基于数据挖掘分析现代针灸治疗抑郁症的经穴运用特点

Meridian-Acupoints Application Characteristics of Acupuncture for Depression Based on Data Mining

目的:分析针灸治疗抑郁症的现代RCT文献的经穴使用特点和规律。方法:在收集针灸治疗抑郁症的近十五年现代RCT文献基础上,建立针灸处方数据库,运用数据挖掘技术,分析针灸治疗抑郁症的现代RCT文献的经穴使用特点和规律。结果:通过数据挖掘关联规则分析,提炼出针灸治疗抑郁症中,重视循经选穴,以督脉经络腧穴选用最多,常用腧穴主要分布在头面颈项部位,重视局部取穴配合远端取穴,其中督脉的百会穴使用频次最多,交会穴、五输穴等特定穴运用广泛。结论:通过数据挖掘关联分析发现,针灸治疗抑郁症的现代RCT研究以循经取穴为重要原则,尤其重视特定穴的运用,数据挖掘方法运用于针灸经穴运用特点和规律的分析是可行的,其结果可用于指导针灸临床。

Objective：To explore the meridian-acupoints application characteristics and principles by analyzing contemporary RCT reports related to acupuncture for depression.Methods：We selected RCT articles reporting acupuncture treatment for depression in recent 15 years,based on which an acupuncture prescription database was established to analyze the meridian-acupoints application characteristics and principles by means of data excavation.Results： According to data mining and association analysis,it manifested that emphasis was grounded on acupoint selection along related meridians,with a preponderance to apply acupoints on the Du-Governing meridian.Moreover,the frequently utilized points are commonly located on the head,face and neck.It focused at the combination of local and distal acupoint selection methods;the Baihui（DU 20） point is most frequently applied.These converging points and five shu-points are extensively used in clinic.Conclusion：By data mining and association analysis,it is the predominant principle to select acupoints along related meridians to manage depression according to several contemporary RCT articles.Besides,application of specific acupoints prevails among all the acupuncture prescription for depression.Lastly,all results above show that it is feasible to apply data excavation to analyze the meridian-acupoints application traits and laws and its conclusion may act as guidance to acupuncture clinical practice.