基于数据挖掘分析穴位贴敷治疗咳嗽变异性哮喘选穴规律

Analysis of Laws of Acupoint Selection in Treatment of Cough Variant Asthma by Herbal Plaster on Acupoints Based on Data Mining

目的:运用数据挖掘技术分析和评价穴位贴敷治疗咳嗽变异性哮喘的选穴规律。方法:检索中国知网(CNKI)和万方数据库中2002年1月至2017年10月发表的穴位贴敷治疗咳嗽变异性哮喘相关文献,检索关键词为"咳嗽变异性哮喘""穴位贴敷""敷贴""腧穴",检索时用"咳嗽变异性哮喘"分别与"穴位贴敷""敷贴""腧穴"进行组合检索。检索后按文献纳入与排除标准筛选合格文献,对合格文献中所选取的穴位进行描述性分析和聚类分析。结果:共纳入40篇文献,包含穴位23个。描述性分析显示,使用频次最高的穴位为肺俞,选穴最多的经脉为足太阳膀胱经,常用穴位集中在项背部和胸腹部。聚类分析显示,常用穴位可分为3大类。第1类为膏肓-大椎-脾俞-肾俞-心俞,第2类为定喘-膻中-膈俞,第3类为肺俞-天突;其中第2类又可细分为2小类,定喘-膻中为一类,膈俞为一类。结论:穴位贴敷治疗咳嗽变异性哮喘是在主穴基础上进行辨证选穴,调畅气机、恢复肺之宣发肃降、调肝理脾、补益肝肾等治法贯穿其中。

Objective:Using data mining techniques to analyze and evaluate laws of acupoints selection in treatment of cough variant asthma by herbal plaster on acupoints. Methods:Related literature on treatment of cough variant asthma by herbal plaster on acupoints published from January 2002 to October 2017 were obtained through searching Chinese National Knowledge Infrastructure(CNKI) and Wanfang Database. The search keywords were "cough variant asthma""herbal plaster on acupoints""plaster" and "acupoints". When the literature was searched,the keyword "cough variant asthma" was combined with "herbal plaster on acupoints""plaster" and "acupoints" respectively.Then screened out the qualified literature according to the inclusion and exclusion criteria. Finally,the acupoints that were used in the qualified literature were given descriptive analysis and cluster analysis.Results:A total of 40 articles with 23 acupoints were included. The descriptive analysis shows that the most frequently used acupoint was Feishu(BL13) and the bladder meridian was the one with most selected acupoints. And the commonly used acupoints are mainly distributed on the upper back,chest and abdomen.The cluster analysis shows that the commonly used acupoints can be divided into three categories. The first category was Gaohuang(BL43)-Dazhui(DU14)-Pishu(BL20)-Shenshu(BL23)-Xinshu(BL15),the second category was Dingchuan(EX-B1)-Danzhong(RN17)-Geshu(BL17) and the third category was Feishu(BL13)-Tiantu(RN22). Among the three categories,the second category can be further divided into two categories.One of the subcategories was Dingchuan-Danzhong and the other was Geshu. Conclusions:In treatment of cough variant asthma by herbal plaster on acupoints,there were some basic acupionts and other acupoints were selected according to syndrome differentiation. In addition,some methods such as regulating qi movement,promoting the recovery of lung function,regulating liver and spleen and tonifying liver and kidney ran through the treatments.