基于数据挖掘复式补泻手法“烧山火”的临床应用研究

Research on the Clinical Application of the Compound Tonifying and Reducing Technique"Heat-producing Needling"Based on Data Mining

目的基于数据挖掘探讨复式补泻手法烧山火适应病症及其选穴规律分析,为临床应用该补泻手法提供参考。方法以“烧山火”为关键词,收集中国知网、万方、维普2001-2021年烧山火手法的临床文献建立数据库。对纳入穴位进行频数统计、关联规则分析、聚类分析、复杂网络分析。结果共纳入研究文献162篇,涉及疾病84种,涉及腧穴总数132个,总取穴频次共计582次,治疗疾病前4位分别是中风及中风后遗症、周围性面瘫、腰椎间盘突出、神经根型颈椎病,取穴频次前3的腧穴是:足三里、三阴交、关元,留针时间频次前3位是30 min、不留针、20 min。结论烧山火手法对于筋骨关节之痹症、中风相关疾病疗效显著且取穴方法有规律可循,其文献分析可为临床应用该手法治疗疾病提供参考。

Objective Based on data mining,to explore the adaptive symptoms and analysis of acupoint selection rule of compound tonifying and reducing technique heat-producing needling,and to provide reference for clinical application of this tonifying and reducing technique.Methods With"heat-producing needling"as the key word,the database was established by collecting the clinical literature of heat-producing needling technique from CNKI,Wanfang and VIP from 2001 to 2021.Frequency statistics,association rule analysis,cluster analysis and complex network analysis were performed on the included acupoints.Results A total of 162 articles were included,involving 84 kinds of diseases,132 acupoints,582 times of acupoint selection frequency,the top four diseases were stroke and apoplexy sequelae,peripheral facial paralysis,lumbar intervertebral disc herniation,cervical spondylosis of nerve root type,the top three acupoints selection frequency were:In Zusanli,Sanyinjiao and Guanyuan,the top 3 needle retention time frequency were 30 minutes,no needle retention time and 20 minutes.Conclusion Heat-producing needling technique has remarkable effect on arthralgia and stroke and related diseases,and the method of acupoint selection is regular,and the literature analysis can provide reference for clinical application of this technique in treating diseases.