基于数据挖掘探究针刺治疗视神经炎选穴规律

Research on rules of acupoints selection and prescription in the treatment for optic neuroitis based on the data mining

目的 通过数据挖掘探究针刺治疗视神经炎(ON)的选穴规律,从而为临床针刺治疗ON选穴提出新的思路。方法 检索各大数据库中有关针刺治疗ON的文献,进行文献的筛选以及腧穴的统计,并通过Excel、TCMICS等软件对各腧穴进行可视化分析,根据所得结果分析并探究针刺治疗ON的选穴与组方规律。结果 纳入有效文献共计18篇,有效处方共计20首;针刺治疗ON的5个主穴依次为:睛明、球后、风池、合谷、攒竹;所选穴位以经外奇穴、足太阳膀胱经、足少阳胆经为主;所选腧穴多分布在头面部,而以眼周穴位居多。结论 针刺治疗ON多采用经外奇穴、足少阳经腧穴、足太阳膀胱经腧穴;所选腧穴以“近部选穴”为主;睛明、球后、风池、合谷、攒竹为针刺治疗ON的主要穴位。

Objective To explore the rules of acupoints selection in the clinical treatment of Optical Neuroitis(ON)and provide new ideas for clinical prescription.Methods Search all literature on acupuncture in the treatment of ON from database from 1980 to 2023,and make visual analysis of the frequency,classification,association rules and clustering of the acupoints and prescription,the probe into the rules of acupoints selection and prescription for ON.Results 18 literatures and 20 acupoints were included.The most five frequently used acupoints were Jingming(BL1),Qiuhou(EX-HN7),Fengchi(GB20),Hegu(LI4),Cuanzhu(BL2).The acupoints were mainly on Foot Meridian of Gallbladder,Foot Meridian of Bladder and Extra points.The acupoints were mainly distributed to around head,which mostly around the eyes.Conclusion The study found that the Extra Points,the Foot Meridian of Gallbladder and the Foot Meridian of Bladder were often used in the treament of ON.The selected points are mainly followed“the selection of local points”as the principal part.Jingming(BL1),Qiuhou(EX-HN7),Fengchi(GB20),Hegu(LI4),Cuanzhu(BL2)were the main acupoints for the treatment of ON.