基于数据挖掘的针刺治疗紧张性头痛取穴规律分析  

Analysis of acupoint selection patterns for acupuncture treatment of tension-type headaches based on data mining

作　　者：虞兵兵 王婷婷 方俊霖 郭云[3] 黄英如[1] 郑凯 YU Bingbing;WANG Tingting;FANG Junlin;GUO Yun;HUANG Yingru;ZHENG Kai(Chongqing Medical University School of Traditional Chinese Medicine,Chongqing 400050,China)

机构地区：[1]重庆医科大学中医药学院,400050 [2]重庆医科大学护理学院,400050 [3]重庆医科大学附属铜梁区中医院骨伤科

出　　处：《环球中医药》2024年第8期1537-1544,共8页Global Traditional Chinese Medicine

基　　金：重庆市科卫联合中医药科研项目(2023MSXM184);第四批全国中医(临床、基础)优秀人才研修项目(国中医药人教发[2017]24号)。

摘　　要：目的通过数据挖掘技术分析针刺紧张性头痛的取穴规律,为临床治疗提供参考。方法计算机检索中国知识资源总库(CNKI)、维普资讯中文期刊服务平台(VIP)、中国学术期刊数据库(万方数据)收录的自建库起至2023年3月31日有关针刺治疗紧张性头痛的临床文献。共检索到783篇文献,经过筛选最终纳入符合纳排标准文献90篇。采用Excel表格建立数据库,统计并分析符合纳排标准文献的腧穴选取频次、归经、所属部位、特定穴位等方面的应用规律。运用SPSS 25.0软件对出现频次≥16的腧穴进行聚类分析及因子分析,并绘制树状图、冰状图及旋转空间载荷图。结果针刺治疗紧张性头痛的临床应用中风池为最高频腧穴,紧随其后的是百会、太阳、头维等腧穴;腧穴归经主要是督脉、足少阳胆经、足阳明胃经;所属部位应用最多的为头面部,其次为下肢、上肢;特定穴以原穴最为常用,之后是输穴与络穴。聚类分析得到3类腧穴配伍关联聚类处方,足三里、丰隆、三阴交、太冲为一类;印堂、神门为一类;风池、太阳、头维、百会、合谷、四神聪、率谷为一类。因子分析共提取5个腧穴配伍单元公因子。分别为F1(丰隆、三阴交、太冲、足三里)、F2(风池、头维、百会)、F3(四神聪、率谷)、F4(印堂、神门)、F5(合谷、太阳)。结论针刺治疗紧张性头痛取穴以近部取穴为主,主要是百会、太阳、头维等穴位,同时重视循经取穴、远端取穴与特定穴的使用,常配合辨经、辨证理念治疗。通过数据挖掘针刺治疗紧张性头痛取穴规律,为其临床应用及基础研究提供参考。Objective To analyze the acupoint selection patterns for tension-type headaches using data mining techniques and provide references for clinical treatment.Methods Computer searches were conducted in the China National Knowledge Infrastructure(CNKI),VIP Information Chinese Journal Service Platform(VIP),and Wanfang Data databases from their inception up to March 31,2023,for clinical literature related to acupuncture treatment for tension-type headaches.A total of 783 articles were retrieved,and after screening,90 articles meeting the inclusion criteria were included.A database was established using Excel,and the acupoint selection frequency,meridians,anatomical locations,and specific acupoint usage patterns in the included literature were statistically analyzed.SPSS 25.0 software was employed to conduct cluster analysis and factor analysis on acupoints with a frequency of 16,with dendrograms,ice charts,and rotated factor loading plots created.Results In the clinical application of acupuncture for tension-type headaches,Fengchi(GB20)acupoint was the most frequently used,followed closely by Baihui(DU20),Taiyang(EX-HN5),Touwei(ST8),and others.The main meridians for these acupoints were the Du Meridian,Gallbladder Meridian of Foot Shaoyang,and Stomach Meridian of Foot Yangming.The most common anatomical location for acupoint application was the head and face,followed by the lower and upper limbs.Original acupoints were the most commonly used,followed by luo-connecting points and confluent points.Cluster analysis yielded three categories of acupoint combinations:cluster 1 included Zusanli(ST36),Fenglong(ST40),Sanyinjiao(SP6),and Taichong(LR3);cluster 2 included Yintang(EX-HN3)and Shenmen(HT7);cluster 3 included Fengchi(GB20),Taiyang(EX-HN5),Touwei(ST8),Baihui(DU20),Hegu(LI4),Sizhong(SJ23),and Shuaigu(GB8).Factor analysis extracted five common factor units:F1(Fenglong(ST40),Sanyinjiao(SP6),Taichong(LR3),Zusanli(ST36)),F2(Fengchi(GB20),Touwei(ST8),Baihui(DU20)),F3(Sizhong(SJ23),Shuaigu(GB8)),F4(Yintang(EX-HN3),Shenmen(HT7

关 键 词：针刺 紧张性头痛 肌收缩性头痛 头风 取穴规律 经络 文献研究 

分 类 号：R246[医药卫生—针灸推拿学]