基于数据挖掘技术的针灸治疗寒凝血瘀型痛经的选穴规律研究  

Study on the Rule of Acupoint Selection in the Acupuncture Treatment of Dysmenorrheawith Cold Coagulation and Blood Stasis Based on Data Mining Technology

作　　者：陈文潇 周文 李燕珍 黄长军[2] CHEN Wen-xiao;ZHOU Wen;LI Yan-zhen;HUANG Chang-jun(Nanchang Medical College,Nanchang 330025,China;The Affiliated Hospital of Jiangxi University of Traditional Chinese Medicine,Nanchang 330006,China)

机构地区：[1]南昌医学院,江西南昌330025 [2]江西中医药大学附属医院,江西南昌330006

出　　处：《云南中医中药杂志》2024年第6期37-42,共6页Yunnan Journal of Traditional Chinese Medicine and Materia Medica

基　　金：四川省中医药管理局科研项目(2021MS261)。

摘　　要：目的基于数据挖掘技术,分析针灸治疗寒凝血瘀型痛经的选穴规律。方法以寒凝血瘀、痛经、针灸等为检索词检索中国知网(CNKI)、维普全文期刊数据库(VIP)、万方(WF)数据库中针灸治疗寒凝血瘀型痛经的临床研究文献,使用Microsoft Excel、IBM SPSS Statistics、IBM SPSS Modeler等软件分析古代针灸治疗寒凝血瘀型痛经的选穴规律。结果共筛选出符合要求的82条穴位处方条文,其中涉及穴位34个。频次较高的5个穴位分别为关元、三阴交、子宫、地机、气海穴;经脉多为足太阴脾经、任脉、足阳明胃经;较常使用部位为腹部以及腰背部;聚类分析发现神阙-子宫,关元-气海-十七椎-血海,地机-合谷-中极-内关-太冲,归来-三阴交-足三里-次髎各自趋于一组,在腧穴配伍方面,关元、气海、子宫、三阴交为关联较强组合。结论针灸治疗寒凝血瘀型痛经的核心组方为关元、气海、子宫、三阴交。Objective:To analyze the rule of acupoint selection in the treatment of dysmenorrhea with cold coagulation and blood stasis based on data mining technology.Methods:By using cold coagulation,blood stasis,dysmenorrhea and acupuncture as search terms,the clinical research literature on acupuncture in the treatment of cold coagulation and blood stasis dysmenorrhea were searched in CNKI,VIP full-text periodical database and WF database.Microsoft Excel,IBM SPSS Statistics and IBM SPSS Modeler were used to analyze the acupoint selection rule of ancient acupuncture treatment for cold coagulation and blood stasis dysmenorrhea.Results:A total of 82 acupoint prescriptions meeting the requirements were selected,including 34 acupoints.The five points with high frequency were Guanyuan,Sanyinjiao,Zigong,Diji and Qihai.Most of meridians were foot Taiyin spleen channel,Ren pulse and foot Yangming stomach channel.The most commonly used parts were abdomen and lower back.The cluster analysis found that Shenque-Zigong,Guanyuan-Qihai-Shiqizhui-Xuehai,Diji-Hegu-Zhongji-Neiguan-Taichong and Guilai-Sanyinjiao-Zusanli-Ciliao tended to be a group.In terms of the compatibility of acupoints,Guanyuan,Qihai,Zigong and Sanyinjiao were strongly correlated combinations.Conclusion:The core prescriptions of acupuncture for cold coagulation and blood stasis dysmenorrhea are Guanyuan,Qi Hai,Zigong and Sanyinjiao.

关 键 词：痛经 寒凝血淤型 针灸 选穴规律 

分 类 号：R271.113[医药卫生—中医妇科学]