基于数据挖掘探讨温针灸治疗失眠症选穴规律  

Study on the acupoint selection law in treating insomnia with warming-needle moxibustion

作　　者：张荣妮 幸雨 纪昌春 谢朝菊 王雪娇 郭靓 郭霁星 Zhang Rongni;Xing Yu;Ji Changchun;Xie Chaoju;Wang Xuejiao;Guo Liang;Guo Jixing(College of Acupuncture and Tuina,Shaanxi University of Chinese Medicine,Xianyang 712046,China;Department of Acupuncture and Moxibustion,Shaanxi Provincial Hospital of Chinese Medicine,Xi'an 710003,China)

机构地区：[1]陕西中医药大学针灸推拿学院,咸阳712046 [2]陕西省中医医院针灸一科,西安710003

出　　处：《国际中医中药杂志》2024年第6期778-783,共6页International Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金(82074560)。

摘　　要：目的运用数据挖掘技术分析温针灸治疗失眠症的选穴规律。方法检索中国期刊全文数据库(CNKI)、中文科技期刊数据库(重庆维普)、中国学术期刊数据库(万方数据)、中华医学期刊全文数据库、中国生物医学文献服务系统(SinoMed)、PubMed建库至2023年6月30日有关温针灸治疗失眠症的文献,提取针灸处方,建立数据库,对干预措施、艾灸壮数、总有效率、取穴相关信息等进行描述性分析;采用SPSS Statistics 26.0、SPSS Modeler 18.0软件对体针及温针使用的高频腧穴分别进行聚类分析和关联规则分析。结果纳入温针灸治疗失眠症文献67篇,干预措施以单用温针灸为主,其次为联用耳针;多使用长1~2 cm的艾条灸1壮;总有效率多在92%~94%之间。共得到处方85首,体针取穴涉及腧穴55个(频次569次),其中百会(55次)、神门(54次)、三阴交(45次)应用较多;选穴主要分布在头面部、背腰部,所属经脉主要为足太阳膀胱经、督脉、手少阴心经;特定穴以交会穴为主,其次为背俞穴;高频腧穴聚类分析得到“心俞-脾俞-肾俞-肝俞”等3个有效类群,关联性最强的穴位组合为百会与神门。温针灸取穴涉及腧穴44个(频次272次),三阴交(32次)、心俞(23次)、脾俞(23次)应用频次较高;高频腧穴聚类分析得到“心俞-脾俞-肾俞-肝俞”等3个有效聚类群,关联性最强的穴位组合为脾俞与心俞。结论温针灸治疗失眠症注重应用背腰部足太阳膀胱经腧穴,配合头面部取穴,重视特定穴中交会穴的应用,且温针灸选穴以脏腑背俞穴为主,起到平衡阴阳、调理脏腑、补虚安神以助眠的功效。Objective To analyze the acupoint selection law in treating insomnia with warming-needle moxibustion using data mining technology.Methods The clinical research literature on warming-needle moxibustion in treating insomnia was retrieved from the databases of CNKI,VIP,Wanfang Data,China Medical Journal Full-text Database,SinoMed,PubMed from the establishment of the databases to June 30,2023.Acupuncture prescriptions were extracted and a database was established.Descriptive analysis was carried out on the intervention measures,the number of moxibustion numbers,the total effective rate,and the relevant information of acupoint selection.Clustering analysis and association rule analysis by using SPSS Statistics 26.0,SPSS Modeler 18.0 were performed on the high-frequency acupoints used in body acupuncture and warming acupuncture,respectively.Results A total of 67 articles about warming-needle moxibustion for insomnia were included.The main intervention was single warming-needle moxibustion,followed by combined auricular acupuncture.Moxibustion with moxa sticks of 1 to 2 cm in length was often used.The total effective rate was mostly between 92%and 94%.A total of 85 prescriptions were obtained,involving 55 acupoints(569 times in frequency),among which Baihui(DU 20)(55 times),Shenmen(HT 7)(54 times)and Sanyinjiao(SP 6)(45 times)were widely used.The selected acupoints were mainly distributed on the head,face,back and waist,and the affiliated meridians were mainly bladder meridian,Governor Vessel and heart meridian.The specific acupoints were mainly crossing points,followed by back-shu acupoints.Clustering analysis of high-frequency acupoints obtained three effective groups,including"Xinshu(BL 15)-Pishu(BL 20)-Shenshu(BL 23)-Ganshu(BL 18)",etc.Baihui(DU 20)and Shenmen(HT 7)were the most relevant acupoint combinations.A total of 44 acupoints(frequency 272 times)were involved in the selection of warming acupuncture,among which Sanyinjiao(SP 6)(32 times),Xinshu(BL 15)(23 times)and Pishu(BL 20)(23 times)were more frequently use

关 键 词：失眠症 温针灸 用穴规律 聚类分析 数据挖掘 

分 类 号：R246.6[医药卫生—针灸推拿学]