基于数据挖掘探究针刺治疗老年功能性便秘的选穴规律  

Data Mining-based Probe into the Laws of Acupoint Selection for Acupuncture Treatment of Senile Functional Constipation

作　　者：王博 魏清琳 张雪 WANG Bo;WEI Qinglin;ZHANG Xue(Qingyang People´s Hospital,Qingyang 745000,China;Affiliated Hospital of Gansu University of Chinese Medicine,Lanzhou 730000,China)

机构地区：[1]庆阳市人民医院,庆阳甘肃745000 [2]甘肃中医药大学附属医院,兰州甘肃730000

出　　处：《西部中医药》2025年第3期70-74,共5页Western Journal of Traditional Chinese Medicine

基　　金：敦煌医学与转化教育部重点实验室科研项目(DHYX18-25)。

摘　　要：目的:探究针刺治疗老年功能性便秘(functional constipation,FC)的选穴组方规律。方法:收集建库至2022年3月中国国家知识资源总库、万方数据知识服务平台、维普中文科技期刊数据库及PubMed英文数据库中针刺治疗老年FC的处方,将符合纳入标准的文献导入中医传承辅助平台(V3.0),运用其数据挖掘功能,统计穴位频次,并进行关联规则和聚类分析。结果:共纳入文献151篇,处方153首,涉及穴位58个,高频穴位归经以足阳明胃经为主,重视背俞穴、募穴、下合穴的运用;支持度25%、置信度0.8时,得到20组常用穴位组合,天枢与足三里、支沟等穴配伍使用频次最高;除常规便秘选穴外,多用益气滋阴穴位穴组;通过聚类分析得到新处方3首,结合网络拓扑图,确定天枢、上巨虚、支沟、足三里、大肠俞为核心基础方。结论:针刺治疗老年FC重在调肠通腑、益气养阴、健脾和胃,从而达到“以补为通”的目的。Objective:To survey the laws of acupoint selection for acupuncture treatment of senile functional constipation(fc).Methods:The prescriptions of acupuncture for the treatment of senile functional constipation were collected between the time of establishing the database and March,2022 from CNKI,Wanfang data,VIP and PubMed,and the literature that meets the inclusion criteria was imported into Traditional Chinese Medicine Inheritance Support System(TCMISS,V3.0),its function of data mining was applied to count the frequency of acupoints,and perform the association rules and cluster analysis.Results:The study has included 151 papers and 153 prescriptions,involving 58 acupoints,high-frequency acupoints belonged to the stomach meridian of foot Yangming,emphasizing the application of back-shu points,front-Mu points and lower-He point;There are 20 groups of commonly used acupoint combinations when the support is 25%and the confidence is 0.8,and the compatibility of Tianshu(ST25)with Zusanli(ST36),with Zhigou(TE6)and other acupoints was the most frequently used;in addition to the commonly-used acupoints for constipation,the acupoint combinations for benefiting Qi and nourishing Yin were mostly used;cluster analysis revealed that three new prescriptions were obtained,combined with network topology,Tianshu,Shangjuxu(ST37),Zhigou,Zusanli,Dachangshu(BL25)were confirmed as the core basic prescriptions.Conclusion:Acupuncture treatment for senile functional constipation lies in adjusting the intestine and dredging the Fu-organs,benefiting Qi and nourishing Yin,invigorating spleen and harmonizing the stomach,thereby achieving the goals of"tonifying for dredging".

关 键 词：功能性便秘 老年 选穴规律 数据挖掘 针刺 

分 类 号：R256[医药卫生—中医内科学]