基于数据挖掘技术分析肠易激综合征的针灸特点与规律

Analysis of the characteristics and law of acupuncture in the treatment of irritable bowel syndrome by data mining

目的通过文献复习,分析肠易激综合征(irritable bowel syndrome,IBS)的针灸特点与选穴组方规律,为临床针灸治疗IBS提供科学数据。方法检索2011年1月至2020年12月中文数据库收录的针灸治疗IBS临床研究文献,将其分型、针灸方法、疗程、留针时间、随访等信息输入Excel表格,将针灸处方等资料录入中医传承辅助平台(V2.5),采用数据挖掘技术,分析针灸治疗IBS的特点与选穴组方规律。结果共筛选纳入125篇文献,涉及66个腧穴,其特点是:虽辨证分型不同,但其选穴组方规律一致,以足阳明胃经腧穴为主,腧穴选择以天枢、足三里、上巨虚为主。结论IBS虽有不同的中医辨证分型,但属脏腑病,有其相同的用穴规律,说明腧穴具有双向良性调节作用;通过系统分析得到的腧穴配伍规律和核心处方,可为针灸临床治疗IBS提供参考。

Objective To analyze the characteristics and law of acupuncture and moxibustion in the treatment of irritable bowel syndrome(IBS)by reviewing clinical research literature in the last 10 years,and provide scientific data for the clinical application of acupuncture and moxibustion in the treatment of IBS.Methods The clinical research literature of acupuncture and moxibustion in the treatment of IBS included in China's common databases from January 2011 to December 2020 were reviewed.The classification,acupuncture methods,course of treatment,time of retaining needle,follow-up and other information were input into Microsoft Excel,and the acupuncture prescription and other data were input into the Traditional Chinese Medicine Inheritance Support Platform(V2.5),adopting the data mining method to analyze characteristics of diagnosis and treatment of acupuncture and moxibustion and the law of acupoint compatibility in the treatment of IBS.Results A total of 125 papers were selected and included,involving 66 acupoints.The characteristics:although the syndrome differentiation types are different,the law of acupoint selection and prescription are consistent.The acupoints are mainly in Stomach Meridian of Foot-yangming,and the acupoints mainly inclueded Tianshu,Zusanli,Shangjuxu.Conclusion Although IBS has different TCM syndrome differentiation types,it belongs to visceral diseases and has the same law of acupoint application,indicating that acupoint has bidirectional benign regulation effect.The compatibility law of acupoints and core prescription obtained through systematic analysis can provide reference for acupuncture and moxibustion in the clinical treatment of IBS.