基于数据挖掘的刺络拔罐疗法临床应用特点研究  

Research on Clinical Application Characteristics of Pricking and Cupping Therapy Based on Data Mining

作　　者：殷陆芸 金晓飞 冯慧敏 闫婧 邱芳 YIN Luyun;JIN Xiaofei;FENG Huimin;YAN Jing;QIU Fang(Shanxi University of traditional Chinese Medicine,Jinzhong 030619,China;Acupuncture and Tuina Hospital affiliated to Shanxi University of Traditional Chinese Medicine,Taiyuan 030006,China)

机构地区：[1]山西中医药大学,晋中030619 [2]山西中医药大学附属针灸推拿医院,太原030006

出　　处：《世界中医药》2024年第7期1019-1025,共7页World Chinese Medicine

基　　金：国家自然科学基金项目(81703978);山西省自然科学基金面上项目(202203021211216)。

摘　　要：目的:研究刺络拔罐疗法在相关文献中的临床应用特点,为临床使用刺络拔罐治疗疾病提供参考。方法:运用计算机和数据挖掘技术,建立“刺络拔罐疗法临床应用特点数据库”,利用数据挖掘技术对相关文献进行收集、筛选、审核、整理、提取和录入并进行统计分析。结果:刺络拔罐疗法在临床运用中以皮肤科最多,外科、内科、妇科次之,五官科、儿科应用较少,其中以带状疱疹应用居多;刺络拔罐应用腧穴多以阿是穴、督脉和足太阳膀胱经穴为主;工具多选三棱针和玻璃罐;针刺深度一般为0.1~0.5 cm,放血量一般为1~5 mL,留罐10 min后取罐;刺络拔罐常配合毫针刺法使用效果更佳;治疗频次大多2~3 d 1次,多数疾病在1个月内治疗6~10次有效率可达到90%以上。结论:本研究发现带状疱疹是刺络拔罐疗法的优势病种,在临床其操作方法也有一定特点。Objective:To investigate the clinical application characteristics of pricking and cupping therapy in relevant literature,and to provides a certain reference for the clinical use of pricking and cupping therapy to treat diseases.Methods:Using computer and data mining technology,the“database of clinical application characteristics of pricking and cupping therapy”was established,and the relevant literature was collected,screened,reviewed,sorted,extracted and entered by data mining technology,and then statistically analyzed.Results:Pricking and cupping therapy is the most commonly used in dermatology,followed by surgery,internal medicine,and gynecology,with less application in ENT and pediatrics.It is primarily used to treat herpes zoster.The most commonly used acupoints include Ashi acupoint,Governor Vessel and points along the Bladder Meridian of Foot-Taiyang.Triangular needles and glass cups are the tools most often selected.The acupuncture depth is generally 0.1 to 0.5 cm,with bloodletting volume of 1 to 5 mL,and the cups are left in place for 10 minutes before removal.Pricking and cupping often yield better results when used in conjunction with filiform needle acupuncture.The frequency of treatment is generally once every 2 to 3 days,with most diseases showing over 90%efficacy after 6 to 10 treatments within a month.Conclusion:This study found that herpes zoster is particularly amenable to treatment with pricking and cupping therapy,which also has certain operational characteristics in clinical practice.

关 键 词：刺络拔罐 数据挖掘 临床应用 选穴规律 使用频次 疏通气血 治病祛邪 文献研究 

分 类 号：R245.3[医药卫生—针灸推拿学]