针灸治疗哺乳期乳腺炎选穴规律研究  

Study on Acupoint Selection Rules of Using Acupuncture and Moxibustion to Treat Lactational Mastitis

作　　者：杨云虹 孙晓峰[1,2] 李相宜[2] YANG Yunhong;SUN Xiaofeng;LI Xiangyi(Guangzhou University of Chinese Medicine,Guangzhou Guangdong 510006,China;The First Affiliated Hospital of Guangzhou University of Chinese Medicine/Guangdong Provincial Clinical Institute of Chinese Medicine,Guangzhou Guangdong 510405,China)

机构地区：[1]广州中医药大学,广东广州510006 [2]广州中医药大学第一附属医院/广东省中医临床研究院,广东广州510405

出　　处：《新中医》2024年第16期89-94,共6页New Chinese Medicine

基　　金：广东省中医药局科研项目(20222047)。

摘　　要：目的:运用数据挖掘技术探讨针灸治疗哺乳期乳腺炎的选穴规律。方法:选取中国知网(CNKI)、中文科技期刊数据库(VIP)、万方数据知识服务平台(Wanfang),检索自建库起至2023年6月30日公开发表的针灸治疗哺乳期乳腺炎的临床文献。提取符合纳入、排除标准的文献,依次进行穴位频次统计、穴位所处部位分析、特定穴统计、聚类分析及关联规则分析。结果:纳入文献30篇,共使用40个穴位,总使用频次123次。使用频次排名前5的经脉依次是足阳明胃经、足少阳胆经、任脉、手厥阴心包经、足厥阴肝经。使用频次排名前5的穴位为膻中、肩井、内关、乳根、阿是穴。针灸治疗哺乳期乳腺炎所用穴位主要分布在胸部、肩背部及四肢,占总频次的95.12%。其中使用胸部穴位的频次最高,而下肢穴位使用个数最多。使用频次较高的特定穴包括交会穴、五输穴、募穴等,穴位使用个数最多的为五输穴。聚类分析得到的穴位组合包括中脘-天池-三阴交-内关-丰隆-膺窗-膻中-天宗,足临泣-合谷-肩井-期门,乳根-行间,少泽-太冲-足三里。关联规则分析得知关联性较高穴位组合为膻中-内关、内关-丰隆、膻中-丰隆。结论:针灸治疗哺乳期乳腺炎选穴重视近部和远部选穴原则和经络循行,灵活应用特定穴和注重辨证取穴原则。Objective:To explore the acupoint selection rules in the treatment of lactational mastitis by acupuncture and moxibustion using data mining.Methods:China National Knowledge Infrastructure(CNKI),Chinese Science and Technology Journal Database(VIP)and Wanfang Data knonledge service platform(Wanfang)were selected for the search of clinical literature of using acupuncture and moxibustion to treat lactational mastitis published from the establishment of the database to June 30,2023.Literatures that met the inclusion and exclusion criteria were selected,and acupoint frequency statistics,acupoint location analysis,specific acupoint statistics,cluster analysis and association rule analysis were performed in turn.Results:A total of 30 articles were included and 40 acupoints were used for 123 times.Among them,the top five meridians were successively the foot-yangming stomach meridians,foot-shaoyang gallbladder meridians,conception vessel,hand-jueyin pericardium meridians and foot-jueyin liver meridians.The top five acupoints in the usage frequency were Danzhong(CV17)point,Jianjing(GB21)point,Neiguan(PC6)point,Rugen(ST18)point and Ashi point.The acupoints used in treatment of lactational mastitis by acupuncture and moxibustion were mainly distributed in the chest,shoulders,back and limbs,accounting for 95.12%of the total frequency.Among them,the acupoints in the chest were mostly used,while the number of acupoints in the lower limbs is the highest.Specific acupoints with high frequency of use included intersection acupoints,five-shu points,and front mu points.The five-shu points had the largest number of usage.The acupoint combinations based on the cluster analysis include Zhongwan(CV12)point-Tianchi(PC1)point-Sanyinjiao(SP6)point-Neiguan(PC6)point-Fenglong(ST40)point-Yingchuang(ST16)point-Danzhong(CV17)point-Tianzong(SI11)point,Zulinqi(GB41)point-Hegu(LI4)point-Jianjing(GB21)point-Qimen(LR14)point,Rugen(ST18)point-Xingjian(LR2)point,Shaoze(SI1)point-Taichong(LR3)point-Zusanli(ST36)point.The analysis of association rules sh

关 键 词：哺乳期乳腺炎 针灸 数据挖掘 选穴规律 

分 类 号：R246[医药卫生—针灸推拿学] R655.8[医药卫生—中医临床基础]