基于数据挖掘的针刺结合推拿治疗失眠选穴规律研究  

Study on Acupoint Selection Patterns for Acupuncture Combined Tuina in Treatment of Insomnia Based on Data Mining

作　　者：Bolatbek Akerke 邱思淦 张雪枫 古来撒尔·艾克拜尔 卢旭昇 刘俊昌[1,2] BOLATBEK Akerke;QIU Sigan;ZHANG Xuefeng;AIKEBAIER Gulaisaer;LU Xusheng;LIU Junchang(Xinjiang Medical University,Urumqi 830011,China;Institute of Traditional Chinese Medicine of Xinjiang Uygur Autonomous Region,Urumqi 830000,China)

机构地区：[1]新疆医科大学,新疆乌鲁木齐830011 [2]新疆维吾尔自治区中医药研究院,新疆乌鲁木齐830000

出　　处：《针灸临床杂志》2024年第12期63-72,共10页Journal of Clinical Acupuncture and Moxibustion

基　　金：国家自然科学基金地区项目,编号:81960906;新疆维吾尔自治区研究生科研创新项目,编号:XJ2023G199。

摘　　要：目的:采用数据挖掘技术分析针刺结合推拿治疗失眠所选穴的特点和规律,为失眠症的临床治疗提供参考依据。方法:通过检索Pubmed、Web of science、中国知识资源总库(CNKI)、中文科技期刊数据库(VIP)和万方数据知识服务平台(Wanfang data)创库至2023年3月31日收录的针刺结合推拿治疗失眠临床研究文献,筛选出符合本研究纳入及排除标准的文献并建立处方数据库,使用统计软件SPSS 25.0、SPSS Modeler 18.0对数据进行描述性分析、关联规则分析及聚类分析,并对结果进行可视化。结果:最终纳入文献69篇,针刺及推拿处方各69条,涉及推拿手法29种、针刺腧穴56个和推拿腧穴82个。拿法为应用频次最高推拿手法,三阴交和神门为频次最高针刺腧穴,推拿腧穴以百会应用频次最高;针刺及推拿腧穴主要集中在督脉与足太阳膀胱经;关联规则网络显示针刺腧穴以三阴交、神门、四神聪和百会关联性强,推拿腧穴以太阳、百会、印堂和风池关联性强,推拿手法以按揉法、拿法和一指禅推法之间关联度较强;腧穴及手法分别可聚为两类。结论:针刺结合推拿治疗失眠以挤压类与摆动类手法为主,以“宁心安神、平衡阴阳”为治疗原则,选穴遵循近部选穴及对症选穴原则,结合远近配穴法。Objective:To analyse the characteristics and patterns of acupoints selection in treatment of insomnia by acupuncture combined with Tuina,thus to provide references for clinical treatment of insomnia.Methods:The clinical research on acupuncture combined with Tuina for the treatment of insomnia was retrieved and summarized from the databases of PubMed,Web of science,CNKI,VIP and Wanfang data since the establishment to 31 March 2023,the literature were screened out to establish the database according to the inclusion and exclusion criteria.SPSS25.0 and SPSS Modeler18.0 were used to perform descriptive analysis,association rule analysis and cluster analysis on the data and to visualize the results.Results:A total of 69 pieces of literature were included,with 69 prescriptions for acupuncture and 69 prescriptions for Tuina,involving 29 kinds of manipulations,56 acupuncture points and 82 Tuina points.The most frequently used manipulation was the grasping technique,the most frequently used acupoints were Sanyinjiao(SP6)and Shenmen(HT7),and the most frequently used massage point was Baihui(DU20);the acupoints were mainly concentrated in the Du meridian and the Bladder meridian;the association rule network showed that SP6,HT7,Sishencong(EX-HN1)and DU20 were strongly associated in acupuncture;Taiyang(EX-HN5),DU20,Yintang(DU29)and Fengchi(GB20)were strongly associated in Tuina.The kneading technique,the grasping technique and the one-finger mediation pushing technique were strongly associated.The acupoints and manipulations can be grouped into two categories through cluster analysis.Conclusion:The treatment of insomnia with acupuncture and Tuina primarily utilizes pressing and swinging techniques,with the therapeutic principles of‘soothing Heart and calming Shen,balancing Yin and Yang’.Acupoint selection follows the principles of choosing local points and symptom-based selection,combined with the method of pairing distal and local acupoints.

关 键 词：失眠 针刺 推拿 腧穴 手法 数据挖掘 

分 类 号：R246.1[医药卫生—针灸推拿学]