基于数据挖掘的原发性痛经现代针灸临床用穴特点探析

Characteristics of Acupoints Selection in Acupuncture-moxibustion Treatment of Primary Dysmenorrhea Based on Data Mining

目的运用数据挖掘技术分析总结针灸治疗原发性痛经临床用穴特点。方法收集近10年针灸治疗原发性痛经的临床文献,运用EXCEL软件建立原发性痛经的现代针灸临床处方数据库,采用Python编程和Clementine12.0软件对数据进行描述性分析、关联规则分析和聚类分析。结果现代针灸治疗原发性痛经,选用腧穴74个,总频次1072次。所选经脉以脾经选用频次最高(325次),其次为任脉(260次)与膀胱经(158次);所选腧穴频次最多为三阴交穴(174次),关元(111次)、地机(79次)、次髎(73次)、气海(67次)次之。特定穴占总腧穴的66.22%(49/74),其中交会穴的使用占优势(393次),用穴个数多,集中在三阴交、关元、中极等;其次是五腧穴、募穴和原穴的使用频次较高,分别为195次、195次和99次。关联规则分析显示穴位间相关性最高的是关元-三阴交。聚类结果显示,存在8个核心用穴群。结论本研究总结出针灸治疗原发性痛经的临床选穴常用组合规律,为临床治疗原发性痛经提供思路和参考依据。

Objective To summarize the characteristics of acupoints selection in acupuncture-moxibustion treatment of primary dysmenorrhea （PD） based on data mining. Method Clinical literatures published in the recent 10 years related to acupuncture-moxibustion treatment of PD were collected to establish a prescription database by using Excel. The descriptive analysis, association rules analysis and clustering analysis were conducted by Python and Clementinel2.0. Result A total of 74 acupoints were involved with a total frequency of 1072. The leading three meridians were Spleen Meridian （325 times）, Conception Vessel （260 times） and Bladder Meridian （158 times）; the leading acupoints were Sanyinjiao （SP6, 174 times）, Guanyuan （CV4, 111 times）, Diji （SP8, 79 times）, Ciliao （BL32, 73 times） and Qihai （CV6, 67 times）. The utilization of the specific acupoints accounted for 66.22% （49/74）. The crossing acupoints were predominant （393 times）, especially Sanyinjiao, Guanyuan and Zhongji （CV3）, followed by the five-Shu points （195 times）, Front-Mu points （195 times） and Yuan-Primary points （99 times）. The association rules analysis showed that Guanyuan and Sanyinjiao had the most significant correlation. The clustering analysis figured out 8 core clustering groups. Conclusion The characteristics of acupoints selection revealed in this study provide ideas and references for acupuncture-moxibustion treatment of PD in clinic.