基于数据挖掘探析推拿治疗小儿厌食症选穴规律  

Exploration of Point Selection Rules of Tuina in Treating Anorexia in Children Based on Data Mining

作　　者：崔凯雯 徐顶立 朱成林 傅瑞阳 CUI Kaiwen;XU Dingli;ZHU Chenglin;FU Ruiyang

机构地区：[1]浙江中医药大学第三临床学院,浙江杭州310053 [2]浙江中医药大学附属湖州中医院,浙江湖州313099

出　　处：《新中医》2023年第3期199-203,共5页New Chinese Medicine

基　　金：国家中医药管理局“十二五”重点建设专科项目(ZJ1101TN010);浙北推拿流派传承及省名中医傅瑞阳学术经验总结项目(2021ZB27);傅瑞阳全国老中医药专家学术经验继承工作建设项目(国医药人教发[2017]29号)。

摘　　要：目的:应用数据挖掘技术探讨小儿推拿手法治疗小儿厌食症的选穴规律及特点。方法:通过检索PubMed、中国知网、万方、维普中文生物医学期刊等数据库,收集2000—2020年推拿手法治疗小儿厌食症的相关文献共1 523篇。录入Excel建立数据库并进行频次分析,再将数据库导入SPSS Modeler 25.0软件对高频次腧穴进行关联规则分析,最终总结选穴规律及特点。结果:共纳入文献303篇,处方384条,腧穴95个,总频次为2 579次,统计得出脊、腹、脾经、内八卦、四横纹、板门、足三里、脾俞、胃俞、中脘10个穴位为高频次穴位;穴位组合以腹→脊、足三里→脊、腹→脾经→脊为主的处方最为常用;关联性最强的穴对为腹→脊、脊→脾经、脾经→内八卦;以小儿特定穴运用最为广泛,占比65.68%;选穴部位又以上肢腧穴为主,尤以手部为多。结论:现代小儿推拿治疗小儿厌食症,以脊、腹、脾经、内八卦、四横纹、板门、足三里、脾俞、胃俞、中脘为核心穴位,强调运脾开胃的治疗理念,形成以小儿特定穴为主、手部穴位为多的选穴特点。Objective:To discuss the point selection rules and characteristics of pediatric tuina manipulation in the treatment of anorexia in children with the application of data mining.Methods:By searching PubMed,China National Knowledge Infrastructure,Wanfang Database,VIP Chinese Medical Journal Database,and other databases,1 523 articles related to the treatment of anorexia in children by tuina manipulation from 2000 to 2020 were collected and entered into Excel to establish a database and conducted frequency analysis.The database was then imported into SPSS Modeler 25.0 software to analyze the association rules of high-frequency points,and finally summarized the rules and characteristics of point selection.Results:A total of 303 articles,384 prescriptions and 95 points were included,with a total frequency of 2579 times.Ten points were counted as high-frequency points,namely the spine,abdomen,spleen meridian,Neibagua,Sihengwen,Banmen,Zusanli point(ST 36),Pishu point(BL 20),Weishu point(BL 21),and Zhongwan point(RN 12).The most common prescriptions of point combination were abdomen→spine,Zusanli point→spine,and abdomen→spleen meridians→spine.The point couplets with the higher association were abdomen→spine,spine→spleen meridian,and spleen meridian→Neibagua.Specific points for children were the most widely used,accounting for 65.68%;the selected points were mainly located in the upper limbs,especially the hands.Conclusion:Modern pediatric tuina in the treatment of anorexia in children,with the spine,abdomen,spleen meridian,Neibagua,Sihengwen,Banmen,Zusanli point,Pishu point,Weishu point,and Zhongwan point as the core points,emphasizes the therapeutic concept of activating the spleen and increasing appetite and forms characteristics of point selection,namely taking specific points for children as a focus and a high frequency of selecting points in hands.

关 键 词：小儿厌食症 小儿推拿 选穴规律 数据挖掘 

分 类 号：R244.1[医药卫生—针灸推拿学]