基于古籍数据挖掘分析中风后半身不遂针灸取穴规律研究

Study on Acupoints of Acupuncture and Moxibustion Treated Hemiplegia after Stroke Based on Data Mining

目的：总结古人取穴规律,为临床治疗中风后半身不遂提供治疗思路。方法：建立古籍资料库及标准资料库,通过数据挖掘,抽取治疗半身不遂的相关条文进行统计分析。结果：（1）共筛选出处方条文86条;（2）治疗半身不遂一症中,共涉及穴位174个,总频次达442次;（3）足少阳胆经是应用穴位个数和频数最多的经络;（4）频次较高的前10位分别是：曲池、百会、肩髃、足三里、悬钟、阳陵泉、环跳、风市、肩井、合谷;（5）唐代开始百会为治疗中风之首穴,金朝以后曲池为首;（6）风市→悬钟、曲池→风市→悬钟的配伍支持度最高;（7）特定穴频率达93.0%,经脉交会穴应用最多,其次为合穴,其次为八会穴。结论：（1）治痿不独取阳明;（2）辨证取穴从经而论;（3）常用四肢穴位;（4）重视阳经穴位;（5）重视特定穴的使用;（6）数据挖掘应用于发现古籍针灸处方规律具有可行性,亦有不足。

Objective：To summarize the rules of the ancient acupoints methods,and to provide therapeutic ideas for the clinical treatment of hemiplegia after stroke. Methods：Establishment of both ancient medical books database and the standard database,and extracted the relevant provisions of the treatment of hemiplegia for statistical analysis through data mining. Results：（1）A total of 86 prescriptions were selected;（2）Treatment of hemiplegia involves a total of 174 points,and the total frequencies of 442 times;（3）Foot-Shaoyang gallbladder meridian was the most widely and frequently selected meridian;（4）The highest frequency of the top 10 were：Quchi（LI11）,Baihui（DU20）,Jianyu（LI15）,Zusanli（ST36）,Xuanzhong（GB39）,Yanglingquan（GB34）,Huantiao（GB30）,Fengshi（GB31）,Jianjing（GB21）,Hegu（LI4）;（5）Baihui（DU20）was widely used since the Tang Dynasty;but it was replaced by Quchi（LI11）since the Jin Dynasty;（6）The maximum support of two points compatibility were Fengshi（GB31）and Xuanzhong（GB 39）. The maximum support of three points compatibility were Quchi（LI11）and Fengshi（GB31）and Xuanzhong（GB39）;（7）The meridian intersection points were most frequently applied,followed by he-sea points and eight influential points when the frequency of particular acupoints reached to 93.0%. Conclusion：（1）Yangming meridian should not be applied sole to treat the muscle atrophy;（2）Acupoints selection is based on the meridians,and meridians selections is based on the syndrome differentiation;（3）Acupoints on limps were more often to be selected;（4）Ancient doctors valued the acupoints of Yang meridians;（5）Ancient doctors also valued the particular acupoints;（6）Data mining applied to the discovery of ancient books acupuncture prescription is feasible,but it still needs to be improved.