基于数据挖掘探讨针灸治疗精神分裂症选穴规律  

Discussion on the acupoint selection law in the treatment of schizophrenia through acupuncture and moxibustion based on data mining

作　　者：李翊澜 彭丽丽[1] 杨娇娇 李澳琪 金灿 蒋小剑[1] 陈红涛[1] Li Yilan;Peng Lili;Yang Jiaojiao;Li Aoqi;Jin Can;Jiang Xiaojian;Chen Hongtao(School of Nursing,Hunan University of Chinese Medicine,Changsha 410208,China)

机构地区：[1]湖南中医药大学护理学院,长沙410208

出　　处：《国际中医中药杂志》2024年第9期1219-1224,共6页International Journal of Traditional Chinese Medicine

基　　金：湖南省创新型省份建设专项资金资助项目(2021SK2009)。

摘　　要：目的利用数据挖掘和网络可视化技术,总结分析针灸治疗精神分裂症的取穴规律。方法检索中国知识资源总库(CNKI)、中国学术期刊数据库(万方数据)、中文科技期刊数据库(重庆维普)、中国生物医学文献服务系统(SinoMed)、中华医学期刊全文数据库、PubMed及Web of Science建库至2022年12月31日收录的针灸治疗精神分裂症相关文献,采用Excel 2013软件建立数据库并进行腧穴频次分析,基于Apriori算法进行关联规则分析,采用SPSS Statistics 25.0、SPSS Modeler 18.0软件进行腧穴聚类分析,以探讨选穴规律。结果共纳入文献133篇,涉及处方133首,运用腧穴158个,总频次1131次。常用穴位有百会(71次)、足三里(51次)、内关(45次)等;常用经脉为督脉、足阳明胃经等。关联规则分析得到腧穴关联规则108条,常用腧穴配伍为百会-印堂、足三里、百会-神庭、百会-印堂、大陵-劳宫等,常用腧穴聚类分析共得到4类。结论现代针灸治疗精神分裂症以调节阴阳、平衡气血为主,取穴以百会-印堂-内关-合谷为基础穴位处方,根据兼证加用其他穴位,既能充分发挥腧穴协同增效的作用,又能促进运动、感觉功能恢复。Objective To summarize and analyze the acupoint selection law of acupuncture and moxibustion for the treatment of schizophrenia using data mining techniques and network visualization technology.Methods The literature related to the treatment of schizophrenia through acupuncture and moxibustion was retrieved from CNKI,Wanfang,VIP,SinoMed,Chinese Medical Journal Full-text Database,PubMed and Web of Science from the establishment of the databases to December 31,2022.A database was established using Excel 2013 software and frequency analysis of acupoints was conducted;the Apriori algorithm was used to analyze the association law of acupoints;SPSS Statistics 25.0 and SPSS Modeler 18.0 software were used for acupoint clustering analysis to explore the acupoint selection law.Results A total of 133 articles were included,involving 133 acupuncture prescriptions and 158 acupoints,with a total frequency of 1131 times.The most frequently used acupoints were Baihui(GV20)(71 times),Zusanli(ST36)(51 times),Neiguan(PC6)(45 times).Commonly used meridians were Governor Vessel,and stomach meridian,etc.According to the analysis of association rules,108 association rules of acupoints were obtained,and common compatibility of acupoints was Baihui(GV20)-Yintang(GV24)-Zusanli(ST36),Baihui(GV20)-Shenting(GV24),Baihui(GV20)-Yintang(GV24),Daling(PC7)-Laogong(PC8),etc.Four major clusters were obtained through clustering analysis of commonly used acupoints.Conclusion Modern acupuncture and moxibustion is mainly used to regulate yin and yang and balance qi and blood in the treatment of schizophrenia.The acupoint selection is based on Baihui-Yintang-Neiguan-Hegu acupoint prescription,and other acupoints are added according to concurrent syndromes,which can not only give full play to the synergistic effect of acupoints,but also promote the recovery of motor and sensory functions.

关 键 词：精神分裂症 针灸处方 数据挖掘 选穴规律 

分 类 号：R246.6[医药卫生—针灸推拿学]