基于数据挖掘分析针灸治疗颞下颌关节紊乱综合征的选穴规律  

Analysis of Acupoint Selection Rules of Acupuncture and Moxibustion in the Treatment of Temporomandibular Disorder Based on Data mining

作　　者：任庆华 张勇[1] REN Qing-Hua;ZHANG Yong(Dongzhimen Hospital Beijing University of Chinese medicine,Beijing 100700,China)

机构地区：[1]北京中医药大学东直门医院,北京100700

出　　处：《广州中医药大学学报》2024年第3期695-702,共8页Journal of Guangzhou University of Traditional Chinese Medicine

基　　金：北京中医药大学东直门医院青苗人才计划资助项目(编号:DZMYS-201711)。

摘　　要：【目的】基于数据挖掘技术分析针灸在治疗颞下颌关节紊乱综合征的选穴规律及特点。【方法】计算机检索中国知网期刊全文数据库(CNKI)、万方学术期刊全文数据库(Wanfang)、维普中文科技期刊数据库(VIP)、中国生物医学数据库(CBM)等各大数据库。检索时间为2002年1月至2022年6月。经过筛选及标准化处理针灸处方,进行数据分析,探究核心选穴及特点。【结果】共纳入92篇文献,提取有效处方108条,腧穴36个,总频次555次。其中,使用总频次前10位的高频腧穴11个,包括下关、合谷、颊车、听宫、翳风、阿是穴、足三里、颧髎、上关、风池、听会,共使用481次,占总频次的85.79%。关联规则显示下关、合谷、颊车、听宫之间存在极强的关联性及共现度,聚类分析得到4个核心聚类。【结论】针灸治疗本病主要遵循“经脉所过,主治所及”的原则,核心选穴组合为:下关-合谷-颊车-听宫。Objective To analyze the selection rules and characteristics of acupuncture and moxibustion in the treatment of temporomandibular disorder(TMD)based on data mining techniques.Methods Computerized search of major databases such as CNKI,Wanfang,VIP,and CBM from January 2002 to June 2022.After screening and standardized treatment of acupuncture prescriptions,data analysis was performed to explore the selection and characteristics of core acupoints.Results A total of 92 papers were included,and 108 valid prescriptions and 36 acupuncture points were extracted with a total frequency of 555 times.Among them,11 high-frequency acupoints in the top 10 of the total frequency were used,including Xiaguan(ST7),Hegu(LI4),Jiache(ST6),Tinggong(SI19),Yifeng(SJ17),Ashi,Zusanli(ST36),Quanliao(SI18),Shangguan(GB3),Fengchi(GB20),Tinghui(GB2),with a total of 481 times,accounting for 85.79%of the total frequency.The association rules showed a very strong correlation and co-occurrence between Xiaguan(ST7),Hegu(LI4),Jiache(ST6),Tinggong(SI19),and the cluster analysis yielded 4 core clusters.Conclusion Acupuncture and moxibustion for treatment of this disease mainly follows the principle of“the main treatment should reach where the meridians pass”,and the core combination of selected points is:Xiaguan(ST7)-Hegu(LI4)-Jiache(ST6)-Tinggong(SI19).

关 键 词：颞下颌关节紊乱综合征 针灸 穴位 数据挖掘 选穴规律 下关 合谷 颊车 听宫 

分 类 号：R246.9[医药卫生—针灸推拿学]