基于数据挖掘探析针刺治疗风寒湿型冻结肩的辨经选穴规律  

The Rules of Effective Meridians and Acupoint Selections in Acupuncture Therapy for Frozen Shoulder of Wind-Cold-Damp Type Based on Data Mining

作　　者：郭慧 胡晓丽[1,2] GUO Hui;HU Xiao-li(Liaoning University of Traditional Chinese Medicine,Shenyang,Liaoning 110032;Affiliated Hospital of Liaoning University of Traditional Chinese Medicine,Shenyang,Liaoning 110847)

机构地区：[1]辽宁中医药大学,辽宁沈阳110032 [2]辽宁中医药大学附属医院,辽宁沈阳110847

出　　处：《中医康复》2024年第3期55-59,共5页Traditional Chinese Medicine Rehabilitation

基　　金：辽宁省科技攻关计划,编号:2019-ZD-0437。

摘　　要：目的:基于数据挖掘探索针刺治疗风寒湿型冻结肩的有效经络及配穴规律。方法:通过Note-Express检索整合CNKI、Wanfang、VIP、Pub-Med、Science Direct、JAMA-Network、Web of Science等中英文数据库中近十年有关针刺治疗风寒湿型冻结肩的RCT试验,对符合纳入标准的文献经络及配穴建立数据库,构建复杂网络,进行聚类分析及关联分析。结果:共纳入38篇文献,提取出57条针刺治疗风寒湿型冻结肩处方,涉及有效正经10条、腧穴33个。复杂网络得出肩髃、肩贞、肩髎各自所归的手阳明大肠经、手太阳小肠经和手少阳三焦经的度值位居前三;聚类分析得到3个高频腧穴聚类群及3个经络聚类群;关联分析得到肩髃、肩髎、肩贞、风池、阳陵泉为治疗风寒湿型冻结肩的核心组方。结论:针刺治疗风寒湿型冻结肩选穴以肩关节周围为主,远端配穴为辅,首选手三阳经经穴有法可循、有据可依。Objective:To explore the effective meridians and selections rules of acupuncture in treating frozen shoulder of wind-cold-damp type based on data mining.Methods:Choosing the RCT of acupuncture therapy for frozen shoulder of wind-cold-damp type in recent ten years in CNKI,Wan fang,VIP,Pub-Med,Science Direct,JAMA Network,Web of Science,which was retrieved and integrated through the software of Note-Express.A database was established for the literature of the effective channels and accurate selections matching the inclusion criteria,the complex network model was established by another software,then carried out in turn cluster analysis,association analysis,and make a summary rule finally.Results:Totally 38 articles were included,and 57 prescriptions for acupuncture treatment of frozen shoulder of wind-cold-damp type were extracted,involving 10 effective meridians and 33 acupoints.The complex network analysis shows that the degrees of Jianyu(LI 15),Jianzhen(SI 9)and Jianliao(TE 14),which belong to the hand's Yangming large intestine meridian,Taiyang small intestine meridian and Shaoyang triple energizer meridian respectively,rank in the top three;three high-frequency acupoint clusters and three meridian clusters were obtained by cluster analysis;according to the correlation analysis,the significant core prescriptions for acupuncture therapy of frozen shoulder of wind-cold-damp type involve Jianyu(LI 15),Jianzhen(SI 9),Jianliao(TE 14),Fengchi(GB 20)and Yanglingquan(GB 34).Conclusion:Acupuncture therapy of frozen shoulder of wind-colddamp type is mainly focused on the shoulder joint,supplemented by distal acuponits matching,and the first choice with three yang meridians of the hand have sources and evidences to follow and verify.

关 键 词：冻结肩 风寒湿型 针刺 选穴规律 数据挖掘 

分 类 号：R246.2[医药卫生—针灸推拿学]