基于30年文献数据挖掘推拿手法治疗颈型颈椎病选穴规律

A study on acupoint selection rules of massage treatment of cervical spondylosis based on literature data mining of 30 years

目的:基于30年文献数据挖掘推拿手法治疗颈型颈椎病的选穴规律,为临床提供参考依据和理论指导。方法:检索近30年知网、万方、维普和生物医学文献数据库中关于推拿手法治疗颈型颈椎病的文献,筛选出有效文献,建立资料数据库;对数据进行频次、关联规则以及聚类分析;构建可视化网络图。结果:本研究共纳入有效文献223篇,包含腧穴57个。腧穴总使用频次为1262次,使用频次最高的是风池穴,其次为肩井穴,两穴也是使用频次最高的腧穴组合;整体选穴规律遵循远近配伍的法则,以头面颈肩部为主,四肢穴位为辅,以交会穴及经外奇穴居多;常用经脉以足少阳胆经、手太阳小肠经、督脉及手阳明大肠经为主,涵盖腧穴数最多的经脉为足太阳膀胱经。结论:推拿治疗颈型颈椎病采取远近配伍的配穴法则。其法以近部取穴为主,优先阳经取穴,侧重特定穴应用。

Objective:This study aims to explore the acupoint selection rules of massage therapy for cervical spondylosis,providing reference and theoretical guidance for clinical practice.Methods:The literature of massage treatment of cervical spondylosis in CNKI,Wanfang,VIP and biomedical databases in recent 30 years was retrieved.Effective literatures were screened out and a data base was established.The data were analyzed by frequency,association rules and clustering,and a visual network graph was constructed.Results:A total of 223 effective literatures were included in this study,including 57 acupoints,and the total frequency of acupoint use was 1262 times.Fengchi point(GB20)was the most frequently used acupoint,followed by Jianjing point(GB21).Fengchi point and Jianjing point were also the most frequently used acupoint combinations.The overall acupoint selection rule was mainly on the head,face,neck and shoulders,supplemented by acupoints on the limbs.There were many crossing points and extra points.The commonly used meridians were the foot lesser Yang(阳)gallbladder meridian,the hand greater Yang small intestine meridian,the governor vessel and the hand Yang brightness large intestine meridian.The meridian with the largest number of acupoints was the foot greater Yang bladder meridian.Conclusion:Massage therapy for cervical spondylosis adopts the principle of acupoint selection with distance matching.The method is based on proximal acupoints,with priority given to Yang meridians and specific acupoints.