基于文献分析艾灸治疗哮喘的临床选穴规律

An Analysis of Acupoint Selection Rule of Moxibustion for Asthma Based on Literature

目的总结分析艾灸治疗哮喘现代临床文献的经穴选用规律。方法以"艾灸"和"哮喘"等为检索词,在中国期刊全文数据库、万方数据知识服务平台、维普数据库、中国生物医学文献数据库中进行文献检索,建立艾灸处方数据库,运用数据挖掘技术的关联规则,分析腧穴选用规律。结果共检索出艾灸治疗哮喘的临床文献161篇,涉及穴位60个。对其进行整理分析后发现,艾灸治疗哮喘所选用的腧穴以肺俞、大椎、肾俞、风门、定喘等为主;腧穴所属经脉主要分布于足太阳膀胱经、任脉、督脉、足阳明胃经和手太阴肺经;腧穴所在部位主要分布于背腰部,尤其以背部穴位为主;重用特定穴中之背俞穴,特别是与哮喘密切相关的肺、脾、肾三脏之背俞穴。结论艾灸治疗哮喘临床选穴符合哮喘的病因病机特点,具有循经选穴、局部选穴及重用特定穴的特点。

Objective To summarize and analyze the acupoint selection rule of moxibustion for asthma based on the modem clinical literature. Methods A literature search was performed with such keywords as ＂moxibustion＂ and ＂asthma＂ in CJFD,Wanfang Data, VIP, and CBM to collect the articles in Chinese on asthma treated with moxibustion. The database of moxibustion prescriptions was established to analyze the acupoint selection rule using the association rule in data mining technique. Results A total of 161 articles involving 60 acupoints were included in this analysis. After analysis, it was found that the main acupoints were Feishu, Dazhui, Shenshu, Fengmen, and Dingchuan; the selected acupoints mainly belonged to bladder meridian of foot-Taiyang, conception vessel, governor vessel, stomach meridian of foot-Yangming, and lung meridian of hand-Taiyin; the acupoints were mainly distributed on the back and waist, especially the back. The back-shu points in specific acupoints were primarily used, especially Feishu, Pishu, and Shenshu, which were associated with asthma. Conclusion In moxibustion for asthma, the rules of acupoint selection along the meridians, local acupoint selection, and emphasized selection of specific acupoints should be followed based on the characteristics of＇ etiology- and pathogenesis.