基于复合关联与隐结构模型探析陷谷穴优势病症与配伍规律

Analysis of the Dominant Indications and Compatibility Regularity of Xiangu(ST43)Based on Composite Association and Latent Structure Model

目的分析新中国成立前陷谷穴的优势病症与主治特色,探讨其优势病症与高频配伍腧穴的对应规律。方法以《中华医典》(第五版)为检索源,建立陷谷穴单穴、配伍主治病症和配伍腧穴等数据库,运用数据挖掘技术进行复合关联分析和隐结构聚类分析。结果陷谷穴单穴主治病症18种,优势病症为水肿、疟疾、肠鸣、热症、痈疽和汗不出等6种;配伍主治病症22种,优势病症为水肿、肠鸣、疟疾、热症、气乱臂胫和痈疽等6种。高频腧穴包括足三里、太白、厉兑与内庭等33穴。复合关联分析筛选出54条高频腧穴与优势病症的关联规则。隐结构聚类分析获取了5组腧穴处方。结论陷谷穴主治以内科、外科病症为主,水肿为核心优势病症,关联规则与聚类新方的辨证组合,有助于为教学、临床和科研提供借鉴。

Objective To analyze the dominant indications and compatibility regularity of Xiangu(ST43)before the founding of New China and reflect the corresponding relationship between dominant indications and acupoints based on data mining.Methods The Chinese medical code(5th edition)was the main search source.Three databases were established with the retrieved data,including single-acupoint indications database,compatible acupoints indications database and compatible acupoints database.Composite association analysis and cluster analysis were completed based on data mining.Results ST43 had 18 kinds of single-point indications and 22 kinds of compatible acupoints indications.Among the single-acupoint indications,there were 6 dominant ones,including hydroncus,malaria,borborygmus,fever,ulcer and dyshidrosis.Among the compatible acupoints indications,there were 6 dominant ones,including hydroncus,borborygmus,malaria,fever,arthralgia syndrome and ulcer.There were 33 high-frequency compatible acupoints,such as Zusanli(ST36),Taibai(SP3),Lidui(ST45),Neiting(ST44),etc.54 association rules were obtained between acupoints and diseases.5 comprehensive clustering prescriptions were summarized according to the latent structure.Conclusion ST43 can be applied in most clinical practice,especially in internal medicine diseases and surgical diseases.Hydroncus is the core dominant indication of ST43.The multiple combinations with clustering prescriptions and flexible association prescriptions may provide a reference for clinical practice.