基于信息可视化数据挖掘隋唐至明清时期针灸治疗中风后半身不遂选穴规律研究

Research on the Law of Acupoint Selection of Acupuncture Treatment of Post-Stroke Hemiplegia Based on Information Visualization Data Mining in the Literatures of Sui and Tang Dynasties to Ming and Qing Dynasties

目的运用信息可视化数据挖掘技术研究隋唐至明清时期相关文献针灸治疗中风后半身不遂的选穴规律及穴位配伍意义。方法整理隋唐至明清时期相关文献针灸治疗中风后半身不遂的处方,经筛选后利用信息可视化软件Microsoft Access 2017建立数据库,运用信息可视化软件SPSS 22.0、Modeler 18.0对治疗本病穴位、经络等行统计分析。结果本研究获得隋唐至明清时期治疗中风后半身不遂的针灸处方243条,涉及穴位163个,遍布所有正经及任、督二脉,穴位针刺的总频数为1872次,其中针刺经穴频数排前3位的经络是手阳明大肠经、足少阳胆经、足阳明胃经;针刺频数排前10位的经穴为:曲池、足三里、昆仑、太溪、百会、阳陵泉、合谷、悬钟、环跳、委中;聚类分析获得5个有效聚类群:风市-足三里-百会、曲池-昆仑-太溪、昆仑-涌泉-太溪、风池-风府、环跳-委中-阳陵泉-风市-悬钟;关联规则分析支持度排前6位的有风市-足三里、合谷-悬钟、悬钟-曲池、合谷-风市、昆仑-太溪、曲池-阳陵泉;特定穴位的针刺频率高达91.29%,其中五腧穴使用频数最多,其次为两脉交会穴及原穴。结论运用信息可视化数据挖掘技术对隋唐至明清时期治疗中风后半身不遂的针灸处方进行规律挖掘,发现其选穴范围较广,常选用四肢部位经穴,注重阳经经穴及特定穴的应用,选取经穴方法多以局部选穴、辨证选穴及循经取穴为主,可为研究中医药古代典籍、针灸治疗中风后半身不遂等提供新思路。

Objective To study the low of acupoint selection and the significance of acupoint compatibility of acupuncture treatment of post-stroke hemiplegia in the literatures from the Sui and Tang Dynasties to the Ming and Qing Dynasties using information visualization data mining techniques.Methods The prescriptions of acupuncture for the treatment of post-stroke hemiplegia were collected from the literatures from Sui and Tang Dynasties to the Ming and Qing Dynasties.After screening,information visualization software Microsoft Access 2017 was used to establish the database.Statistical analysis of acupoints and meridians in the treatment of disease was performed using information visualization software SPSS 22.0 and Modeler 18.0.Results In this study,243 acupuncture prescriptions were obtained for the treatment of post-stroke hemiplegia in the literatures from the Sui and Tang Dynasties to the Ming and Qing Dynasties.The total number of acupoints was 163,and with distribution in all regular channels, conception channel and governor channel. The total frequency of all acupoints was 1872 times, and the top 3 meridians with acupoints selection were Hand Yangming Large Intestine Meridian, Foot Shaoyang Gallbladder Meridian, and Foot Yangming Stomach Meridian;the top 10 acupoints with high frequency were Quchi (LI11), Zusanli (ST36), Kunlun (BL60), Taixi (KI3), Baihui (DU20), Yanglingquan (GB34), Hegu (LI4), Xuanzhong (GB39), Huantiao (GB30), and Weizhong (BL40);cluster analysis was performed to obtain 5 effective clusters: Fengshi (GB31)-Zusanli (ST36)-Baihui (DU20), Quchi (LI11)-Kunlun (BL60)-Taixi (KI3), Kunlun (BL60)-Yongquan (KI1)-Taixi (KI3), Fengchi (GB20)-Fengfu (DU16), Huantiao (GB30)-Weizhong (BL40)-Yanglingquan (GB34)-Fengshi (GB31)-Xuanzhong (GB39);the top 6 support after correlation rules analysis were Fengshi (GB31)-Zusanli (ST36), Hegu (LI4)-Xuanzhong (GB39), Xuanzhong (GB39)-Quchi (LI11), Hegu (LI4)-Fengshi (GB31), Kunlun (BL60)-Taixi (KI3), Quchi (LI11)-Yanglingquan (GB34);the acupuncture frequency of specific acupoints was as high as 91.29%, among which five Shu points had the most frequency, followed by two meridian crossing point and yuan-primary point. Conclusion The law mining of acupuncture prescriptions for the treatment of post-stroke hemiplegia in the literatures from the Sui and Tang Dynasties to the Ming and Qing Dynasties have a wide range of acupoint selection. The acupoints of the extremities are often selected. Attention is paid to the application of the acupoints in yang meridians and specific acupoints. The method of acupoint selection is mainly locally acupoint selection, syndrome differentiation acupoint selection and acupoint selection along the meridians. It can provide new ideas for the study of ancient classics of traditional Chinese medicine, acupuncture treatment of hemiplegia after stroke.