基于数据挖掘探析刺血法治疗急性痛风性关节炎的临床应用规律  

Clinical Application of Blood-letting Puncture in the Treatment of Acute Gouty Arthritis Based on Data Mining

作　　者：汪思 吴淑琼 李智慧 陈旭 熊仲明 WANG Si;WU Shuqiong;LI Zhihui;CHEN Xu;XIONG Zhongming(The First Clinical College,Hubei University of Chinese Medicine,Wuhan,Hubei 430065,China;Department of Endocrinology,Hubei Provincial Hospital of Integrated Chinese&Western Medicine,Wuhan 430015,Hubei,China)

机构地区：[1]湖北中医药大学第一临床学院,湖北武汉430065 [2]湖北省中西医结合医院内分泌科,湖北武汉430015

出　　处：《医学信息》2025年第7期25-31,共7页Journal of Medical Information

摘　　要：目的 探析刺血法治疗急性痛风性关节(AGA)的临床应用规律。方法 检索CNKI、Sinomed、万方数据库和维普期刊数据库中刺血疗法治疗AGA的相关文献,检索时间为建库至2023年11月。建立刺血处方数据库,使用Excel 2019对刺血部位与刺血操作过程进行频次频率统计分析,利用SPSS Modeler 18.0、SPSS 26.0进行关联分析和聚类分析,运用Cytoscape、dychats.com实现数据可视化升级。结果 共纳入269篇文献,提取281个处方,涉及78个部位,刺血部位使用频次排名前3位为阿是穴、痛处浅表瘀络和太冲。常用特定穴为输穴、原穴和荥穴。归经以足太阴脾经、足厥阴肝经和足阳明胃经为主。主要分部在下肢部。关联分析得到9个关键腧穴(阿是穴、太冲、行间、陷谷、内庭、三阴交、阴陵泉、血海和太白)和核心配伍关系(太冲-行间-陷谷)。聚类分析得到6个有效聚类。常用的刺血方法为三棱针点刺法。放血量通常为见赤为止、1~5 ml。配合拔罐疗法使用时长多为5~10 min。1个疗程内一般刺血3~5次,间隔时间为48 h左右。结论 刺血治疗AGA取穴思路以清热止痛为主,兼顾清肝理脾和胃、泄浊化瘀,常用三棱针点刺法,放血强度以尽去其邪为目标。Objective To explore the clinical application of blood-letting puncture in the treatment of acute gouty arthritis(AGA).Methods CNKI,Sinomed,Wanfang database and VIP journal database were searched for the literature on the treatment of AGA by blood-letting puncture from the establishment of the database to November 2023.The database of pricking blood prescription was established.Excel 2019 was used to analyze the frequency and frequency of pricking blood parts and pricking blood operation process.SPSS Modeler 18.0 and SPSS 26.0 were used for correlation analysis and cluster analysis.Cytoscape and dychats.com were used to realize data visualization upgrade.Results A total of 269 literatures were included,and 281 prescriptions were extracted,involving 78 parts.The top three use frequencies of blood-letting puncture parts were Ashi point,superficial stasis at pain point and Taichong.The commonly used specific acupoints were Shu point,Yuan point and Xing point.The meridian tropism was mainly based on the spleen channel of foot-taiyin,the liver meridian of foot-jueyin and the stomach meridian of foot-yangming.The main part was in the lower limbs.Through correlation analysis,9 key acupoints(Ashi point,Taichong,Xingjian,Xiangu,Neiting,Sanyinjiao,Yinlingquan,Xuehai and Taibai) and core compatibility relationship(Taichong-Xingjian-Xiangu) were obtained.Six effective clusters were obtained by cluster analysis.The commonly used blood-letting puncture was the three-edged needle pricking method.The amount of bleeding was usually 1-5 ml.The duration of use with cupping therapy was mostly 5-10 min.In a course of treatment,the general pricking blood 3-5 times,the interval time was about48 h.Conclusion The idea of blood-letting puncture to treat AGA is mainly based on clearing heat and relieving pain,taking into account clearing liver,regulating spleen and stomach,relieving turbidity and removing blood stasis.Triangular needle pricking method is commonly used,and the intensity of bloodletting is aimed at eliminating its evil.

关 键 词：刺血法 急性痛风性关节炎 数据挖掘 

分 类 号：R589.7[医药卫生—内分泌]