针灸治疗三叉神经痛的用穴规律分析

Analysis on acupoint selection rule of acupuncture for trigeminal neuralgia

分析针灸治疗三叉神经痛文献的用穴特点和规律。通过检索中国知网(CNKI)、维普全文期刊数据库(VIP)、万方数据库(WF)等收集1980-2013年针灸治疗三叉神经痛文献,建立针灸处方数据库,运用数据挖掘技术,分析此病处方选穴特点和规律。结果共纳入文献180篇,选用腧穴148个。分析发现选用腧穴以合谷、下关、风池、扳机点使用频次最高,所选腧穴遍布十四经,以手足阳明经穴为主,占总频次的41.58%,交会穴、原穴和五输穴等特定穴使用广泛,占65.9%。分支选穴中位于前3位的腧穴分别为:第1支阳白、鱼腰、攒竹,第2支四白、颧髎、迎香,第3支颊车、下关、地仓。认为针灸治疗三叉神经痛重视局部穴位,并结合神经分布选穴,配合远端腧穴,注重特定穴的运用。

The characteristics and rules of acupoint selection of acupuncture for trigeminal neuralgia were analyzed.By searching CNKI,VIP,WF,literature regarding acupuncture for trigeminal neuralgia from 1980 to 2013 was collected to establish an acupuncture prescription database.The data mining technology was applied to analyze the characteristics and rules of the acupoint selection.As a result,a total of 180 papers were included,involving 148 acupoints.It was found that the acupoints that had high frequency of selection included Hegu（LI 4）,Xiaguan（ST 7）,Fengchi（GB 20）and trigger points.The acupoints selected were distributed in 14 meridians,in which yangming meridian of hand-foot had a frequency of 41.58%.The special acupoints including crossing points,yuan-primary points and five-shupoints were widely used,accounting for 65.9%.As for the branch of trigeminal nerve,the top-3 selected acupoints were Yangbai（GB 14）,Yuyao（EX-HN 4）,Cuanzhu（BL 2）in the first branch,Sibai（ST 2）,Quanliao（SI 18）,Yingxiang（LI 20）in the second branch,Jiache（ST 6）,Xiaguan（ST7）,Dicang（ST 4）in the third branch.In conclusion,it is believed that the clinical treatment of trigeminal neuralgia focuses on local acupoints in combination with nerve distribution-based acupoints and distal acupoints,also the special acupoints are emphasized.