基于现代文献穴位贴敷治疗胃脘痛的取穴用药规律分析

Analysis of acupoint selection and medication regularity of acupoint application in the treatment of epigastric pain based on modern literature

目的通过整理现代文献中穴位贴敷主治胃脘痛的腧穴和用药,归纳总结出治疗胃脘痛的取穴用药规律,为穴位贴敷疗法中的腧穴配伍及用药提供理论依据。方法以中国期刊全文数据库为检索库,检索自1957年至今关于胃脘痛的穴位贴敷的相关文献,建立穴位贴敷防治胃脘痛的研究数据库,采用数据挖掘技术对取穴、用药规律进行描述。结果共检索相关文献48篇,按照纳入标准和排除标准筛选文献,最终共收集腧穴处方40个,用药处方48个。包括30个穴位、73味药物。通过统计分析发现,取穴以中脘穴为主穴,穴位多分布在胸腹部,以脾胃两经穴为主,穴位类型以募穴、背俞穴为主;用药上,以延胡索、肉桂、细辛、丁香居多,以活血化瘀药、温里药、理气药为主,多归于脾、胃两经,药性多温,药味多辛、苦、甘,均以生姜为药引。

Objective Through the arrangement modern literature of acupoint sticking treating epigastric pain with acupuncture selection and traditional Chinese medication, sum up the application therapy of combination of acupoints and points taking rules and provide a theoretical basis for acupoint and medicine in the treatment of epigastric pain. Methods To search the China Journal Full-text Database since 1957 in the clinical literature of acupoint application in the treatment of epigastralgia, using frequency analysis method in data mining, analysis of acupoint application of acupoints and medication of epigastralgia. Results A total of 48 literatures were retrieved, and the literature was selected according to inclusion criteria and exclusion criteria. Finally, 40 prescriptions and 48 prescriptions were collected. Including 30 points, 73 drugs. Through the statistical analysis found that： the mine points is Zhongwan, acupoints are mainly distributed in the chest and abdomen, the spleen meridian and stomach meridians are the main meridians, the main type of points are Mu points and back Shu points. Rhizoma corydalis, cinnamon, asarum and clove are in the majority of the drugs on the using of medicine, which mainly consist by Blood-activating and Stasis- eliminating drugs, drugs warming the internal, qi regulating drugs, mostly attributed to the spleen meridian and the stomach meridian, warm in property, acrid, bitter and sweet in flavour, they are all guided by ginger.