针刺缓解运动性疲劳的选穴规律分析

An Analysis of Acupoint Selection Law of Acupuncture in Alleviating Exercise-Induced Fatigue

目的:运用数据挖掘技术对近10年针刺缓解运动性疲劳的随机对照试验(randomized controlled trial,RCT)文献进行分析,探讨针刺缓解运动性疲劳常用腧穴、归经及腧穴配伍规律。方法:检索PubMed、EMBASE、Medline、Cochrane、中国知网、中国生物医学文献数据库、维普数据库和万方数据库8个数据库中针刺缓解运动性疲劳的全部RCT文献,检索时间为2010年1月至2020年7月,对腧穴频次、归经及腧穴配伍规律等进行统计分析。结果:纳入文献25篇,使用腧穴共35个,使用频次共计81次,频次最高的穴位有足三里、三阴交、合谷、关元、阳陵泉、血海、环跳。腧穴归经以足阳明胃经最多,其次为足太阴脾经。选穴主要集中在四肢部,以下肢部最多,共计腧穴16个,使用49次。特定穴选穴以五输穴频次最高。结论:针刺缓解运动性疲劳选穴相对单一,选取足三里的比例最高,腧穴配伍以足三里、三阴交为主,循经取穴、局部取穴、选取特定穴是针刺缓解运动性疲劳的主要选穴规律。

Objective:To analyze the literatures of randomized controlled trial(RCT)of acupuncture in alleviating exercise-induced fatigue in recent 10 years by using data mining technology,and to explore the commonly-used acupoints,meridian tropism and acupoint compatibility law of acupuncture in alleviating exercise-induced fatigue.Methods:All the RCT literature on acupuncture relieving exercise-induced fatigue in 8 databases:PubMed,EMBASE,Medline,Cochrane,CNKI,China biomedical literature database,VIP database and Wanfang database was searched from January 2010 to July 2020.The acupoint frequency,meridian tropism and acupoint compatibility laws were statistically analyzed.Results:A total of 25 literature was included,35 acupoints were used,and the frequency was 81 times.The acupoints with the highest frequency were Zusanli(ST 36),Sanyinjiao(SP 6),Hegu(LI 4),Guanyuan(BL 26),Yanglingquan(GB 34),Xuehai(SP 10)and Huantiao(GB 30).The most acupoint meridian tropism included the stomach meridian of foot brightness,followed by the spleen meridian of foot greater yin.The selected acupoints were mainly concentrated in the limbs,and the lower limbs had the most ones,with a total of 16 acupoints used for 49 times.The highest frequency of selecting specific acupoints focused on the five transport acupoints.Conclusion:The selection of acupoints for acupuncture to alleviate exercise-induced fatigue is relatively single,and the proportion of selecting Zusanli(ST 36)is the highest.The compatibility of acupoints include mainly Zusanli(ST 36)and Sanyinjiao(SP 6).Selecting acupoints along the meridians,local acupoints and specific acupoints are the main selection laws for acupuncture to alleviate exercise-induced fatigue.