基于R语言数据挖掘技术的针灸治疗带状疱疹后遗神经痛选穴规律研究  

Study on Acupoint Selection Law of Acupuncture and Moxibustion for Treating Postherpetic Neuralgia Based on R Language Data Mining Technology

作　　者：王玉琳[1,2] 李磊鑫 杨添淞[3] 刘佳[2] 林春盛 彭婉莹 赵健[4] 包大鹏[2] 武文鹏[2] 孙申田 曹阳[2] 王迪 WANG Yulin;LI Leixin;YANG Tiansong;LIU Jia;LIN Chunsheng;PENG Wanying;ZHAO Jian;BAO Dapeng;WU Wenpeng;SUN Shentian;CAO Yang;WANG Di(Heilongjiang University of Chinese Medicine,Harbin 150006,China;The Second Affiliated Hospital of Heilongjiang University of Chinese Medicine,Harbin 150001,China;The First Affiliated Hospital of Heilongjiang University of Chinese Medicine,Harbin 150006,China;The Fourth Affiliated Hospital of Heilongjiang University of Chinese Medicine,Harbin 150001,China)

机构地区：[1]黑龙江中医药大学,黑龙江哈尔滨150006 [2]黑龙江中医药大学附属第二医院,黑龙江哈尔滨150001 [3]黑龙江中医药大学附属第一医院,黑龙江哈尔滨150006 [4]黑龙江中医药大学附属第四医院,黑龙江哈尔滨150001

出　　处：《中国中医药信息杂志》2025年第2期39-44,共6页Chinese Journal of Information on Traditional Chinese Medicine

基　　金：中华中医药学会求实项目—中医药临床案例成果库专项(QSAL2022-016);黑龙江省中医药管理局国医大师传承项目(GY2022-14);第四届国医大师传承工作室建设项目(2022年);第七批全国老中医药专家学术经验继承工作实施方案(2021年);黑龙江省卫生健康委科研课题(20222121021106)。

摘　　要：目的应用R语言数据挖掘技术分析针灸治疗带状疱疹后遗神经痛(PHN)的选穴规律。方法检索中国知识资源总库(CNKI)、万方数据知识服务平台(万方数据)、维普中文期刊服务平台(维普网)、中国生物医学文献数据库(CBM)2010年1月1日-2023年7月1日收录的针灸治疗PHN的临床研究文献,利用Excel2016建立数据库,采用R语言对腧穴使用频次、归经、部位、特定穴等进行统计,并进行关联规则分析和聚类分析,得出针灸治疗PHN的选穴特点及规律。结果共纳入198篇文献,包含83个腧穴,总频次为714。高频腧穴为阿是穴、夹脊穴、阳陵泉等,常用经脉为足少阳胆经、足太阴脾经和手阳明大肠经,腧穴多分布于上下肢部,以五输穴、原穴和下合穴居多。核心腧穴为阿是穴、夹脊穴、合谷、曲池,并得到9组关联规则和5个有效聚类。结论针灸治疗带状疱疹后遗神经痛的核心腧穴为阿是穴、夹脊穴、合谷、曲池,主要遵循局部取穴与远端取穴相结合的选穴原则。Objective To analyze the acupoint selection law of acupuncture and moxibustion for postherpetic neuralgia(PHN)with R language data mining technology.Methods The clinical research literature on acupuncture and moxibustion treatment of PHN included in CNKI,Wanfang Data,VIP and CBM from January 1,2010 to July 1,2023 was retrieved,and the database was established by Excel 2016.R language was used to statistically analyze the frequency of acupoint usage,meridians,locations,specific acupoints,etc.Through association rule analysis and clustering analysis,the characteristics and law of acupoint selection for acupuncture and moxibustion treatment of PHN were obtained.Results A total of 198 articles were included,including 83 acupoints,with a total frequency of 714 times.The high-frequency acupoints include Ashi acupoint,Jiaji acupoint and Yanglingquan.The commonly used meridians were gallbladder meridian,spleen meridian and large intestine meridiam.The acupoints were mostly in the upper and lower limbs,with the Wushu acupoints,Yuan acupoints and Xiahe acupoints being the most common.The core acupoint was Ashi acupoint,Jiaji acupoint,Hegu,Quchi,and 9 sets of association rules and 5 effective clusters were obtained.Conclusion The most commonly used acupoints for acupuncture and moxibustion treatment of PHN are Ashi acupoint,Jiaji acupoint,Hegu and Quchi,which mainly follow the principle of combining local acupoint selection with distal acupoint selection.

关 键 词：针灸 带状疱疹后遗神经痛 数据挖掘 选穴规律 R语言 

分 类 号：R2-03[医药卫生—中医学] R245