基于数据挖掘探讨针灸推拿治疗假性近视的选穴规律研究  

Rules of Acupoints Selection for Pseudomyopia Treated by Acupuncture and Tuina Based on Data Mining

作　　者：肖尧[1,2] 罗琴 韩杰 罗昱君 熊袁 余韵扬 周晶[3] XIAO Yao;LUO Qin;HAN Jie;LUO Yujun;XIONG Yuan;YU Yunyang;ZHOU Jing(Hubei Provincial Hospital of Traditional Chinese Medicine, Wuhan 430061, China;Hubei Academy of Traditional Chinese Medicine, Wuhan 430074, China;Hubei University of Chinese Medicine, Wuhan 430061, China)

机构地区：[1]湖北省中医院,湖北武汉430061 [2]湖北省中医药研究院,湖北武汉430074 [3]湖北中医药大学,湖北武汉430061

出　　处：《针灸临床杂志》2022年第4期48-54,共7页Journal of Clinical Acupuncture and Moxibustion

基　　金：湖北省技术创新专项(重大项目),编号:2017ACA192。

摘　　要：目的:分析临床上针灸推拿治疗假性近视的选穴特点和规律。方法:检索近10年来收录于中国期刊全文数据库(CNKI)、万方数据库(WanFang)、维普中文科技期刊数据库(VIP)和中国生物医学文献数据库(CBM)的有关针灸推拿治疗假性近视的文献,筛选出符合本研究纳入、排除标准的文献,建立数据库,采用数据挖掘技术进行描述性和关联性分析。结果:数据库共纳入84个腧穴处方,涉及80个穴位,共792频次;其中攒竹、太阳和睛明穴使用频次最高;足太阳膀胱经腧穴使用频次最高,且膀胱经腧穴使用个数最多;针灸推拿治疗假性近视主要选取头面部及下肢部(包括足部)的腧穴,另外特定穴以五输穴、原穴、背俞穴使用的频次和腧穴数量最多;“丝竹空-攒竹”配伍集使用频次最高。结论:针灸推拿治疗假性近视选穴主要遵循“病位所在,主治所在”“经脉所过,主治所及”的取穴规律以及远近配穴的原则,多选取眼周局部、足太阳膀胱经腧穴,并通过配伍局部腧穴,产生协同增效的作用,为临床选穴提供理论依据。Objective:To analyze the characteristics and rules of acupoints selection for pseudomyopia treated with acupuncture and Tuina in clinic.Methods:The literature of acupuncture and Tuina in treating pseudomyopia was retrieved from the databases of CNKI,WanFang,VIP and CBM in the past ten years,the literature which met the inclusion criteria and exclusion criteria of this study was screened to establish the database,and then data mining techniques were applied for descriptive analysis and correlation analysis.Results:A total of 84 acupoint prescriptions were included in the database,involving 80 acupoints,with a total of 792 frequencies of application.Among them,Cuanzhu(BL2),Taiyang(EX-HN5)and Jingming(BL1)had the highest frequency of application.The frequency and the number of the acupoints from Bladder Meridian of Foot Taiyang were the highest and the most.Acupoints on the face and lower limbs(including feet)were mainly selected for pseudomyopia;in addition,specific acupoints applied most,in terms of frequency and number,were five-Shu points,Yuan-Source points and back-Shu points.The compatibility of Sizhukong(SJ23)-BL12 had the highest frequency of application.Conclusion:Acupuncture and Tuina therapy for pseudomyopia mainly follows the principle of‘where the disease is,where the attending is’and‘where the meridians pass,the indications reach’,as well as the principle of compatibility of distal points and local points.The local acupoints around eyes and the points from Bladder Meridian of Foot Taiyang are selected,and the local acupoints are used to enrich the clinical acupoints prescriptions,which produces synergistic effect and provides theoretical basis for clinical acupoints selection.

关 键 词：针灸 推拿 假性近视 腧穴运用 数据挖掘 

分 类 号：R246.82[医药卫生—针灸推拿学]