基于数据挖掘的针灸治疗肺系疫病古代文献整理研究

Collation and research of ancient literature on acutherapy for pestilential disease of lung system based on data mining

目的收集古文献中针灸治疗肺系疫病的有关条文,分析针灸治疗肺系疫病的应用特点,为现代提供临床借鉴。方法从国家图书馆古籍文献纸质书籍、国家图书馆电子文献数据库电子书籍、上海中医药大学图书馆纸质书籍、电子书籍中收集秦至清末时期内针灸治疗肺系疫病的古籍文献条文,按照纳入标准与排除标准进行筛选,运用IBM SPSS Statistics 27.0进行频数分析、聚类分析、主成分与因子分析及关联规则分析。结果共纳入226条针灸治疗肺系疫病的文献条文,其中来源于《证治准绳》条文最多,为32条,针灸疗法包括12大类,使用频次最高的为刺血56次,针灸治疗涉及68个穴位,使用频次超过5次的穴位有2个,依次为少商、委中。结论在针灸治疗肺系疫病时可采用针刺与刺血等多种方式相结合,可用“间使、肩井、曲池、膏肓”为治疗核心处方,并辅以辨证取穴。

Objective To collect the relevant provisions of acutherapy in the treatment of pestilential disease of lung system in ancient literature,thus providing clinical reference for recent period by analysis of their application characteristics.Methods The related literatures reported from the Qin Dynasty to the late Qing Dynasty were screened from the paper books of the National Library of China,the electronic books of the National Library of China,and the paper books and electronic books of the Library of Shanghai University of Traditional Chinese Medicine.IBM SPSS Statistics 27 was used for frequency analysis,cluster analysis,principal component and factor analysis,and association rule analysis based on the inclusion criteria and exclusion criteria.Results A total of 226 articles were included,the most of which were derived from the Zheng Zhi Zhun Sheng(n=32).Acutherapy included 12 categories,and the highest frequency of use was pricking blood therapy(n=56).Acupuncture treatment involved 68 acupoints,and there were 2 acupoints used more than 5 times,in the order of Shaoshang(LU11)and Weizhong(BL40).Conclusion It is suggested that acupuncture and blood needling can be combined in the treatment of pestilential disease of lung system,and the core prescription of"Jianshi,Jianjing,Quchi,Gaohuang"can be used,supplemented by acupoint selection based on syndrome differentiation.