防治儿童青少年近视的推拿选穴规律  

Acupoint Selection Patterns of Massage for Preventing and Treating Myopia in Chil⁃dren and Adolescents

作　　者：许亚楠 叶诚康 王昊[2] 梁易 兰晓雪 梁元文 陈红[2] 李静[1] 于长禾[2] XU Yanan;YE Chengkang;WANG Hao;LIANG Yi;LAN Xiaoxue;LIANG Yuanwen;CHEN Hong;LI Jing;YU Changhang(Shandong University of Traditional Chinese Medicine,Jinan 250014,China;Beijing University of Chinese Medicine Dongzhimen Hospital,Beijing 100070,China)

机构地区：[1]山东中医药大学,济南250014 [2]北京中医药大学东直门医院,北京100700

出　　处：《中国中医眼科杂志》2025年第5期428-433,481,共7页China Journal of Chinese Ophthalmology

基　　金：中华中医药学会《儿童近视推拿疗法治未病技术规范》项目(20230105-BZ-CACM);北京中医药大学双一流学科建设项目。

摘　　要：目的基于数据挖掘分析临床上推拿治疗近视的选穴特点和规律。方法纳入建库至2020年2月28日中国知网、万方数据库、中国生物医学文献数据库、维普中文科技期刊数据库、Cochrane Library和PubMed中关于推拿防治青少年近视的文献。将文献导入NoteExpress软件建立文献数据库,采用SPSS 26.0软件Excel 2016对腧穴的使用频率、所属部位进行分析。对高频穴位进行关联规则分析,并进行聚类分析。结果(1)一般情况:共纳入220篇文献,文献针对假性近视63篇(28.64%)、真性近视59篇(26.82%)、未区分近视类型96篇(43.64%)、未近视类型2篇(0.90%)。(2)腧穴使用频率分析:涉及穴位164个,真性近视研究涉及腧穴130个,排名前3位的依次为睛明(51次,7.97%)、太阳(41次,6.41%)、四白(39次,6.09%);假性近视研究涉及腧穴共115个,排名前3位的依次为睛明(49次,6.42%)、四白(49次,6.42%)、攒竹(42次,5.50%);未区分真假性近视研究设计腧穴共155个,排名前3位的依次为睛明(67次,6.56%)、攒竹(67次,6.56%)、鱼腰(62次,6.07%)。(3)腧穴所属部位分析:在不区分真性近视或假性近视的前提下,对164个腧穴进行部位归纳,其中头颈部83个(50.61%)、胸腹部17个(10.37%)、腰背部22个(13.41%)、上肢部29个(17.68%)、下肢部13个(7.92%)。(4)关联规则分析:关联度排名前5位的腧穴组合分别为球后-攒竹、瞳子髎-睛明、球后-鱼腰、肝俞-睛明、丝竹空-攒竹。(5)聚类分析:共得到3类治疗近视的穴位聚类,第Ⅰ类包括丝竹空、鱼腰、攒竹、睛明、太阳、阳白、四白;第Ⅱ类包括印堂、阳白、光明、百会、合谷、肝俞;第Ⅲ类包括瞳子髎、球后、承泣。结论推拿防治儿童青少年近视选穴的局部取穴包括睛明、太阳、四白、攒竹、鱼腰和风池,远端取穴包括合谷和光明;针对假性近视可以考虑增加肝俞、肾俞,针对真性近视可以增加百会、印堂。本研究可为推拿防�OBJECTIVE To analyze the characteristics and patterns of acupoint selection in massage for preventing and treating myopia in children and adolescents using data mining.METHODS Literature on massage for preventing and treating myopia in adolescents from databases including CNKI,Wanfang,CBM,VIP,Cochrane Library,and PubMed up to February 28th,2020 was included.A literature database was established using NoteExpress software.SPSS 26.0 and Excel 2016 were employed to analyze acupoint frequency,distribution,association rules,and clustering.RESULTS(1)General information:A total of 220 articles were included,targeting pseudomyopia(63 articles,28.64%),true myopia(59 articles,26.82%),unspecified myopia types(96 articles,43.64%),and non-myopia cases(two articles,0.90%).(2)Acupoint frequency:164 acupoints were involved.For true myopia,the top three acupoints were Jingming(BL1,51 times,7.97%),Taiyang(EX-HN5,41 times,6.41%),and Sibai(ST2,39 times,6.09%).For pseudomyopia,the top three were Jingming(BL1,49 times,6.42%),Sibai(ST2,49 times,6.42%),and Cuanzhu(BL2,42 times,5.50%).For unspecified myopia,the top three were Jingming(BL1,67 times,6.56%),Cuanzhu(BL2,67 times,6.56%),and Yuyao(EX-HN4,62 times,6.07%).(3)Acupoint distribution:Among 164 acupoints,83(50.61%)were located on the head and neck,17(10.37%)on the chest and abdomen,22(13.41%)on the back,29(17.68%)on the upper limbs,and 13(7.92%)on the lower limbs.(4)Association rules:The top five acupoint combinations were Qiuhou(EX-HN7)-Cuanzhu(BL2),Tongziliao(GB1)-Jingming(BL1),Qiuhou(EX-HN7)-Yuyao(EX-HN4),Ganshu(BL18)-Jingming(BL1),and Sizhukong(TE23)-Cuanzhu(BL2).(5)Clustering analysis:Three clusters were identified,ClusterⅠincluded Sizhukong(TE23),Yuyao(EX-HN4),Cuanzhu(BL2),Jingming(BL1),Taiyang(EX-HN5),Yangbai(GB14),and Sibai(ST2);ClusterⅡincluded Yintang(EX-HN3),Yangbai(GB14),Guangming(GB37),Baihui(GV20),Hegu(LI4),and Ganshu(BL18);ClusterⅢincluded Tongziliao(GB1),Qiuhou(EX-HN7),and Chengqi(ST1).CONCLUSIONS Local acupoints such as Jingming(BL1),Taiyang(EX-HN5),Sibai(ST2),

关 键 词：推拿 近视 儿童青少年 治未病 数据挖掘 

分 类 号：R778.11[医药卫生—眼科] R276.7[医药卫生—临床医学]