基于数据挖掘探究中医古籍文献中水沟穴临床应用规律  

Clinical Application Rules of Shuigou Point in Ancient Chinese Medicine Books and Documents Based on Data Mining

作　　者：邱子珊 刘群 徐振华[2] QIU Zishan;LIU Qun;XU Zhenhua(School of Acupuncture,Moxibustion and Rehabilitation,Guangzhou University of Chinese Medicine,Guangzhou Guangdong 510006,China;The Second Clinical Medical School of Guangzhou University of Chinese Medicine,Guangzhou Guangdong 510120,China)

机构地区：[1]广州中医药大学针灸康复临床医学院,广东广州510006 [2]广州中医药大学第二临床医学院,广东广州510120

出　　处：《新中医》2024年第21期113-118,共6页New Chinese Medicine

基　　金：国家自然科学基金项目(81974582)。

摘　　要：目的:基于数据挖掘探究中医古籍文献中水沟穴的临床应用规律。方法:以《中华医典》收录的1156部古籍为检索范围,根据纳排标准筛选处方并建立数据库,运用Microsoft Excel 2019、RStudio 4.3.2软件对水沟穴的主治范围、腧穴配伍及施治方法等方面进行描述性分析与关联规则分析。结果:本研究最终纳入条文193条,涉及古籍93部。水沟穴主治病症以内科脑系和耳鼻喉科病症为主,单穴主治的优势病种共18种,分别为痫证、中恶、水肿、消渴、口僻、中风、厥证、唇风、乍喜乍哭、头痛、喘证、目不可视、癫狂、急惊风、卒死、鬼击、腰痛及黄疸;配伍主治的优势病种共17种,分别为中风、癫狂、腰痛、水肿、口僻、急惊风、厥证、鼻鼽、鼻衄、中恶、尸厥、鼻渊、慢惊风、卒死、口疮、口噤及鼻息肉。配伍腧穴共159个,包含十四经经穴及经外奇穴,高频腧穴有42个,其中频次最高的为合谷穴,归经以督脉最多,特定穴以五输穴最多。关联规则分析共筛选出50条。水沟穴施治方法包括针刺、灸法、点刺放血、火针、爪掐(切)、捻(揉)及外治法等,以针刺、灸法为主,刺灸法操作以针三分,留六呼,灸三壮,艾炷如雀粪、小麦大,行泻法最为常见。结论:本研究较为全面地展示了水沟穴在古代临床应用中主治病症、腧穴配伍及临床操作等方面的情况,可为现代临床应用及科研提供借鉴。Objective:To explore the clinical application rules of Shuigou(DU26)point in ancient Chinese medicine books and documents based on data mining.Methods:A total of 1156 ancient books included in the Chinese Medical Canon were selected as the search scope;prescriptions were screened according to the exclusion criteria and a database was established.Microsoft Excel 2019 and RStudio 4.3.2 software were used to conduct descriptive analysis and association rule analysis on the scope of indications,compatibility of acupoints and treatment methods of Shuigou(DU26)point.Results:A total of 193 books and documents were finally included in this study,involving 93 ancient books.The main diseases treated by acupuncture at Shuigou(DU26)point were cerebral diseases in internal medicine and otorhinolaryngological diseases.There were 18 kinds of dominant diseases treated by acupuncture at the single point,including eclampsia,attack of noxious factor,edema,wasting-thirst,deviation of the mouth,stroke,fainting,exfoliative cheilitis,sudden joy and sudden crying,headache,panting syndrome,inability to see,manicdepressive psychosis,acute infantile convulsion,sudden death,sudden chest or abdominal colic or bleeding,and low back pain and jaundice.There were 17 kinds of dominant diseases treated by acupuncture at Shuigou(DU26)point which was compatible with other points,including stroke,manicdepressive psychosis,low back pain,edema,deviation of the mouth,acute infantile convulsion,fainting,allergic rhinitis,nosebleed,attack of noxious factor,sudden fainting,sinusitis,chronic infantile convulsion,sudden death,aphtha,dysentery with inability to eat and nasal polyp.There were 159 compatible points,including points on fourteen channels and extra points;there were 42 highfrequency points,among which the highest frequency was Hegu(LI4)point;in terms of channel entry,governor vessel dominated,and the dominate specific points were five transport points.A total of 50 association rules were selected.The treatment methods of using Shuigou(DU26)point i

关 键 词：水沟穴 数据挖掘 《中华医典》 中医古籍文献 应用规律 

分 类 号：R242.2[医药卫生—中医临床基础]