基于数据挖掘技术探析巨刺法治疗卒中后肢体功能障碍的腧穴配伍规律

Exploring the acupoint compatibility rules of opposing needling therapy for post-stroke limb dysfunction based on data mining technology

目的应用数据挖掘技术分析中医巨刺法在卒中后肢体功能障碍疾病的腧穴配伍规律。方法检索截至2023年10月的相关文献,数据来源包括中国期刊全文数据库(CNKI)、维普中文科技期刊数据库(VIP)、万方学术期刊全文数据库(Wanfang)、PubMed等。将检索到的关于巨刺法治疗卒中后肢体运动功能障碍的文献整理为数据库,使用Microsoft Excel 2019建立数据库并进行腧穴相关统计分析;应用SPSS Modeler 18.0进行关联规则分析;使用SPSS Statistics 25.0对腧穴进行层次聚类分析并绘制树状图。结果①最终纳入144篇符合条件的文献,提取针灸处方共184条,涉及126个腧穴,总使用频次为1659次;②频次为前五的腧穴依次是合谷、曲池、肩髃、外关和足三里;③卒中后肢体运动功能障碍常见表现为偏瘫、肩手综合征和肢体活动异常;④主要选用的经脉为手阳明经、足阳明经以及足少阳经,腧穴多分布于四肢;⑤特定腧穴的五输穴使用频次最高;⑥曲池、合谷、肩髃、外关和足三里组成核心组穴,高频腧穴聚类可划分为8个有效聚类群。结论在治疗时应重视阳经的取穴,同时结合阴经,强调腧穴的近治作用,整体上以扶正祛邪为原则,遵循中医整体观念。

Objective To analyze the acupoint compatibility rules of opposing needling therapy for post-stroke limb dysfunction using data mining techniques.Methods Retrieve relevant literature up to October 2023,with data sources including the China National Knowledge Infrastructure(CNKI),VIP Chinese Science and Technology Periodical Database(VIP),Wanfang Academic Journal Full-text Database.The retrieved literature on the treatment of post-stroke limb motor dysfunction using contralateral acupuncture was organized into a database.Microsoft Excel 2019 was used to establish the database and conduct statistical analysis related to acupuncture points.SPSS Modeler 18.0 was applied for association rule analysis,and SPSS Statistics 25.0 was used to perform hierarchical cluster analysis on the acupuncture points and generate a dendrogram.Results①A total of 144 papers were included,yielding 184 acupuncture prescriptions involving 126 acupoints with a total frequency of 1659.②The top five most frequently used acupoints were Hegu,Quchi,Jianyu,Waiguan,and Zusanli.③Common manifestations of post-stroke motor dysfunction included hemiplegia,shoulder-hand syndrome,and abnormal limb movements.④The primarily selected meridians were the Hand and Foot Yangming meridians and the Foot Shaoyang meridian,with acupoints mostly located on the limbs.⑤Among the specific acupoints,the five-shu points were the most frequently utilized.⑥The acupoint groups centered around Quchi,Hegu,Jianyu,Waiguan,and Zusanli.The high-frequency acupoints could be divided into 8 effective clustering groups.Conclusion In treatment,attention should be paid to the selection of acupoints in the Yang meridian,while combining with the Yin meridian,emphasizing the close treatment effect of acupoints,and overall adhering to the principle of supporting the body and eliminating evil,following the holistic concept of traditional Chinese medicine.