基于数据挖掘技术分析古代文献中 水沟穴的临床应用规律  

Analysis on Clinical Application Rules of DU26 in Ancient Literature Based on Data Mining

作　　者：浦怡婷 马顾全[1] 吕鹤群 冯瑶婷[1] 彭拥军[1] PU Yiting;MA Guquan;LYU Hequn;FENG Yaoting;PENG Yongjun(Affiliated Hospital of Nanjing University of Chinese Medicine,Nanjing 210029,China)

机构地区：[1]南京中医药大学附属医院,江苏南京210029

出　　处：《针灸临床杂志》2024年第2期56-63,共8页Journal of Clinical Acupuncture and Moxibustion

基　　金：国家自然科学基金,编号:82174484、81973932;江苏省研究生科研与实践创新计划,编号:SJCX23_0893;江苏省中医院高峰学术人才项目,编号:k2021rc24;江苏省第六期“333高层次人才培养工程”项目(2022年);江苏省中医院专项课题,编号:Y2022ZR20。

摘　　要：目的:通过数据挖掘技术分析古代文献中水沟穴的临床应用规律,为临床使用水沟穴治疗相关病症提供参考。方法:计算机检索第5版《中华医典》中有关水沟穴单穴及配伍主治病症的相关文献,按纳入、排除标准对文献进行筛选后建立数据库使用Microsoft Excel 2019对水沟穴的主治范围、使用方法及配伍腧穴等进行描述性分析,并运用IBM SPSS STATISTIC 26进行配伍腧穴的聚类分析。结果:共筛选出《针灸甲乙经》等34本古籍中有效处方253条,涉及166个配伍腧穴。水沟穴主治病症主要涉及内科、五官科、儿科、传染病和外科等,以内科心系及肝胆系病症为主。配伍腧穴中使用频次前5位为合谷、百会、上星、承浆和风府,最常涉及的经脉为督脉、足太阳膀胱经和手阳明大肠经,特定穴中运用频次最高的为交会穴、五输穴和原穴,主要分布于头颈部,聚类分析中,冰柱图显示2个有效聚类群,树状图获得4个腧穴聚类群。结论:古代使用水沟穴主治病症范围较广,比较重视配伍使用,常使用本经配穴法,重视特定穴的使用,与现代使用规律基本一致。Objective:To provide the clinical application reference of Shuigou(DU26)through analyzing the law of its clinical application based on data mining technology.Methods:Literature about DU26 were searched from Zhong Hua Yi Dian 5.0.According to the inclusive and exclusive criteria,the collected prescriptions were screened out to establish a database.The Microsoft Excel 2019 was used to do some descriptive analysis on main therapeutic scope,needling methods and compatibility of DU26.The IBM SPSS STATISTIC 26 software was used to do cluster analysis of highly-used compatible acupoints.Results:253 prescriptions involving 166 acupoints,recorded in ancient books such as A-B Classic of Acupuncture and Moxibustion,were selected.The main diseases included internal medicine,facial features,pediatrics,infectious diseases and surgery.The common diseases of internal medicine were heart diseases and hepatobiliary diseases.In terms of frequency of compatible acupoints,the top 5 acupoints were Hegu(LI4),Baihui(DU20),Shangxing(DU23),Chengjiang(RN24)and Fengfu(DU16).Du channel,Bladder Meridian and Large Intestine Meridian had higher frequency of usage.Confluent acupoints,five-Shu acupoints,Yuan-source acupoints were frequently used.The compatible acupoints mainly located in head and neck.As evidence by cluster analysis provided to us,there were 2 clusters in icicle and 2 clusters in dendrogram.Conclusion:The content of clinical application of DU26 in ancient times were abundant.The compatibility of acupoints and the usage of special acupoints were paid a lot of attention to,which is parallel with modern application.

关 键 词：针灸 数据挖掘 水沟穴 古代文献 应用规律 

分 类 号：R224.2[医药卫生—中医基础理论]