基于数据挖掘的紧张型头痛针灸取穴规律分析

Acupoint Selection Rules in Treating Tension Type Headache with Acupuncture and Moxibustion on Data Mining

目的运用数据挖掘技术分析国内针刺治疗紧张型头痛的选穴规律。方法检索2011年1月1日至2020年12月31日中国期刊全文数据库(CNKI)、万方数据知识服务平台(WF)、维普中文期刊服务平台(VIP)针刺治疗紧张型头痛的相关文献,建立针灸处方数据库,运用SPSS20.0、SPSSModeler18.0软件进行统计分析及数据挖掘。结果共纳入81篇文献,涉及81个针灸处方、66个腧穴,腧穴使用总频次549次。其中,百会使用频次最高,常选用经脉为督脉、胆经、胃经、肝经,腹部、下肢和背部腧穴使用较多,特定穴多使用交会穴,最常用的腧穴组合为风池-头维。结论国内针刺治疗紧张型头痛以局部取穴为主,配合远端取穴;重视调节气机,通络止痛;重视特定穴使用,尤其是交会穴。

Objective To analyze the rules of acupoint selection for the treatment of tension-type headache in China based on data mining.Methods Studies on acupuncture treatment for tension-type headache published from January 1,2011 to December 31,2020 were extracted from Chinese national knowledge(CNKI),Wanfang Database(WF)and Chinese Science and Technology Journal Service Platform(VIP),to establish a database of acupuncture prescriptions for tension-type headache.SPSS20.0 and IBM SPSS Modeler18.0 software were used for statistical analysis and data mining to explore the application rules of acupoints.Results A total of 81 literatures were included,involving 81 acupuncture prescriptions and 66 acupoints.The total frequency of acupoint use was 549 times.Among all acupoints,Baihui(GV 20)is used most frequently.Governor Vessel,Gallbladder,Stomach and Liver Meridians are the most commonly selected meridians.Acupoints on abdomen,lower limbs and back are much used,and the intersecting points are preferred in Specific acupoints.The most common combination of acupoints is Fengchi(GB20)with Touwei(ST8).Conclusion Acupuncture treatment for tension-type headache in China mainly uses local(head)with the combination of the distal(limbs),and more attention should be paid to regulating Qi movement,dredging collaterals,relieving pain and specific points,especially the intersecting points.