基于复杂网络社团结构划分的古代治疗面瘫腧穴配伍规律研究

Regularities of Acupoint Combinations for Facial Paralysis in Chinese Ancient Times Analyzed in Accordance with Modern Complex Network Community Framework Partition

目的:分析古代针灸治疗面瘫的腧穴配伍规律及其处方的优化。方法:在全面收集古代针灸治疗面瘫的文献基础上,构建古代面瘫针灸处方数据库,采用复杂网络二分网络社团结构划分的方法,分析古代针灸治疗面瘫的腧穴配伍规律特点,并对处方优化进行研究。结果:古代针灸治疗面瘫的核心穴位多以水沟、地仓、颊车、合谷、风池、足三里、内庭、听会、承浆、上关为主。核心穴对多以地仓、颊车、水沟、风池、内庭、合谷、足三里、列缺、上关、二间之间相互配伍。优化处方核心组成以听会、风池、风市、悬钟、地仓、颊车、足三里、大椎、百会、曲池、肩髃、发际为主,选穴分布多以胃经、大肠经、督脉为核心。头面部腧穴的使用频率明显高于其他部位;选穴配伍多以特定穴为主,其中以交会穴使用最频繁。结论:局部选穴是古代针灸治疗面瘫的首选,特定穴是古代针灸治疗面瘫处方中的核心用穴。

Objective To analyze the characteristics of acupoint combinations（formula）for facial palsy in ancient literature,so as to optimize the related acupoint prescriptions in clinical practice.Methods The database of ancient acupoint prescriptions for facial paralysis was established first after searching and collecting the related acu-moxibustion literature（178 categories as monographs,specific volumes of a book,etc.）by using key words of＂facial palsy＂or＂deviation of the eye and mouth＂including Chinese terms of＂Diaoxianfeng（掉线风）＂＂Wopi（喎僻）＂and＂Kouwo（口）＂.The characteristics of acupoint selection were analyzed and acupoint prescriptions were optimized using bipartite network community structure partition.Results The results indicated that of the 56 acupoints for facial palsy collected in the literature,Shuigou（GV 26）,Dicang（ST 4）,Jiache（ST 6）,Hegu（LI 4）,Fengchi（GB 20）,Zusanli（ST 36）,Neiting（ST 44）,Tinghui（GB 2）,Chengjiang（CV 24）and Shangguan（GB 3）are the core acupoints in clinical application.The acupoints of Dicang（ST 4）,Jiache（ST 6）,Shuigou（GV 26）,Fengchi（GB 20）,Neiting（ST 44）,Hegu（LI 4）,Zusanli（ST 36）,Lieque（LU 7）,Shangguan（GB 3）and Erjian（LI 2）are most frequently selected for forming prescriptions.The optimized acupoint prescriptions are composed of Tinghui（GB 2）,Fengchi（GB 20）,Fengshi（GB 31）,Xuanzhong（GB 39）,Dicang（ST 4）,Jiache（ST 6）,Zusanli（ST 36）,Dazhui（GV 14）,Baihui（GV 20）,Quchi（LI 11）and Jianyu（LI 15）.Core acupoints were mainly distributed on the Stomach Meridian of Foot Yangming,Large Intestine Meridian of Hand Yangming and the Governor Vessel.Acupoints at the face and head are used more frequently than those in any other parts of the body.Specific acupoints are used more frequently than non-specific acupoints,among which Confluent Acupoints are most frequently used.Conclusion In the treatment of facial paralysis in ancient China,selection of local acupoints is the basic principle and some specific acupoints are the core acupoints in ancient acupuncture prescriptions.