)with Shènshū(肾俞BL23), and Fèishū(肺俞BL13)with Dìngchuǎn(定喘EX-B1),etc. The core combinations were Yīngǔ(阴谷KI10)-Dìngchuǎn(定喘EX-B1)-Tiāntū(天突CV22), Yīngǔ(阴谷KI10)-Dìngchuǎn(定喘EX-B1)-Géshū(膈俞BL17), etc. New prescriptions were formed including Yīngǔ(阴谷KI10), Dìngchuǎn(定喘EX-B1), Tiāntū(天突CV22),Tàixī(太溪KI3), Fèishū(肺俞BL13)and Géshū(膈俞BL17), etc. Conclusion It can be seen from the data mining analysis techniquethat Tuina manipulationcan could strengthen the antipathogenic qi and improve pulmonary function in lung rehabilitation. It provides a treatment idea for early lung rehabilitation in COVID-19 convalescent patients.

关 键 词：新型冠状病毒肺炎 肺康复 推拿 数据挖掘 关联规则 聚类算法 

分 类 号：R244.1[医药卫生—针灸推拿学]