基于数据挖掘技术分析不同毫针行气手法临床应用特点

Study of clinical application of manipulations of filiform needles to promote qi by data mining technique

目的:运用数据挖掘技术,分析不同毫针行气手法在临床应用病种和疗效方面的特异性。方法:收集中国期刊全文数据库(CNKI)近60多年的有关毫针行气手法的文献,采用计算机和数据挖掘技术,建立毫针有关行气手法的数据库,挖掘不同毫针行气手法的适宜病种、疾病科属、选穴原则、经气传播路线方向、不同毫针行气手法的疗效等信息之间的相关性。结果:1在录入的489篇文献中,基本行气手法出现的频次最高为630次,辅助行气手法和飞经走气四法都出现70次。基本行气手法和辅助行气手法应用于内科的频次较高,分别为311次、44次,而飞经走气四法应用于外科的频次最高,为37次。2基本行气手法中提插和捻转手法在病种方面应用频次从高到低为癃闭、腰腿痛、中风后遗症,其中治疗癃闭的疗效优于其他两个病种,而提插手法的疗效优于捻转手法。3辅助行气手法中震颤法和搓法的应用频次较高,分别为25次和18次,震颤法应用于中风后遗症的频次最高为6次,搓法应用于淋证的频次最高为4次。4飞经走气四法中,苍龟探穴法的应用频次最高,应用于痹症的频次最高,为18次。结论:毫针行气手法是针刺取得疗效的重要组成部分,基本行气手法广泛应用于临床,取得了良好的疗效,辅助行气手法辅助行气,刺激机体,飞经走气四法主要针对一些外科的疾病疏通经络,推行经气,可优先用于经络闭阻的病症。

Objective To analyze the diseases and effects of the manipulations to promote qi by filiform needles,with the help of data mining technique.Methods Literature about different manipulations to promote qi by filiform needles in recent 60 years was collected in China National Knowledge Infrastructure（CNKI）.Then databases were established to mine the relativities among the diseases,subjects,acupoints selection law,routes and directions of meridian qi and effects.Results 1Total 489 articles were included.The basic manipulations with the frequency of 630 were on the top.The auxiliary and four methods of Feijingzouqi respectively appeared 70 times.The diseases in the internal medicine were treated with the basic and auxiliary methods of the higher frequencies,311 and 44times separately.While the four methods of Feijingzouqi were mostly used in the surgical area,37 times totally.2The diseases treated from high to low by lifting,thrusting and twirling represented retention of urine,sequelae of stroke,pain in waist and lower limbs,of which the effect for retention of urine was better than those of the other two,and the lifting and thrusting method was superior to twirling.3As for the auxiliary methods,25 times were found about vibration needling;18times,twisting.The highest frequency of 6times for the vibration needling was on the sequelae of stroke;while 4times for the twisting,stranguria.4As to the four methods of Feijingzouqi,Cangguitanxue was most frequently applied,and its highest frequency of 18 was on bi syndrome.Conclusion Manipulations to promote qi by filiform needles are crucial to achieving the effects of acupuncture.The basic methods are widely used in clinic and have been seen good efficacy.While the auxiliary means assist to promote qi to stimulate the body,among which the four methods of Feijingzouqi are mainly to smooth the meridians and drive qi of patients with surgical diseases and take meridian blocking the priority.